Chapter 56 Surgery

Style: Historical Author: braggartWords: 2848Update Time: 24/01/11 23:20:12
At this time, the young man opened his eyes slightly and saw someone taking his pulse. He tried his best to say: "Sir, don't bother me... This little guy's intestinal carbuncle is a chronic disease. I can't get over it this time... I can only beg my benefactor." Bury the corpse of the villain, do not let it be exposed in the wilderness [Read the latest chapter] The villain can only repay the kindness of the public as a cow, a horse, a horse with a ring in the mouth in the next life..."

Liu San thought that since he couldn't perform the operation, he really had to prepare for the funeral. Just as he was about to say a few words of comfort, the crew came to report that they were almost at the Great World Pier.

Meng Xian said: "There is a health clinic in the big world where minor surgeries can be performed..."

Liu San also thought about it. The Big World did have a small clinic, which was not open to the public. It was to protect the health of several elders and naturalized cadres stationed in Guangzhou. After all, the medical level in the Ming Dynasty could not reassure the elders. Later, the Ministry of Health prepared to use this as a basis to open a provincial and Hong Kong general hospital in Guangzhou to engage in medical industrialization and make money locally. Of course, the official reason was to "meet the needs of veteran health services after the expedition to the north." A lot of materials and equipment were transferred. To the big world. Therefore, the health center's current equipment and medication are quite strong.

It would be no problem if he had these things to save his life. He quickly asked the crew to find a stretcher, put the young man on the stretcher and rushed to the big world.

Great World manager Zhang Yikun personally went to the door to greet him. Liu San did not have time to say hello. After saying hello, he directly asked whether Great World had the conditions for surgery. Zhang Yikun nodded: "There is a small operating room. Who wants to operate?"

Liu San briefly introduced the situation. Zhang Yikun looked troubled: "It's our duty to save lives and heal the wounded, but you saved someone of unknown origin, and you still need to use controlled materials, this, this..."

Liu San said anxiously: "His life is in danger. It's not that we can't save it, but I can't do it just watching him die..."

Expatriate veterans like Zhang Yikun have long been accustomed to the cruelty of medieval society. The life and death of non-naturalized indigenous people are completely meaningless to them. Even if Liu San said this, he still hesitated.

Liu Sandao: "This way, I promise you. We will not use any first-level controlled materials, but only use equipment and a small amount of consumables - I will pay for these according to the price - do you think this will work?"

For this reason, Zhang Yikun was embarrassed to object again. No more nonsense, he took Liu San directly to the health center. Liu San looked at the various equipment and medicines in the equipment cabinet. I can probably make do with the surgery. There is an operating table in the operating room, but there is no shadowless light, but the lamps provided are enough for surgery.

Although he specializes in traditional Chinese medicine, he graduated from a serious medical university and can handle general surgeries.

At this time, we can only treat the dead horse as a living horse doctor. Let the doctors and nurses from the health center act as assistants to wash hands, disinfect and change clothes first. The two apprentices also washed their hands and changed clothes to observe before the battle.

There were no modern anesthetics in the clinic - even if they were not used they were expired - he used laughing gas for anesthesia. Nitrous oxide is the most easily produced anesthetic gas in the inorganic chemical industry of the Senate. It is obtained by heating and decomposing ammonium nitrate powder. When inhaling, it is usually mixed with oxygen. Since it is difficult to produce pure oxygen, a mixture of laughing gas and air is used.

After the anesthesia took effect, Liu San immediately picked up the scalpel and made an incision. He neither used an EKG. Blood pressure monitoring, and because the intra-abdominal situation was unknown, a large incision was made in the right lower rectus abdominis instead of the standard McLean incision in the right lower quadrant - because the patient was anonymous. Even if he really can't be saved, he doesn't have to worry about his family members coming to "make trouble" with the doctor, killing the doctors or extorting money, so Liu Yuanlao is more daring to think and do it. The patient was now under anesthesia, unresponsive at his mercy.

While he was doing it, he was explaining it to his apprentice. The muscles and peritoneum were opened in sequence, the pus was sucked out, the cecum was lifted out, and the appendix, which had been severely inflamed and formed gangrene, was found. First, clamp it with a vascular forceps, ligate it with No. 4 thread, and perform purse-string suture with silk thread on the cecal wall about one and a half minutes from the root of the appendix before cutting off the appendix; rub the stump of the appendix with a iodophor cotton swab. Turn the stump inward and bury it in the purse string, then retract the mosquito forceps while tightening the purse string suture, and finally tie the suture tightly to completely bury the appendix stump. Then use No. 1 thread to intermittently suture the seromuscular layer on the cecum at the root of the appendix for a few more stitches; clean and suck out the pus and exudate in the abdominal cavity, then put it back into the cecum, place a drainage tube, and lead it out below the incision; use an absorbable suture Continuous suturing was performed to close the abdominal cavity; the wound was flushed with normal saline to avoid infection; the external oblique aponeurosis was sutured intermittently with No. 4 non-absorbable sutures, and the subcutaneous tissue and skin were sutured intermittently with No. 1 non-absorbable sutures. The operation was now completed.

Although it was just a minor operation in the original time and space. Liu San also broke out in a sweat. The two apprentices originally only studied Chinese medicine with him, but today their horizons were clearly opened. They frequently exclaimed in wonder and looked at this powerful master with admiration.

Liu San was at a loss because after the operation, there was still a level of anti-infection to pass. Otherwise, whether the patient could recover after the operation would completely depend on the patient's own immunity, and the mortality rate would be quite high. Since he has said that he will not use controlled materials, he naturally cannot use antibiotics brought from the original time and space. Then he can only use the antibiotics produced by the Sanitary Pharmaceutical Factory. Not only are their purity limited, they also have serious side effects. Every year, the Sanitary Hospital admits him to treatment. Many patients suffer from hiccups due to side effects of medications.

"Let's give it to him first." He wrote the prescription and handed it to the nurse. "Do you have all of it?"

"All these medicines are available." The nurse said respectfully, "Chief, your surgery is really brilliant..."

"It's okay, it's okay." Liu San said, "I haven't done it for a long time, so my hands are a little raw."

Zhang Yikun came over to talk to him and complimented him on his superb medical skills and immeasurable merits, which greatly benefited the exhausted Liu Yuanlao.

In the next few days, Liu San went to various places to deal with official duties. He only returned to the doctor once a few days later and performed the aftermath treatment such as removing the drainage tube and removing the sutures. He asked Liu De, who stayed behind, to give the patient Tongmai Sini Decoction every day. After taking it, follow with Huangqi Jianzhong Decoction, Guipi Yangxin Decoction and other aftercare treatments. Zhang Yikun also ordered a waiter to take care of him daily.

This young man's body was originally strong, and with proper breath control and adequate nutrition, he gradually recovered after a few days. He has become very familiar with Liu San's apprentice these days. When he learned that the person who saved his life was the powerful Australian and Song Dynasty veteran, he frequently put his hands on his forehead and shed tears of gratitude.

This day was the Shangsi Festival on March 3rd, and Liu De told him that Liu Yuanlao was back. He hurriedly invited himself to thank him. As soon as he entered Liu San's temporary office, he saw a cheerful Liu San chatting and laughing with Zhang Yikun. He immediately threw himself to the ground and thanked Liu San for saving his life.

Liu San ordered his apprentice to help him up and ask about his physical condition and identity. The young man spoke Shaanxi-flavored Mandarin and respectfully replied: "I have been asked by Duke En, that the villain is in good health. The villain's surname is Yu, Ming Qing, and Zicheng, a native of Suide, Shaanxi Province. Due to successive years of disasters in his hometown, he had no choice but to leave his hometown. On the way to escape. , both parents died... The villain wandered to Jingxiang, and heard that someone in Guangzhou was recruiting refugees to farm in Qiongzhou, providing them with three meals a day of white rice, enough food and clothing, and no worries about food and clothing. Hearing this good news, the villain came here to find a way to survive. That day when I was about to arrive in Guangzhou by boat, I unexpectedly encountered a white dragon patrolling the river. It was dusk at that time, and suddenly I saw the sky and the earth changing color, the wind and waves surged, and a white dragon's head connected to the sky and its tail hung down in the middle of the river. It swam around and stopped. The time ship capsized. All the passengers were submerged. After falling into the water, the little man was lucky to encounter a plank of the ship and escaped with his life. Unexpectedly, the little man's intestinal carbuncle broke out again. He suffered from pain and cold in the storm and heavy rain, and thought that he would die. It’s hard to escape... Unexpectedly, the heaven is so kind, and the old benefactor rescued the villain on the road to the underworld, otherwise the villain would have been in the belly of the fish! The benefactor also cured the villain with magic. Serious illness, such a huge kindness, a villain can never repay in his lifetime..." As he said this, he felt sad, and he couldn't help but shed tears, and he couldn't stop crying.

Liu Sanguo comforted her with kind words, and Yu Qing gradually stopped crying and did not dare to cry anymore. Zhang Yikun asked with great interest: "The white dragon you encountered that day is probably a tornado that is not common in southern China. This is common in America and has nothing magical about it. Please tell me in detail what the tornado was like."

Yu Qing obviously didn't want to recall that horrifying scene, and he didn't dare not answer. He just said: "The villain was panicked at that time, and his soul was out of control. He could only vaguely see the white dragon connecting the sky and the ground, and then the boat capsized. What happened next was minor. People can’t remember.”

Zhang Yikun smacked his lips with regret. Liu San comforted Yu Qing and said, "You are recovering from your illness. Go and rest first."

But Yu Qing added: "My benefactor's kindness to the villain is actually the rebirth of his parents. The villain has nothing to repay, and there is nothing else around him. There is only a medical book handed down from his ancestors, which he has relied on to make a living from generation to generation. Now I offer it to my benefactor, and I hope that my benefactor will take it into his arms." As he said this, he took out an oilcloth bag from his arms, opened it and found a thread-bound book, and presented it to Liu San with both hands.

Liu San took it over and saw that the book was covered with wax paper and had the four words "Qingniu Medical Prescription" written on it. It seemed that it had been soaked in water and the handwriting was a little blurry. After opening it, there was a book block on hard yellow paper. The contents were all handwritten. After flipping through them, they all contained some medical prescriptions. So he closed the book and said solemnly: "A gentleman does not take away the love of others. Since this is your family inheritance, you should keep it for yourself. I am a doctor. Since I see danger on the road, how can I not reach out to help? It is mine to save lives and heal the wounded. My vocation is not to repay you. As for my medical skills, I may not be willing to cure this dignitary from the Ming Dynasty. It is fate that you and I can meet each other. I will be happy if I can cure your disease. ." Liu San's words were half truthful and half high-profile, to show the broad mind of the Australian and Song Dynasty elders.

Yu Qing then begged: "I know that my benefactor is so skilled in medicine that even if Hua Tuo and the King of Medicine come back to life, they will never be able to surpass him. But I would like to ask my benefactor to accept this book with a grateful heart. If I can find it among thousands of people, One, I have repaid the villain a little kindness." (To be continued.)