You can recite it, in case you can use it

Forgive the author for being a shallow learner, but he really couldn't get iodophor in ancient times, so he could only use Chinese herbal medicine instead of skin disinfection

Because this was the first operation, the time was in a hurry, so there were no surgical gloves, and the conditions were a little rudimentary, which will gradually improve later

Chapter 33 To Save Your Life, Do You Have to Take Yourself?

Yan Yunzhou walked out of the courtyard with a step, Ning Qi didn't care about anything else, and immediately followed, even the footman who carried the sedan chair was faster, Ning Ji and Yan Yunzhou sat in the sedan chair together, Yan Yunzhou half leaned and looked at him:

"Ning Gongzi, can you tell me now how sure you are?"

Ning Qi's heart is not calmer than Yan Yunzhou's now, he doesn't know how bad it is when someone comes to report that Yan Yueqi's condition is not good, how bad it is, the condition of acute appendicitis has always progressed rapidly, but it does not mean that as long as the situation does not undergo surgery, the situation will take a sharp turn for the worse, Yang Sheng should at least stabilize the situation and buy some time, so he will have time to insert this gap to operate for Zhang Ming.

But now the time is too tight, Zhang Ming has just woken up, it is uncertain whether there are any other side effects of this anesthetic, and the dosage of the child's anesthetic is different from that of adults.

Even in modern times, it has to be evaluated and calculated by anesthesiologists, if too much, it may be too much burden on the child's body, if too little, it is easy to occur intraoperatively, and it may bring serious psychological and mental disorders to the child.

Even after anesthesia, open laparotomy and leg debridement are not the same in this era.

If Yan Yueqi's condition deteriorates very quickly and an appendix perforation has occurred, then a large number of bacteria and toxins in the appendix cavity will enter the abdominal cavity, which is extremely easy to cause peritonitis, and it is difficult to say whether allicin can fight against the infection of this situation.

Ning Qi clenched his fists and hesitated to speak:

"About sixty percent."

If you talk about surgery alone, Ning blame does not say 100 percent, at least 99 percent probability can ensure that there are no problems with his operation during the operation, but if anesthesia and postoperative anti-infection are counted, the success rate is only sixty percent, sixty percent, a probability of just passing, Ning Qi really can't imagine that one day he can give such a low success rate for an appendicitis operation.

Yan Yunzhou didn't say anything, this probability already has an element of gambling in it, and he won't use this method unless he has to.

Before they arrived at the Begonia Courtyard, the two of them still had time to talk, and Ning Ji couldn't help but ask in the end:

"Lord Wang, if, in the end, I am not allowed to treat Ji'er, if it fails, what will you do to me?"

He has no way to ignore the class of this era, Yan Yunzhou can determine his life and death with a word, he will not be stupid enough to think that a person who has been given marriage to the mansion can compete with Yan Yueqi, if he really fails, what will happen to Yan Yunzhou?

There was silence in the carriage for a moment, and Yan Yunzhou looked at the person opposite who was staring at him closely:

"Ning Gongzi, your method is very risky, so, until the last moment, this king will not choose your treatment method, if you choose, then naturally there is no other way to go, so, if you fail, this king will not blame you."

No matter how smooth and skillful the process of Ning Qi's indebridement of Zhang Mingqing was just now, Yan Yunzhou also understood that retreating the wound on the leg and cutting out a section of the intestine inside a person's stomach were two completely different concepts, so if Fan Qi'er still had a glimmer of hope, he would not use this method.

Ning Qi also heard the meaning of his words, Yan Yunzhou's words were to treat his way as a humanitarian exemption operation, and when there was no way to do it in the end, he would let himself try it.

From Yan Yunzhou's point of view, there is naturally no problem, but from the perspective of a surgeon, this is not good news, it has been delayed to the last step, and the situation is bound to be very critical, perhaps there has been a perforated appendix, an abdominal infection, or even worse.

The sedan chair was parked at the door of the Begonia Garden, the courtyard was full of doctors, and from the door, before entering the house, you could smell the medicinal fragrance of the room, Yan Yunzhou's steps were hurried, and he even saw an obvious lameness, Ning Zhi also followed, Yang Sheng was applying needles to Yan Yueqi in front of the bed at the moment, but the child on the bed was now clenching his stomach in pain and rolling and tossing on the bed, and Yang Sheng could only quickly take down the needle on her body.

Cheng Qingqian had been staying in front of the couch, his eyes were red and swollen at the moment, Yan Yunzhou looked at Yang Sheng:

"How's Ji'er doing?"

Yang Sheng was also worried at the moment:

"It's not too good, it's burning up at this time, and it can't go down, and the pain that was pressed down at noon recurs again at the moment, and the carbuncle is like this, tossing and turning again and again, some people can't stand it, and finally..."

He didn't go on, although the carbuncle is not a terminal illness that is certain to die, but it can be regarded as a life of nine deaths, some of the light attacks will get better, and the most tricky thing is that this kind of onset is very sudden, but it is very violent, and slowly people will get through it.

Yan Yunzhou sat on the edge of the couch and looked at his niece who was tossed with a pale face, and his heart was also very painful:

"Isn't there any other way?"

Yang Sheng arched his hand and spoke:

"Lord Wang, the effect of Da Chengqi soup is not obvious, now you can only change the recipe, the little lady may have some signs of bleeding inside, you can use pomegranate peel decoction, it has the effect of stopping bleeding, and then take honeysuckle, dandelion, purple flower lily, white flower snake tongue grass, rhubarb, etc.

Yan Yunzhou didn't have a better way now, so he waved his hand and motioned for Yang Sheng to go down and prepare, but he was suddenly interrupted by Ning Jiao:

"Wait, Lord Wang, it's the acute stage of Qi'er's seizure, you can't eat and drink medicine anymore, you must try to reduce the burden on your stomach and intestines."

Before Yan Yunzhou could speak, Yang Sheng on the side spoke eagerly:

"How can this cure without medicine?"

This is indeed true, how can you cure a disease without drinking medicine? This is simply comparable to the dialogue of the century of traditional Chinese medicine and Western medicine, even Cheng Qingqian looked at it, and would rather not care about anything else, and squatted in front of the couch to check Yan Yueqi's situation first.

The little girl on the couch had been tortured by a day's pain and half fainted, and there was only pain left on Zhou's body, Ning Ji raised his hand and touched her forehead, it was very hot, obviously high fever, he tried to wake up the little girl:

"Zhu'er, Zhu'er? Do you still have pain in your lower right abdomen? ”

Yan Yunzhou also lowered his head, held the little girl's hand and shook it:

"Hu'er? Tell the second uncle, where does it hurt now? ”

The familiar voice evoked a little consciousness of the little girl:

"Second uncle, it hurts, my stomach hurts."

Ning Qi's heart sank when he heard this, and he couldn't take care of it anymore, and he was about to untie Yan Yueji's clothes immediately, but he was stopped by Cheng Qingqian, and he hurriedly said as if he was dissatisfied:

"Ning Gongzi."

Yan Yueqi is also seven years old this year, although he is still a child, but it is also time to know the number of rites, even Yang Shengfang has just given the needle, and most of them are on the acupuncture points on the arm.

Doctor Ning has been in office for a long time, not to mention this older child, even if he is ten years old, he will not distinguish between men and women in his eyes, Cheng Qingqian's voice reminded him that the times are different, and the defense of men and women in this era is very serious, even if the other party is just a seven-year-old girl.

"I poked through my clothes to her belly."

Time waits for no one, and he doesn't care if Cheng Qingqian will be blamed, so he raised his hand and lightly touched Yan Yueqi's abdomen through the clothes, the painful stimulation will cause the contraction of the abdominal wall muscles, especially the acute appendicitis will worsen, the entire abdomen will be hard, and sure enough, under the tentacles, you can't wait any longer.

Ning Ji raised his head and his eyes tightened:

"Lord Wang, Qi'er's condition is not good, the abdomen is tightened, and the pain that was originally located in the right lower abdomen has spread to the entire abdomen, and there is a danger of perforation, and it needs to be operated on immediately."

Cheng Qingqian and Yang Shengju's eyes widened:

"Surgery? No way. ”

Yang Sheng also hurriedly spoke:

"Lord, you can't open the knife, this abdominal surgery is not like an arm and leg, you can't be rash."

Ning Zhi had also discussed debridement with Yang Sheng before, Yang Sheng was still acceptable to reopen and heal the old wound on Zhang Ming's leg, after all, some medical books also mentioned the method of healing the wound again, but there are very few people who are risky, but this is two different things to open the stomach and cut the intestines with an opening in the stomach, can this person still live?

Cheng Qingqian also strongly objected, and Ning Zhi also looked at Yan Yunzhou:

"Lord Wang, this is an acute attack, if it is a chronic attack, taking medicine may work, but now Qi'er's situation is not a chronic attack, the symptoms are worsening, and the chance of surviving by taking medicine alone may not even be thirty percent."

Yan Yunzhou's hands have also held the life and death of many people, but there is no time it is more difficult than now, the eldest brother left early, leaving a son and a daughter, these two children he regards as parents and children, Yang Sheng He naturally has absolute trust, but he also saw Ning Yao's 'operation' in his eyes, and after a while, he looked at Ning Qi, and said in a deep voice:

"Ning Gongzi, the current Qi'er has not yet reached the point where there is no cure, do you want to choose to operate for her at this moment? If something happens to her, are you willing to take the blame? ”

Ning Qi's heart cooled for a moment, and then he laughed a little sarcastically in his heart, yes, what Yan Yunzhou meant just now was that there was no other way to use his method.

But now, Yang Sheng said that he wanted to change the prescription, Yan Yueqi had not yet reached the last step, if he had to have surgery now, he would naturally have to take responsibility, bear the responsibility for his delay in illness, delay in treatment, and failure of the operation, which harmed Yan Yueqi's life.

Dan? If he didn't bear it, he could have waited until Yan Yueqi's condition was critical and Yang Sheng had nothing to do, but at that time, it may not be as simple as surgery for acute appendicitis, and perforated appendix may lead to extensive infection of the abdominal cavity, complicated by diffuse peritonitis, and even easily lead to sepsis and irreparable damage to other organs.

In this situation where there is no auxiliary examination equipment and no effective medicine, even if he is he, he may not be able to save this young life, and Yan Yunzhou will indeed not blame him for his failure in surgery at that time, but can he really watch things get to that point?

He also stared at Yan Yunzhou's eyes, this person can decide his life and death with one sentence, his current situation is really unspeakably aggrieved, to save his life, he has to take himself, if he doesn't save it, he can't pass this level in his heart, but it's really... Holy...

"Yes, I insist on surgery now, and now there is a sixty percent chance that I will survive the operation, if I continue to feed the medicine like this, can Yang Fu Doctor guarantee that there is a sixty percent probability that the child will survive? Since it's all about gambling on your life, why not bet on a better chance? If the operation fails, it will be up to the prince to dispose of it. ”

He's a doctor, he's a doctor at all times, and he can't stand by while he can still struggle.

Ning Zhi seemed to have a very persistent sense of belief, and even Yan Yunzhou was going to look sideways, he looked at Yang Sheng:

"Doctor Yang, if you change the dressing, how sure are you that Qi'er will be able to survive?"

Yang Sheng has been in the palace all the year round, and he has also watched Ji'er grow up, he won't lie:

"Less than half of the people who have used this recipe have survived."

Yan Yunzhou took a deep breath:

"Ning Gongzi, let's prepare and open the knife for Qi'er."

Cheng Qingqian was shocked by his bold decision:

"Jin Chu, this, open the knife? It's child's play. ”

Yan Yunzhou also knew that this was really difficult to accept:

"Sister-in-law, now that the knife is opened, there is a better chance of surviving."

The examples of those men in the army who were usually strong and healthy died of carbuncles were still circling in front of Yan Yunzhou's eyes.

Ning Zhi didn't care about anything else, first let people take all the things he could use for the operation in the courtyard, and then he still looked back at Cheng Qingqian, and in the face of this patient's family who didn't trust him, he still stubbornly asked:

"Sister-in-law, how many catties does Ji'er have?"

Cheng Qingqian knew that Yan Yunzhou would never risk his life, and he didn't know how this Ning Gongzi could make Yan Yunzhou trust him so much, but at this moment she had no choice but to pin her hopes on him, although she didn't believe it very much, she still replied:

"It's about forty-five pounds."

Now the most important thing is to calculate the anesthetic dose required by Yan Yueqi according to Zhang Ming's dosage, and the use of medicine for children can be calculated according to age, weight, body surface area and other methods, among which the calculation method of body surface area has the highest accuracy.

"Go get me pen and paper."

The maid of Haitang Garden only thought that he was going to prescribe a prescription and hurriedly went to get a pen and paper, Ning Yi sat on the tea table casually, dipped it in pen and ink and began to calculate, he still remembered the calculation formula of weight and body surface area, and the weight of Ji'er was less than 30kg.

Body surface area = (body weight X 0.035) + 0.1

Yan Yunzhou came over and saw that Ning Qi was holding a pen and was not writing, but on paper, and he didn't know what strange symbols he was drawing, and in the end, Ning Ji calculated that the result was 0.8875.

"What are you writing about?"

Ning blamed his head and didn't raise his head:

"Calculate the amount of anesthesia you need."

Dose for children = (adult dose X surface area of children) ÷1.73, and the final result is rounded to 7.7.

That is, the medicine powder on that recipe is 7.7 yuan, which is about half of the adult dose, but considering that the duration of this operation must be longer than Zhang Ming's debridement operation, in order to prevent it from being known during the operation, Ning Yi was ready to give Yan Yueqi a dose of 8 yuan.

"Ning Gongzi, everything has been delivered."

Ning Ji looked at Yan Yunzhou:

"Lord Wang, please stay and help me later."

Yan Yunzhou knew that the gang he was acting was like that, and nodded: