Daming kill

Chapter 217 Time Limitation

According to incomplete statistics, acute appendicitis occurs in one out of every 7 to 0 people, which is a relatively common disease.

Therefore, ancient China not only had a certain understanding of appendicitis, but also had a certain ability to treat it.

Even for chronic ones, if the treatment is correct, it is said that "ten cures can be cured ten times".

However, this statement should be an exaggeration.

Many patients who are cured may not really have appendicitis, but just ordinary stomach pains and other minor intestinal diseases, otherwise so many people will not have to undergo surgery in future generations.

For emergencies and severe diseases, ancient times are not completely incurable.

"History of the Ming Dynasty" records a famous medical treatment by the famous doctor Zhou Hanqing.The son of the Chen family in Yiwu had a lump in his belly, which was like poppies.Zhou Hanqing said: "This is intestinal carbuncle!" Burn and pierce it with a large needle, about three inches deep, the pus will come out with the needle, and it will heal.

This record should not be an exception, but a super high luck and a special case, otherwise it would not be specially written into the official history book.

It also reflects that many physicians at that time did not understand appendicitis and were seriously lacking in treatment methods.

In fact, due to the lack of anatomy, it was basically impossible for many doctors in ancient times to know the appendix and its specific shape, let alone its accurate location. The cognition of its pathology is at most only a half-knowledge, and even the rare doctor who dared to give an injection It also has a large component of blind cat and dead mouse.

For the treatment of vermicomposted carbuncle in intestinal carbuncle, ancient China mainly relied on oral decoction, and mainly used to treat chronic diseases.

Acute and severe are often only death.

Xu Keran's rapidly developing illness soon alarmed Li Ping. After thinking about it for a while, he felt that counting on the soup at this time was a bit like buying a lottery ticket. The power of surgery.

So, that night, he rushed to Gao Lei who had returned to his residence, and woke up Gao Lei who had already fallen asleep.

Zhao Lanyue, who was awakened, also ran out of the house curiously to make soy sauce.

But after explaining the purpose of coming, Li Ping found that the two sleepy-eyed women had some unkind faces.

After pretending to casually glance at Gao Lei, Zhao Lanyue pointed to the beautiful large clock with gears in the middle of the main room and expressed dissatisfaction first: "Look at what time it is, can't we talk about it tomorrow?"

Modern people who are accustomed to referring to time have a strong desire for clocks, and Li Ping is no exception.He has been focusing on collecting.

Today, the timepieces he owns, while still rare, are not rare.

Some of these clocks were seized in Qizhou, and some were purchased from large gentry families in Xingguo Prefecture. The most exquisite of them were naturally from the original Prince Jing's mansion, and they were placed in Gao Lei and Zhao Lanyue without exception.

Therefore, the large clock with exquisite gears brought by businessman Xu Keran naturally did not have much appeal to Li Ping, and it was unlikely to be better than the one in King Jing's mansion.

"I'm not in a hurry!" Li Ping was a little embarrassed by the choking.

But Zhao Lanyue was even more dissatisfied. She said angrily: "Did you regard Sister Gao as a surgeon? As omnipotent? If she can operate, can Sister Gao ignore it? Especially this businessman just brought us such a What a wonderful crop, what can you really do?”

"I'm here to discuss it!" Li Ping weakly resisted, he had no temper at all after being sprayed.

Gao Lei's tone was pretty good, but what he gave him was also a ruthless crit.

"We have indeed performed many simple surgical operations for the wounded, and we have also mastered a certain short-term anesthesia ability, and even performed simple debridement and sutures for some wounded with internal chest and abdomen injuries. But we still have There has never been a case of active disembowelment, and we have no conditions for this operation, and we cannot do it.”

"How do you know you can't do it if you don't try?" Li Ping was very puzzled by Gao Lei's clear refusal.

Gao Lei frowned, and then tried to calm down: "I am neither a surgeon, nor do I have enough understanding of the internal tissues of the human body. I don't have the ability to do this kind of surgery at all. Forcing surgery is almost like murder. And this kind of surgery requires a lot of time." Anesthetizing patients for a long time and safely is something we cannot do at present."

"I know what you said. We can dissect a few cadavers to practice first. It shouldn't be complicated to only remove the appendix, and we don't have a shortage of cadavers. As for anesthesia, I don't think it's a big problem. We still have to try it. After all, this is the most direct and effective method."

Li Ping would not be easily turned back. He had already thought about it before coming, otherwise there was no need to come.

But Gao Lei became serious, and said in an educational tone, "I'm not trying to shirk, you think this operation is too simple! The internal environment of the human body is very complicated, and the control of surgical pollution is extremely high. The simplicity of this operation is for future generations, not this era.

To give a simple example: Without antibiotics, we simply cannot control abdominal infection and the series of complications caused by it, which will lead to a high mortality rate of patients.This is the case with many of our wounded who have been wounded to the inside of the chest and abdomen but not to the vitals and still cannot avoid death. "

"No matter how high the surgical mortality rate is, the hope of life is always greater than the possibility of death! It's really a narrow escape if you stick to it. If you don't have confidence in your surgical ability, or don't want to see this kind of bloody belly, you can let Jia Youliang perform the surgery .That guy is bold and careful, you can just guide him. We need this businessman to survive." Li Ping still insisted on his point of view very dissatisfied.

In later generations, big farts have to infuse antibacterial and anti-inflammatory liquids for surgery, and as long as they are not allergic, penicillin or cephalosporin is the first choice. How could Li Ping not know the risks and troubles of infection.

But he felt that he couldn't give up because of the risk, especially since they really needed this businessman right now.

But Gao Lei gave Li Ping a blank look, and said sullenly, "Have you been too busy and confused these days? Such unprecedented thoracotomy and abdominal surgery must be very cautious, especially for such a prestigious businessman. If it succeeds, of course." Okay, but if it fails it will be a big problem and we will be demonized."

Li Ping's heart shuddered.

Gao Lei has always been at the forefront of medical treatment, and she has a deeper understanding of people's medically backward ideas at that time. Moreover, she has worked in the middle and small levels of medical institutions, and obviously understands the pros and cons of medical choices better.

But he himself only thinks about the benefits, ignoring the limitations and ignorance of this era.

Just like the legendary Hua Tuo who wanted to open Cao Cao's head to treat his headache, who in this era would believe that a person can still live after being disemboweled, and then still have to cut off a part of the body.

Unless people are cured, it is easy to be rumored that they are killing people, and it may even turn out that they are trying to kill people and take goods.

Seeing that Li Ping's expression suddenly became serious, Gao Lei, who didn't know why, softened her tone and said, "Don't worry too much. It's not that there is no other way for this businessman to survive. The decoction is actually effective. .It's not like we haven't encountered appendicitis before, and most of them are alive."

"That's right, Sister Gao is right. Li Ping, why are you suddenly confused! Did you stay up all night during this time? You can't do it in such a mental state." Zhao Lanyue also chimed in.

After Li Ping sighed deeply, he could only nod silently.

So Gao Lei didn't say any more, and immediately got up and went back to the house, her anger seemed to be still there.

Staring blankly at Gao Lei's back, Zhao Lanyue said helplessly: "You! What can I say about you? I always think I'm smart, but in fact I have a elm head. Forget it, let me tell you something else: eat well, Pay more attention to rest, you look dark and thin now, your body is the capital of the revolution."

……

The next morning, although Xu Keran's condition worsened again, Song Baolai, whom he was most concerned about, did not show up.

At this time he was at the foot of Pheasant Mountain.

Here, an eye-catching test is about to begin.

A row of ten three-eye guns and ten newly-made simple hand guns were neatly placed on the test field, and a whole company of the cavalry battalion was also pulled over at the same time.

War is the best catalyst for technology and the best multiplier for efficiency.

After seven or eight days of continuous fighting for 24 hours, the handgun was finally successfully manufactured. Although it is relatively simple and immature, it can be used for simulation tests.

But throughout the day, despite the continuous sound of gunshots, Li Ping did not appear on the test field, and only the cavalry practiced in groups.

The cavalrymen are familiarizing themselves with the weapons to be tested and are being selected at the same time.

Only the best and most skilled cavalry will take part in the final test.

So when Li Ping showed up with almost the entire staff office one day later, there were only [-] cavalrymen who had been selected and grouped in the center of the test field, and groups of humanoid wooden targets in the distance were also ready.

Li Ping did not give the cavalry more time to familiarize themselves with the pistols. The urgency of the war and the serious lack of cavalry training on their own side did not allow the cavalry to waste too much time.

And from a testing point of view, the accuracy gap within several times due to more familiarity will not affect the test conclusion.

All the people who should be there are present, and the final test will start soon.

This test is divided into two methods: fixed target and rope-pull moving target, and several different distances and scenarios are set up to simulate actual combat to the greatest extent.

Each type will take a minimum of [-] data, that is, each shooting will be carried out at least three times per person.

Although the field was soon full of momentum and smoky, the cavalry battalion commander Zhang Qing, who was also watching on the field, looked disapproving and frequently lost his mind.

Zhang Qing was one of the few people who lacked interest in this test, Yuan Ye and Shouhouer who were not present also held the same opinion as him.

The vicissitudes of Liaodong made them veterans of the war, Jingqi, not very interested in the three-eyed gun, and they knew the actual performance of that thing on the battlefield.

It is only used by inexperienced riders, and it cannot be compared with bows and arrows at all.

However, Zhang Qing is still supportive of this test. He knows different voices and appreciates this way of using example data to verify and compare.

This is not only a very meaningful pursuit of knowledge, but also undoubtedly more convincing.

And as the test was carried out in an all-round way and carried out step by step, people who were full of interest and expectations also began to look ugly one by one.

The results of the test were far from satisfactory, and the three-eyed gun was actually far stronger than the hand gun.

Even against fixed targets, handguns are completely luck at close range.Although the performance of the three-eyed gun is much better, the hit rate is still extremely low, and even if the distance is a little farther, it is still terrible.

As for the moving target, whether it is a hand gun or a three-eye gun, the hitting rate is basically an accidental phenomenon.

Regarding this result, the staff office and the majority of testers quickly reached a conclusion after intense discussions.

It is not difficult.

The fatal defect of the smoothbore firing method is that the trajectory of the lead bullet is completely irregular, and the violent muzzle jump caused by the bumping horse and the inability to hold the gun stably make this error increase exponentially in the end, and the result is naturally OK. One can imagine.

The result of the three-eye gun is slightly better, nothing more than its own weight increases the stability and reduces the range of the muzzle jump, and the longer barrel gives the lead bullet better acceleration and posture correction, and allows it to exit the rear of the gun Diffusion surface is smaller.

But this still can't be compared with steady shooting while standing on the ground and can always control an acceptable drop zone.

Compared with the accuracy of bow and arrow riding and shooting, it is even more heavenly and underground.

Moreover, compared with bows and arrows, the three-eyed gun and the hand gun still have the problem of troublesome reloading and cumbersome preparations before shooting.

There are no advantages either.

Compared with bows and arrows, three-eyed guns and hand guns are quicker to learn and easier to train.But if you miss the target, no matter how great this advantage is, it seems useless.

Song Baolai also became very depressed because of this.

He kept complaining to Li Ping that he should have thought of it long ago, because these results can actually be analyzed with a calm analysis.

It's really not that hard.

In the end, Song Baolai attributed his obsession to the fact that he had read too many online novels. In those novels, someone always took it for granted that he invented the pistol, which greatly increased his cavalry advantage...

However, Li Ping was a little absent-minded about Song Baolai's moji.

Today's test made him suddenly think of something else, he must be prepared for Xu Keran's condition, he should be more active.

Like a pistol, you have to do it, sooner or later.Whether it works temporarily or not is another matter.

Notes:

There is a saying that the overall mortality rate of appendicitis in foreign countries before surgery was 19% in the 26th century, but it is not known whether it is true or not.The relatively high mortality rate should be due to the fact that there is no decoction treatment like in China.

(End of this chapter)