Chapter 24 Surgical Procedure

The men agreed bitterly, so that Yiqing would do their best to save without worries, why don't they know in their hearts? This is already a dead horse as a live horse doctor!

However, in this era, there were no antibiotics, no vaccines, and no hemostases......

In the era of cold weapons, there is only one trick to prevent infection: fire! External injuries can be scraped with a knife to scrape the purulent tissue, and then take a burning stick to burn the wound with fire for the purpose of stopping bleeding and sterilization, but internal injuries are not good: the internal organs are so burned, basically cooked can be eaten directly......

Yiqing thought about it for a while, so she asked the housekeeper if there were any antibiotics, and she was afraid that the other party would not understand, so she said that it was a medicine for treating fever and purulence.

"Yes, there were a bunch of small bottles, but I didn't even recognize them and didn't take them out, and it's been too long......" said the butler.

"Take it out first, be prepared." Yi Qing said as she went into the inner room.

Yilan was an assistant to himself as usual, last time there was Imperial Doctor Li, this time he was replaced by a housekeeper, originally Chunjiang and his wife insisted on going in but were completely stopped by Yiqing, and said: "There are too many people, it is easy to get infected, and you don't know how to be easily scared." ”

"We don't understand, do you understand? Does the housekeeper understand? If he was powerful, would he deign to be a subordinate? Chunjiang's daughter-in-law was embarrassed in public, and she felt very uncomfortable, especially when she looked at the housekeeper who changed into white clothes.

However, the two couples were still invited out by Yiqing.

"Steward Zhang, please calm down, we will be a big scene for a while, you have to calm down!" Yi Qing encouraged, after all, this is a major operation, and there are only a few who can use it now, and there are really no trusting people who can use it! The mother-in-law and daughter-in-law have boiled the anesthetic medicine, and Yiqing fed the injured according to the amount the housekeeper said.

"Girl, Imperial Doctor Li is also here, please take the trouble to pass on the word to Miss Qing." Rui Xiao Wang Ye shouted outside, as soon as something happened, he hurriedly sent someone to invite, fortunately, Imperial Doctor Li was not in office today, otherwise it would take too long to come out of the palace.

When the brothers saw that there was a doctor, they were even more relieved.

The onlookers were also deeply moved, and they did not dare to speak loudly one by one, for fear of disturbing the train of thought of the people inside.

"Rui Xiao Wangye, let the old man take a breath, it's really ...... It's really not good ...... body," Dr. Li panted.

Doctor Li slowed down for a moment, and then followed the other people: wash their hands, change into white clothes, put on white hats, and masks.

This operation is not as good as last time, Yiqing's face towel had to be changed into a new mask, everyone exclaimed, even Yilan was puzzled, Yiqing's face seemed to be more serious than before......

There are priorities, and the most important issue now is to quickly sew the big man's stomach shut, and everyone quickly returns their attention to the operation.

"Everyone should pay attention to protect themselves, please take the initiative to leave if you have wounds on your hands, blood is the most contagious disease." Yi Qing said solemnly: "I believe that the housekeeper and Imperial Doctor Li have read the manuscript of Ye Mingyi back then. While we save others, we must also protect ourselves. ”

"Yes, it says in the manuscript that hepatitis B, syphilis, and AIDS can be transmitted." The housekeeper answered.

"Don't we have gloves?" Imperial Physician Li saw that Yiqing was about to start barehanded, and hurriedly reminded.

Yiqing was ecstatic, she had already said that she was scared to death.

The housekeeper said: "This thing is too expensive and easy to break, except for the hospital, there is almost no ...... anywhere else."

Several people put on the special gloves brought by Imperial Doctor Li, and disinfected them again, and Yiqing instructed again: "Although you are wearing gloves, everyone still has to pay attention to protecting yourself, and from now on, let's try to talk as little as possible, and only talk about surgery." ”

Yiqing calmed down again, quickly opened the wounded's clothes and rinsed near the wound with a bottle of disinfectant, then spread a white clean cloth near the wound, and used clean gauze dipped in disinfectant to scrub the body again, from the inside out, one, two, and three times.

"It's just a disinfection link, we must remember that we would rather waste more disinfectant, and resolutely not let the patient get infected, our body, hands, and even the surrounding environment have the risk of infection, so pay more attention to the aseptic operation as much as possible, that is, the hygienic operation. Now we officially begin. ”

Yi Qing demonstrated to the people nearby while talking, and told the people around her not to get too close, and the people outside the house consciously lowered their voices.

"It's going to be bloody down there," Yi Qing didn't finish speaking, holding a scalpel in one hand and extending about 5 centimeters up and down directly in the direction of the knife edge, "Steward Zhang, wear sheep intestines." The housekeeper moved quickly, Yiqing pulled out the knife with one hand, and wiped off the bubbling blood with a clean disinfected gauze in the other.

Everyone felt disgusting and irritating, Yiqing moved quickly, the process of this laparotomy operation should be fast, after all, it was not as good as the sterile operating room in later generations, and it was not easy to bring patients to the space.

"It's not good, the intestine is ruptured, the good thing is that the spleen and pancreas and liver are not punctured, the bad thing is that the intestine is prone to infection, and I have surgery, how to eat before the wound stays?" There are many problems, Yiqing suddenly feels that she has driven herself to a dead end, although the family does not ask for anything from her, but as a doctor, she can't help but be anxious.

"Don't be discouraged, don't panic, do your best, and obey the destiny of heaven!" Imperial Physician Li's eyes began to dilute when he saw Yiqing, and he reminded vigorously.

"Sister, don't worry about the future, go all out!" It was Yilan who spoke.

Yiqing took a deep breath, slowly exhaled, and said, "Okay, let's do the operation first, housekeeper, did Lao Zhang's things mention infusion tubes or anything like that?" ”

"There used to be, now we only have glass, and the things in the diary have now turned into powder." The housekeeper replied, "It should be made of plastic or silicone."

"Okay, let's fight!" Yi Qing struggled to quickly identify the bleeding intestines, and the strange thing was that there was only this one bleeding opening, but the amount of bleeding was really a bit big?!

If only there was a colonoscopy.

"What are you doing?" The crowd exclaimed! I saw Yi Qing stick her fingers into the bleeding intestines.

"There's no way, the amount of bleeding from this wound is abnormal, and you haven't noticed it? This patient's intestines are too clean......" As she spoke, Yiqing's eyes suddenly lit up and said, "What is this?" ”

Yiqing paused, picked up another small scalpel, and stabbed it down with the intestine, about ten centimeters of the intestine was cut off, Yiqing pinched the broken end of the blood vessel, the blood flow was much less, and said: "Okay, it's probably a problem with this intestine, let's continue." ”

"Yiqing, you have to hurry up, the injured person is very cold now!" It was Imperial Doctor Li who spoke, in this operation, Yilan helped pull the hook, Yiqing was responsible for the main operation, he and the housekeeper couldn't help, so they simply took the overall situation and macroscopic observation of the patient's vital signs.

Yiqing sweat is about to come out, it's over, I'm afraid I'm going to go into hemorrhagic shock.

Yiqing didn't care about others, and no longer talked and explained, she quickly picked up the sheep intestine prepared in advance and quickly sutured it, and the strength was just right: too tight the broken end of the intestinal tube is easy to be ischemic necrosis, too loose will not be able to suture and easily lead to intestinal leakage, and the elasticity of the sheep intestine itself also needs a certain degree of control.

After suturing the bowel, check that there are no other bleeding openings, and then the omentum and rectus abdominis muscle...... Finally done, Yi Qing breathed a sigh of relief, she had never dared to play like this in her previous life, but in such an environment, it would be good to deal with it like this: you can quickly solve the problem of reducing the infection of patients as much as possible.

"It's okay, it's okay." Doctor Li took a long breath and let people start boiling medicine, Yi Qing was curious what the prescription was, Imperial Doctor Li said that they were all traditional herbs for treating fever, and some of the prescriptions in Tai Hospital had been improved by Ye Qingmei.

Finally, disinfect again, cover the wound with clean gauze, several people removed their gloves, Yiqing took a large pair of scissors and began to cut the cloth, and explained: Due to the large scope of abdominal surgery and the many organs affected, postoperative stomach bloating and edema are inevitable, and such a large wound must also prevent the belly from collapsing, so the abdominal belt is essential.

After a few bandages were made, the strong man's brothers were called in to carry the bed, and Yiqing put the abdominal belt under the patient's waist and tied it firmly.

"Girl, how is my brother?" Scarface asked hopefully as he looked at his brother's stomach, which was no longer bleeding.

"The operation went smoothly, but whether it can be carried on is the key question." What Yiqing said is the truth, such an operation is also an emergency operation in later generations: the operation itself is not too difficult, what I am afraid of is infection, and it is very troublesome once infected, not to mention in this era without antibiotics.

Yiqing looked at several people with doubts on their faces, especially the family members, and said: "To be honest, I'm not worried about doing such an operation, I'm afraid of infection after the operation, it's like your hand is broken, if you're lucky, you'll be fine in a few days, if you're unlucky, you have to scrape the pus, your brother's injury is a truth." ”

In fact, there is still a risk of tetanus, but this is even more incomprehensible, and it cannot be solved by saying it.

"By the way, this is your brother's intestine cut off, and I found that he probably hasn't eaten for a few days."

Yi Qing handed over the substance carried by the tray, and turned the intestinal tube over, only to see a deep longitudinal cut in the intestinal tube, and continued: "I thought it was strange at the time, the amount of bleeding was too great, fortunately I cut this section in time, otherwise he would definitely die even if he sewed his stomach on!" ”

Mr. and Mrs. Chunjiang were in the main hall, and as soon as they heard that the operation was over, they hurried over, and the two looked at each other and asked together, "How is the treatment?" ”

"The operation process is to sew up the wound, but the key is the later recovery, cousin Chunjiang, I want to see the notes of Old Master Zhang, if there is something from Ye Mingyi, it will be better!" Yi Qing wanted to know the treatment methods when she came to this era.