(Tangled for a while, it's still the first to start, don't look at it first, I'll take a shower and then modify it.) ）

As for the legs, Lin Miao's gaze moved downward, because there was a trouser tube in the way, she didn't see the abnormality at once, she asked, "Left leg or right leg?" What did the doctor say at the time? ”

"Left leg, I didn't find a doctor at that time."

At this stall that the groom answered, Lin Miao had already used scissors to cut the patient's trouser leg.

The strip of cloth is yellow with a red tinge and a foul smell, and the exposed areas are red, swollen and black.

Judging by the position where the cloth is wrapped, it is the middle of the calf that is injured.

In order to confirm the extent of the injury, Lin Miao quickly cut the strip of cloth.

The wound is purplish-black, blisters with dark red fluid, and a foul-smelling fluid discharges.

Lin Miao had a bad guess, took the scalpel from the side, and cut it at the dark red and swollen wound.

As she had guessed, the muscles lost their elasticity, and the knife cut did not contract or bleed.

This is gas gangrene!

Gas gangrene is a severe, acute, specific infection caused by Clostridium perfringens.

Pathogenic bacteria mainly grow and multiply in the wound, and the tissues in the wound are necrotic and decomposed, resulting in an anaerobic environment, which is more conducive to the reproduction of bacteria and makes the disease deteriorate rapidly.

Judging from the current situation, this leg can't be kept.

"Grandpa, apply anesthetic, apply needles to stop bleeding, and this leg should be removed immediately."

"Go, go, go, what does it mean?" The groom looked at Lin Miao nervously.

Lin Miao glanced at him and said, "Amputation, don't get in the way of us here, get out." ”

The horseman grabbed Lin Miao, "No, Staff Officer Zhang is a military general, how can he fight without legs?" ”

"Let it go." Lin Miao's face sank, "What kind of battle are you fighting if you have no life." ”

The groom didn't let go, and begged: "Junior Brother Lu said that you are a miracle doctor, if you think about it again, Staff Officer Zhang can't do without legs, he won't be able to accept it." ”

"I'm not a miracle doctor, I have to accept it if I can't accept it, if it drags on for a few more days, he will die, do you want to watch him die?"

"Dead?" Mafu paused, looked at Lin Miao with sad eyes, and finally let go.

When you die, there's nothing.

"Go out and stay outside, and call two disciples in by the way." After Lin Miao finished speaking, she began to prepare things.

After a while, Chen Sheng and Zhang Shoufu came in.

Chen Sheng asked, "Master, what are we going to help do?" ”

"Clean your hands, put on your isolation gown, wear a mask, and stand by."

The two hurriedly executed.

When they were ready, Lin Miao took a deep breath, looked at Lin Shikang and said, "Let's start, grandpa." ”

Lin Shikang nodded in response, smiled and applied a few stitches, and then tied a tourniquet to his left leg.

He tied it up, and Lin Miao immediately picked up a scalpel to cut open the lateral calf muscles and separate the superficial peroneal and anterior tibial nerves.

After partial sealing, cut them off with a sharp blade to allow them to retract above the osteotomy plane.

After doing this, she proceeded to peel the exposed tibia and fibula, circumferentially cut the periosteum at the expected osteotomy plane, and sawed it off with a wire saw after peeling.

Then file the tibia and fibula edges with a bone file.

The posterior calf muscles are then severed, the posterior tibial blood vessels are exposed, and they are cut after ligation.

Finally, the posterior tibial and peroneal nerves are treated, the incision is flushed, a drain is placed, and the sutures are sutured layer by layer.

Amputation is much more difficult than imagined in this era of backward medical conditions, and if it is not really life-threatening, Lin Miao really doesn't want to go under the knife.

After finishing and coming out of the treatment room, it was already full of sunset, and Jiang Dazhuang, who had been waiting for a long time, hurriedly greeted him and said, "Girl, the woman named Luluo has eyebrows." ”

"Oh, find out who she is?" Lin Miao's expression lit up, and her eyes were full of anticipation.

Jiang Dazhuang was about to answer, but Yu Guang saw Lin Miao's bloody hands, and his expression froze.

"Why is there so much blood?" He muttered.

Lin Miao's eyes fell on her hands, there were no medical gloves, and it was inconvenient to wear other gloves, so she could only go into battle with her bare hands.

This situation is actually very dangerous, if she is accidentally cut with a scalpel and the patient has an infectious disease, then she is very likely to get it.

Even Clostridium perfringens, which causes gas gangrene, is also likely to be parasitic.

It seems that it is imperative to find rubber trees to tap rubber to make rubber gloves.

Thinking of this, she withdrew her gaze from her hand and said, "I just amputated a patient's leg, this is his blood, it doesn't matter, let's say which one the pothos belongs to." ”

Jiang Dazhuang swallowed his saliva, inexplicably felt that his legs were a little cold, and took a step back cautiously before saying: "Near Jian's Mansion, a young man in his twenties, his eyes were red when I took out the portrait, although he said that he didn't know him, but he definitely knew him, and he had a good relationship." ”

"That's right, you're careful enough, well done."

Lin Miao gave a high degree of appreciation, and said after speaking: "That young man should be the breakthrough point, you slowly find an opportunity to approach him, and strive to get useful information from him." ”

Jiang Dazhuang's waist straightened, and he felt full of energy inexplicably, nodding his head and saying, "Okay, girl, then I'll go and guard." ”

Lin Miao nodded, "Let's go," after speaking, he suddenly thought of something and hurriedly raised his hand, "Wait a minute, you just said Jian Mansion?" ”

"It's Jane's House."

Saying these three words, Jiang Dazhuang thought of his master's strange smile again.

When he learned that the murderer might be from Jane's Mansion, he reported it to his master as soon as possible.

thought that with the friendship between his master and Master Jane, he would stop things from going down.

Unexpectedly, his master asked him to actively cooperate with the girl and find out the gangster.

It's really...

After listening to Jiang Dazhuang's answer, Lin Miao remembered a person, Jian Yuxin, for a period of time, she often came to the medical school and stayed to help, but she was like eating a lemon, and she spoke with a sour air.

In order not to be soured every day, she told her not to come.

Is it because of this grudge?

Not really!

She also gave her a lot of whitening cream at that time.

Lin Miao guessed to herself, and Ye Zi's voice sounded behind her: "Girl, Old Madam Chen has sent a few messages for you to go back." ”

"Is she looking for me?" Lin Miao turned around and asked.

Ye Zi shook his head, "I didn't say anything, the person who sent the letter didn't know anything, and the last one was even worse, and he ran away immediately after conveying the news, as if he would be eaten by me if he stayed for a while." ”

Lin Miao looked at the annoyed Ye Zi and chuckled, "You asked people to go back and spread the news, just say that I won't go back tonight." He walked back to the treatment room.

In the treatment room, Chen Sheng and Zhang Shoufu were still cleaning their hands, and when they saw Lin Miao and the others, they hurriedly gave way to the side.

Lin Miao glanced at the person lying on the bed and asked, "Is there anything abnormal about him?" ”

Chen Sheng wiped his hands and said, "No, I haven't woken up." ”

Lin Miao nodded, indicating that he understood, after washing his hands, his eyes fell on the medical waste, and said: "Burn the cut parts and the strips of cloth used today that can be burned, and if you can't burn, boil the waste water like a scalpel for a longer time." ”

Chen Sheng couldn't do this, and neither could Zhang Shoufu, they could only respond, and then order others to do it.

Lin Miao dried her hands and saw that Chen Sheng was still in the treatment room, and asked puzzledly, "What are you doing standing here?" ”

Chen Sheng replied: "I think he needs someone to guard him now." ”

"You don't need to keep it, go back, I'll keep it tonight."

Chen Sheng hurriedly shook his head, "Senior sister, you are also tired today, so I'll guard it." ”

Lin Miao thought for a moment and said, "It's okay, then you go to rest now, and you come to guard in the middle of the night." ”

Chen Sheng nodded and retreated.

Lin Miao came out of the treatment room, found the groom who sent him, and asked, "That, what's your name?" ”

Ma Fu: "My name is Jiang Dashi. ”

"Brother Dashi, you, Staff Officer Zhang, won't get better for a while, we have some empty rooms here, you can stay first."

Jiang Dashi shook his head, "I can't stay here for a long time, I have to go back to Beijing to resume my life." ”

Lin Miao: "......"

"You threw this Counselor Zhang here?" It's a hassle to take care of, okay?

Jiang Dashi arched his hand: "Trouble Doctor Yue'er." ”

Lin Miao: "......"

Jiang Dashi saw that Lin Miao looked speechless, and hurriedly said: "Doctor Yue'er, don't worry, the consultation fee will not be missing from you, after I go back to Beijing, I will immediately ask someone to send the consultation money over." ”

Lin Miao: "......"

It's not a matter of money, okay? How can a patient do without family members by his side?

Especially after this kind of surgery, the moment the patient learns about it, the outburst of emotions needs to be soothed by the family.

After thinking about it, he said, "Even if you want to leave, wait for him to wake up before leaving." ”

Jiang Dashi nodded, he was originally going to wait for Staff Officer Zhang to wake up.

Lin Miao breathed a sigh of relief, rubbed her shoulders and walked towards the data room.

In the data room, Lin Shikang was writing something, and when he heard footsteps, he put down his pen and turned his head, "Xiao Miao, come and see this recipe." ”

Lin Miao strode over, "What way?" ”

"A cure for gas gangrene."

"The area of necrosis in this patient is too large to be treated conservatively."

Lin Miao also considered conservative treatment, but there were too many necrotic tissues, and amputation was the best way.

Lin Shikang waved his hand: "I only remembered this prescription when I saw him, not that he can still treat conservatively." If he could, I'd stop you. ”

After all, amputation is also very harmful, and there is also the possibility of surgical infection.

Lin Miao sat down on the chair, faced Lin Shikang, and said with a smile: "Grandpa, in order to spend more time with you, I plan to move to your house, are you happy?" ”

Lin Shikang glanced at Lin Miao, and asked with a smile on the corner of his mouth, "Is it because Xiao Rong is back?" ”

Lin Miao took Lin Shikang's hand and shook it, "Grandpa, you are so smart, I can't hide it from you." ”

Lin Shikang shook his head and smiled, "Did she embarrass you?" ”

"It's not embarrassing now, it's just that she has an inexplicable hostility towards me and sent a subordinate to spy on me, I suspect she will definitely misunderstand my relationship with Grandpa Chen."

Before Lin Miao finished speaking, her head was hit, and she hurriedly raised her hand to cover it, looking pitiful with her mouth curled.

"What nonsense, Xiao Rong can't misunderstand the relationship between you and Ah He, she sent someone to take care of you, it should be because she likes you."

"Grandpa, if you open your eyes and talk nonsense, if she likes me, she won't be cold, I waited for her at the door for a long time, and then looked at me with disgust."

"She dislikes you?" Lin Shikang was a little unconvinced.

Lin Miao nodded heavily: "Grandpa, although I am a little nervous, I can still tell at a glance whether others dislike me or not." ”

Hearing this, Lin Shikang's eyes sank, Xiao Miao was inferior and sensitive when she was a child, and he wasted a lot of effort to raise her to such an optimistic and cheerful appearance as she is now.

You can't let Xiao Rong raise people back.

"Since you are uncomfortable living in the Chen family, let's move to grandpa's house."

Lin Miao felt that her heart was suddenly steady, and she said sincerely: "Grandpa, it's good to have you, I don't have to worry about being homeless anymore." ”

"Silly boy." Lin Shikang raised his hand and rubbed Lin Miao's head, "You have to remember that grandpa's house will always be your home." ”

"Hmm." Lin Miao nodded.

At this moment, Ye Zi walked in, "Girl, the news has been sent back, and Mrs. Chen has sent the news again." ”

"Say what?" Lin Miao asked.

"Say you're going back."

"Huh? Why? ”

"I didn't say why."

Lin Miao thought for a moment and stood up: "Grandpa, you watch here first, I'll go back." ”

Lin Shikang nodded: "Go ahead." ”

The distance between the medical school and the Chen Mansion is not far, and it will be back after a while.

Lin Miao got off the carriage, her face was not very good, and the maids who passed by cast inquiring glances at her from time to time.

She ignored this and walked directly towards An Hetang.

Unlike yesterday, as soon as she arrived at Anhetang today, the maid invited her in.

Lin Shikang glanced at Lin Miao, and asked with a smile on the corner of his mouth, "Is it because Xiao Rong is back?" ”

Lin Miao took Lin Shikang's hand and shook it, "Grandpa, you are so smart, I can't hide it from you." ”

Lin Shikang shook his head and smiled, "Did she embarrass you?" ”

"It's not embarrassing now, it's just that she has an inexplicable hostility towards me and sent a subordinate to spy on me, I suspect she will definitely misunderstand my relationship with Grandpa Chen."

Before Lin Miao finished speaking, her head was hit, and she hurriedly raised her hand to cover it, looking pitiful with her mouth curled.

"What nonsense, Xiao Rong can't misunderstand the relationship between you and Ah He, she sent someone to take care of you, it should be because she likes you."

"Grandpa, if you open your eyes and talk nonsense, if she likes me, she won't be cold, I waited for her at the door for a long time, and then looked at me with disgust."

"She dislikes you?" Lin Shikang was a little unconvinced.

Lin Miao nodded heavily: "Grandpa, although I am a little nervous, I can still tell at a glance whether others dislike me or not." ”

Hearing this, Lin Shikang's eyes sank, Xiao Miao was inferior and sensitive when she was a child, and he wasted a lot of effort to raise her to such an optimistic and cheerful appearance as she is now.

You can't let Xiao Rong raise people back.

"Since you are uncomfortable living in the Chen family, let's move to grandpa's house."

Lin Miao felt that her heart was suddenly steady, and she said sincerely: "Grandpa, it's good to have you, I don't have to worry about being homeless anymore." ”

"Silly boy." Lin Shikang raised his hand and rubbed Lin Miao's head, "You have to remember that grandpa's house will always be your home." ”

"Hmm." Lin Miao nodded.

At this moment, Ye Zi walked in, "Girl, the news has been sent back, and Mrs. Chen has sent the news again." ”

"Say what?" Lin Miao asked.

"Say you're going back."

Lin Miao felt that her heart was suddenly steady, and she said sincerely: "Grandpa, it's good to have you, I don't have to worry about being homeless anymore." ”

"Silly boy." Lin Shikang raised his hand and rubbed Lin Miao's head, "You have to remember that grandpa's house will always be your home." ”

"Hmm." Lin Miao nodded.

m..