For severed limbs, there is no way to perform fine sutures in Dachu.
Once the injury is completely severed, it is impossible to reattach it, and what everyone uses is nothing more than pressure bandaging and Teppanyaki methods to stop bleeding.
Pressure hemostasis is currently the best way to control bleeding in an emergency. By strongly compressing the blood vessels, thrombus will appear due to its own coagulation function, blood vessel spasm, and muscle compression. The thrombus will block the bleeding blood vessel.
After the muscles and skin are bandaged under pressure, they can gradually grow together, allowing the limb to gradually recover.
The Teppanyaki method uses high temperature to denature the broken ends of blood vessels and contract them to stop bleeding in the limbs.
Partial dissection injuries can be divided into two situations. If the main blood vessels of the limb are not broken, if the brachial artery is injured in the upper limb, and the main nerves of the upper limb are well preserved, then the distal end of the limb can generally be preserved, and the proximal wound will gradually close and close. Restore blood supply and motor function.
If the brachial artery and other major branches are ruptured, the limb will gradually become necrotic due to ischemia. There is no way to reopen it in Dachu.
The modern replantation technology for severed limbs obtained by Xu Xian is to fix the bones with steel plates and sew the muscles and nerves and blood vessels with sutures to restore the blood supply to the severed limbs and restore their movement and shape.
Even for a modern senior doctor who specializes in replanting amputated limbs, a success rate of 80 to 90% is already good. After Xu Xian improves in all aspects, the success rate can reach 99%.
It can even be said to be a 100% success rate. The reason why Xu Xian left a 1% failure rate was to prevent unknown accidents and he did not dare to be too confident.
Of course, if he can get Bai Suzhen's help, Xu Xian dares to say that he has a 100% success rate. For the 1% failure rate, Bai Suzhen has a way to make up for him.
From Qiantangmen to Qingyutang, just a few minutes detour is the home of Sister Xu Xian.
It was originally agreed that after returning from West Lake, he would go to his sister's house for dinner and then go to Qingyutang tomorrow morning. In order not to miss the patients who had their severed limbs replanted, Xu Xian decided to go there in the afternoon.
To prevent her sister from worrying, Xu Xian planned to go to her sister's house to say hello before going to Qing Yu Tang.
When Xu Xian in his previous life was watching a TV series, when Li Gongfu first appeared, he had a very bad temper because of the robbery of his treasury.
Li Gongfu from the Piaomiao Realm did not dare to lose his temper in front of Xu Jiaorong.
In the past, Li Gongfu was just a little head catcher, but Xu Jiaorong was not only as beautiful as a flower, but also a daughter of a wealthy family. Li Gongfu always felt that he was superior.
Therefore, in front of Xu Jiaorong, Li Gongfu did not dare to say a big word and was very gentle and considerate.
In the real world, things didn't go according to the plot. Xiaoqing didn't steal any money from the treasury, and Li Gongfu didn't get caught, but he had other troubles.
When Xu Xian arrived at the door of Xu's house, he saw a little boy with pink makeup squatting under the locust tree in the yard and watching the ants move on the ground.
Hearing the noise, the little boy raised his head and said in a childish voice:
"uncle!"
Li Gongfu and Xu Jiaorong do not have a daughter named Li Bilian, but they have a son named Li Wenbo.
Li Wenbo was over three years old, and he loved to play and make noise like other children. When he saw Xu Xian, he immediately rushed over, hugged Xu Xian, and hung his whole body on Xu Xian.
Xu Xian picked up Li Wenbo, lifted him up, and said with a smile:
"Wenwen has grown taller again."
"I want to lift it high, a little higher."
Li Wenbo's childish laughter rang out in the yard.
Hearing the laughter, Xu Jiaorong came out of the room and said:
"Chinese is back."
Xu Jiaorong is five or six years older than Xu Xian. She is quiet, elegant, graceful and noble, with a kind of intellectual beauty.
Xu Xian said:
"Sister, I want to go back to Qing Yu Tang as soon as possible so that I can help Yuan Wang. The medicine shop is really busy."
Since the Xu family was robbed, Xu Xian's temperament has changed drastically. Xu Jiaorong feels that this younger brother has become a lot stranger, and she always feels that he is a little different from before.
This morning, Xu Xian, Li Gongfu, Xu Jiaorong and others went to visit the grave together. Xu Jiaorong also felt that she had a lot in common with Xu Xian.
Xu Jiaorong felt that Xu Xian might not have gotten over the shadow of the Xu family's robbery, so she wanted to take this opportunity to talk to Xu Xian.
Seeing that Xu Xian was about to leave just after he came back, Xu Jiaorong said:
"Han Wen, there is Wang Yuan and others in the medicine shop, it won't affect you if you rest for a few days.
Wenwen has been thinking about you these days. Now that he is here, he will play with Wenwen. "
Hearing that Xu Xian was about to leave, Li Wenbo became anxious, grabbed Xu Xian's arm and shouted:
"Uncle wants to accompany Wenwen and is not allowed to leave."
"Hanwen, since you want to study medicine, you should study hard. My brother-in-law will count on you if he gets hurt in the future."
Drunk-eyed Li Gongfu poked his head out of the room and said:
"What if one day your brother-in-law's arms and legs are broken, I hope you can reconnect them."
Li Gongfu was drunk, which was really strange. Xu Xian asked:
"Sister, what happened to my brother-in-law? What kind of blow did he receive?"
Xu Jiaorong said:
"The Fang bandits are causing chaos and want to seize Hangzhou. They are inciting the people of the city to cause trouble everywhere. Your brother-in-law is also arresting the bandits these days.
Your brother-in-law has a disciple named Jing Licheng, whom you have met. What a good young man.
Your brother-in-law and we went to visit the grave this morning, and Jing Licheng was responsible for arresting the bandits.
After all, he was inexperienced. He was attacked by bandits and his arm was chopped with a knife. His muscles and bones were injured. Even if he could be cured, his right hand would be useless. "
After hearing this, Li Gongfu said:
"The quack doctor said it was best to chop off the arm, otherwise, his life may not be saved.
How can there be such a quack doctor who can treat injuries like this?
The arm is clearly not broken and may still be usable after the injury is healed, but you have to cut it off yourself?
If he is not disabled after being chopped off, how can he still work as an errand in the future? What will his family eat in the future?
Han Wen, you have to learn medical skills well. If your brother-in-law's arm is cut by someone in the future, you have to pick it back up. Don't let your brother-in-law become a disabled person. "
With Da Chu's level of medical skills, there is no technology for replanting amputated limbs. If the arm is injured to a certain extent, if several aortas are severed and the blood vessels are blocked, the arm will become necrotic even if it is not cut off, which may really endanger the patient. Life is no joke.
Although Da Chu's medical skills were not very good, those surgeons were still very accurate in their judgment of knife wounds.
Li Gongfu worked as a clerk in the yamen for seven or eight years. He worked his way up step by step until he finally became a head catcher.
Li Gongfu has also seen many casualties. He has experienced hundreds of battles and has many scars on his body. He also knows that the doctor is right, but he just cannot accept the fact that Jing Licheng will lose his arm and become disabled.
Xu Xianzheng needed to find patients for replantation of severed limbs to complete the system's tasks, saying:
"Brother-in-law, just leave your apprentice's injury to me. I can not only heal his arm, but also restore his arm to its original state without affecting his work."
"Really! Hanwen, you didn't lie to me?"
Li Gongfu's eyes lit up, and then he said sadly:
"Han Wen, please stop comforting me. You are just an apprentice who has studied medicine for a few months. How could you possibly save Licheng?
Dr. Zhou of Huichun Hall, known as a master of surgery, could not save Licheng. "
