Medical Immortals come from the future

Chapter 222 The So-Called Surgery
Although there is still a certain chance that the blood types of parents and children will not match, but at this time, there is no time and conditions to hesitate any longer, Sima Qing can only have a gamble with him!
Here, I explained the matter to Mei Ruotian and the others, and then went to tell Zhang Yuanwai and his wife about it.

When she first heard that she wanted to take their blood, the couple were shocked.

You must know that this is not a later life. The ancients looked at things like blood on their own bodies very unusually. They didn't know what the blood system of the human body was, they didn't know that there were hematopoietic cells in the human body, and they didn't know a Human blood flows out of the body, and the body will continue to grow fresh blood again...

So, when they heard that their blood was going to be taken, how could they not be afraid?
Sima Qing didn't have time to explain too much to them, so she could only briefly explain the principle to them, and then said: "Don't be afraid, it doesn't matter if you take a little blood, it won't affect your body in any way, but Your blood can guarantee that the patient will not suffer accidents due to excessive blood loss during the operation."

Zhang Yuanwai still felt a little scary: "Then how do I get this blood? After taking it, how do I get it into Brother Quan's body? Do you feed it to him?"

Sima Qing couldn't laugh or cry: "Of course not, it's a blood transfusion."

"Blood transfusion?"

"that is……"

"Does that mean that with this blood, Brother Quan will definitely be saved?"

"I can't guarantee this, I just said it can reduce the risk, because if there is no blood supply, the operation may not be completed."

Sima Qing couldn't explain it clearly to them, but Zhang Yuanwai immediately became nervous when he heard her last words, and immediately said: "As long as it can save my son, I can take as much blood as I want! Let alone blood, even life is fine." what!"

Zhang Yuanwai's wife quickly responded: "Take mine, take mine, Lao Zhang is the pillar of the family, nothing can happen, I'm useless, use my blood!"

Sima Qing really didn't know whether to cry or laugh, but they still thought it would be dangerous to take some blood after all they dared to say.

"Ma'am, use Zhang Yuanwai's. He's a man, so it won't hurt if you transfuse more blood!"

At least 400cc of blood is needed from him, at most 500cc can't be more... She can only try her best to make the operation as fast as possible and control the amount of bleeding.

But this is the worst situation, because it is not sure whether the blood types of the couple are the same as the patient's. It is already very risky to use Zhang Yuanwai's blood. At this time, if one more person is mixed in, the chance of blood clotting will be even greater. .So if it is not a last resort, only use your father's blood!

"Okay, I'll listen to you. Then... how to take blood?" Zhang Yuanwai made up his mind.

"How about this, you follow me into the operating room. You can see the operation process, but you can guarantee that you will not be too excited when you see anything, and keep quiet? In case it affects my operation..." Sima The reason why Qing didn't let them watch it was because of this problem that she was most worried about.

This bloody surgical scene undoubtedly had a huge impact on these ancient people.I'm afraid that if they can't stand the stimulation and pass out or rush over and cause chaos, that would be terrible.

"I promise, I promise!" Yuanwai Zhang quickly agreed.

Originally, I was extremely curious about how Sima Qing would treat his son. Although I promised not to look or ask, I always wanted to see the process with my own eyes. After all, it was related to the life of his own son. Hope to see clearly.

"Well, you come with me."

Sima Qing led him into the "operating room", and immediately asked Chunxi to help him disinfect and put on the isolation suit.

No matter how Zhang Yuanwai thought about it, he never imagined that the so-called "operating room" would look like this. It's just... so unbelievable. Is this how ordinary doctors save people?But he can only obey the arrangement honestly, he wants to see what kind of saving method this is!
After disinfecting Zhang Yuanwai, Sima Qing quickly fetched the needle again, and first drew 200cc of fresh plasma from him.

Regarding this method, Zhang Yuanwai was even more astonished, but seeing the blood flowing out of his body along the needle tube, he was still a little scared. After losing so much blood, will people really be fine?
Of course Sima Qing noticed his surprised and frightened expression, but she didn't say anything more.

After taking the blood, inject it directly into an empty infusion bottle, and then feed the patient!

At this time, the patient's anesthetic also began to take effect.

Speaking of anesthesia, Sima Qing felt that it was luck again.The anesthetics in the space are the least. After Nan Rumeng used it last time, there is only a little left. If the whole body is deeply anesthetized, it can barely last for three hours, that is, six hours!
It's a shame that it hasn't been used by others before, otherwise there is no anesthesia this time, and this operation is absolutely impossible.It seems that after this time, she has to find a way to solve the problem of anesthesia. If the space is not upgraded, she will not be able to get it again, so she can only find a way outside. Research to see if she can make a Mabosan with traditional Chinese medicine What.

Although, this matter is definitely more difficult than her space upgrade.

But these things are not what she should think about now, there is still a "tough battle" ahead of her!

When everything was ready, Sima Qing took a deep breath, then walked up to the patient, looked around at everyone present, and said, "This kind of operation cannot be done by me alone, so no matter you three assistants, or Those of you who are watching must cooperate, and you must follow my instructions unconditionally during the operation. If we make a wrong step or make a mistake, it may cause irreversible results! Remember?"

In the end, her voice was raised a little higher, and the sternness in her tone was something they had never heard before, which made everyone more nervous and serious.

"Okay, let's remember." Mei Ruotian was the first to express his opinion.

Chunxi and Nan Rumeng also nodded seriously.

Those who stood in the surgery observation area also gave their assurances.

Sima Qing completely calmed down, and began to make a long cut with the scalpel on the part closest to the lesion, and after confirming that there were no internal organs superimposed, she carefully began to perform an abdominal exploration.

Exploratory laparotomy for abdominal injuries generally uses a midline abdominal incision, or a paramedian incision, or an incision through the rectus abdominis muscle, so that it can be extended up and down, or expanded laterally to both sides when necessary.For combined thoracoabdominal injuries, if surgery is required on both the thorax and abdomen, it is advisable not to make joint thoracoabdominal incisions as much as possible, but to make separate incisions on the chest and abdomen.

It is necessary to avoid making incisions with wounds as much as possible to avoid postoperative incision infection or dehiscence.

Care should be taken when cutting outside the peritoneum.Intra-abdominal hemorrhage can often appear blue through the peritoneum; in diffuse peritonitis, the peritoneum is congested and edematous.When incising the peritoneum, attention should be paid to whether there is gas escaping and whether there is fluid in the abdominal cavity, and to distinguish the smell, color, quantity and nature of the fluid.

If there is blood flowing out, it means that there is a substantial organ or blood vessel rupture. If there is gas or gastrointestinal content gushes out, there is perforation of hollow viscera; if it is feces or feces, the lesion is mostly in the colon or appendix; if there is overflow of bile-like liquid, it means that there is a lesion in the biliary tract, stomach, and duodenum; if there is rice soup-like liquid, attention should be paid to whether there is typhoid perforation in the ileum or peritoneal tuberculosis; if there is blood plasma axillary fluid overflow in the abdominal cavity, There may be visceral blood circulation disorders, etc...

When this knife went down, except for Mei Ruotian who had seen it once before, the other people who were watching with extreme curiosity before could not help but gasp when they saw this scene.

This is the so-called surgery?Doing this is not killing but saving lives?
Hard to imagine.

In fact, even Nan Rumeng was a little surprised. Although she had seen it many times on TV, it was the first time she actually participated in the battle. Only then did she know that this kind of scene appeared in front of her eyes at close range. It's still different!

So exciting!
After Sima Qing entered the abdominal cavity, she first used a suction device to suck the blood and gastrointestinal fluid in the abdomen. The bleeding was serious, so she used her hands to control the bleeding while sucking the blood. After removing the fluid and blood in the abdominal cavity , and began to explore the lesions in the abdominal cavity, from the posterior wall of the stomach, the lesser curvature of the stomach, near the cardia to the retroperitoneal parts of the duodenum and colon...

After excluding problems such as liver rupture, esophageal hiatus, splenic subcapsular rupture, and duodenal injury, the transverse colon and its mesentery were pulled upward, and the suspensory ligament of the duodenum was diagnosed. Check from the beginning of the jejunum to the ileocecal valve in turn.

"I found it, it's here!"

Just when everyone looked at her series of actions and was already covered in cold sweat, she cried out happily.

Sure enough, the biggest and most important injury was intestinal rupture!
In the small intestine, there were 5 lesions, all of which were congested areas the size of a grain of rice. The two ends of the intestinal tube were pinched and squeezed to the congested area, and intestinal fluid overflowed.

"Pass me the hemostat!" After confirming, Sima Qing quickly said to Mei Ruotian.

Mei Ruotian was stunned, and quickly took out a hemostat from the plate in front of her and handed it to her.

"You said you found, found, what did you find?" At this time, someone suddenly asked.

Sima Qing frowned, but the movement of pulling out the peritoneum with her hands did not stop at all, and said: "I found a fatal wound, it is a ruptured intestine, and I must perform intestinal resection and intestinal anastomosis in time... Mei Yu Doctor, princess, now you two hold the hemostat and help me hold the peritoneum!"

Mei Ruotian and Nan Rumeng, who had been named, paused for a moment, then picked it up in a panic, and took the peritoneum in Sima Qing's hand, feeling the effortless softness, they couldn't help trembling slightly.

"Don't be nervous, don't shake your hands, both of you should control your strength a little bit." Seeing their movements, Sima Qing comforted and encouraged them softly.

(End of this chapter)