Various necessary decoctions were brewed, and the operating room began to be disinfected.
The room usually used for lectures was used as the doctor's office. At this time, all the surgical staff selected by Qi Yue were standing here, except for the coffin boy.
Liu Pucheng was anesthetized, and the equipment was as good as Zhang and Hu San. These three people also served as the second and third assistants. As for the first assistant, he had to be the coffin boy.
This operation was different from the previous ones. A large-scale thoracotomy was still very exciting for the disciples. The only one they could trust was the coffin boy who was often with the dead.
"But there is one more important issue." Qi Yue said, "That is blood transfusion. Although we don't know the amount of bleeding during this thoracotomy, blood transfusion is definitely inevitable. I don't have a blood test paper now, so there is only one way.
Yes, it’s autologous blood transfusion.”
"Autologous blood transfusion?" Liu Pucheng asked, "Is it your own blood transfused to yourself?"
"Yes, originally this kind of blood transfusion needed to be diluted, but extracorporeal circulation blood recovery machines... these things..." Qi Yue said and sighed.
None of these things…
"Then I have to risk everything. After opening the chest, I will ligate the artery and let his blood flow back into the circulating blood. Then I will use a siphon to absorb the internal bleeding and inject it back intravenously..." Qi Yue said, writing on the blackboard with a charcoal strip.
Write Hua Hua, "In this way, hemorrhagic shock may be avoided."
Liu Pucheng and the others don't understand this either.
"Xiao Qi, don't be afraid. We doctors have nothing to fear as long as we have a clear conscience." He said with a smile.
Qi Yue nodded.
"Teacher, I'm not afraid." She said with a smile, "I just want to do my best."
After she finished speaking, she put down the charcoal stick in her hand.
"Teacher, the coffin is here. Please explain today's surgery to him," she said.
Liu Pucheng nodded and said hello.
"Then everyone, get ready." Qi Yue clapped his hands, "Hu San, follow me, let's go find the tools."
When Qi Yue and Hu San ran out of Qianjin Hall, a carriage was driving towards Yongqing Mansion.
"Is that true?" Old Doctor An asked solemnly.
"Yes, father, it has been spread all over the city. It must be true." Dr. An said with unconcealed excitement, "That woman has no virtue as a woman. Dingxi Houfu should have..."
Before he finished speaking, Dr. An picked up the crutch beside him and gave it to him.
"Get out, and if you disrespect our master again, I will ban you from practicing medicine!" He shouted in a deep voice.
Master! Although Doctor An was angry in his heart, he still knew that his father did what he said, so he did not dare to speak and sat out.
When the coffin boy came over, he happened to meet Qi Yue who was walking in.
"It's great that you're here. Come quickly, we have to have a meeting to discuss the surgery." Qi Yue said directly.
Coffin Boy's eyes fell on her hands.
Chisel, saw, iron pliers, iron wire….
"Take it all and cook it." Qi Yue handed the things to the two disciples one by one.
The two disciples hugged him with pale faces.
In the room, the blackboard that was originally full of writing was still there. Liu Pucheng led the coffin boy to look at it one by one. Qi Yue picked up the charcoal strips again and began to explain.
"...In this operation, I used a midline incision on the sternum, incising the skin..." she said, marking the upper part of the chest anatomy, "...sawing the sternum from top to bottom..."
Hearing this, Hu San and others couldn't help but let out a groan and covered their mouths with their hands.
"That...that..." he stammered.
"This plan will cause less damage to the pleural cavity and provide better surgical exposure." Qi Yue said, ignoring Hu San, and continued to explain, "Then I will explore the mediastinal thymus until the hematoma is found, remove it, and suture the bleeding point..."
Coffin Boy stared at her handwriting seriously, his eyes sparkling.
I used to only see dead people, but now I finally have the opportunity to see living people...
Cut open a living person...
This is so exciting….
"After eliminating the hematoma, I will use wire to fix the sternum, and then use sub-full-thickness continuous sutures..." Qi Yue continued, writing and drawing quickly on the blackboard.
Liu Pucheng and others stopped breathing when they heard this. The operation had not started yet, but just hearing that Qi Yue was about to come made the hairs on their bodies stand on end.
What kind of skill is this? Oh my God, where did you learn this?
After explaining what was to be explained and giving everyone a preliminary understanding of the surgery, Qi Yue put down the charcoal strip in her hand and took a deep breath.
"Then, let's get started." She said.
"Yes." Liu Pucheng and others replied in unison.
They walked out of the classroom while talking and started walking to the disinfection room. The patients' family members squatting in the hospital saw them.
"Hey, hey!" they shouted loudly, pointing at the coffin boy, "What is this unlucky person doing here?"
Coffin Boy stopped.
"He is my assistant." Qi Yue said, "The success of this operation depends entirely on him."
These words made the men's eyes widen. They didn't react for a moment and watched Qi Yue pull the coffin boy in.
"Third brother." A man came back to his senses, looked at the leading man and said, "Is this okay? Why does everything here seem weird?"
The man called Third Brother lowered his head and glanced at the piece of paper in his hand, which was the surgery notice Qi Yue asked him to sign.
"Shuanzi, take this and go find someone on the street to see what is written." He whispered.
Shuan Zi responded, took the piece of paper and went out. The disciples in Qianjin Hall were busy and no one paid attention. Besides, this operation also requires family members to avoid it. After coming out, they will go directly to the intensive care unit. Family members are not allowed to enter either. These people are in
It doesn't matter if it's not here.
Shuanzi went out and didn't know who to ask, but he was smart and knew that if he asked near Qianjintang, these people might collude with Qianjintang and not tell him the truth, so he walked straight out.
Not far after walking out of East Street, I happened to see a drug store. Since they are all doctors, they must know their stuff, so Shuan Zi stepped in.
He grabbed a young boy and handed him the paperwork.
"Little brother, can you read to me what is written on it?" he said.
When the young man saw that this man was neither taking medicine nor seeking medical advice, he couldn't care less about him.
"I'm busy. I need to read the paperwork. I'll go find the paperwork on the street." He said impatiently and pointed out.
"You can look at it if you want! Why do doctors protect each other?" Shuan Zi couldn't have a good temper. He immediately glared and shouted, "Quickly show me what is written in Qian Jin Tang?"
The boy shivered in fright, which also attracted the attention of people around him. A chubby middle-aged man came over and took the piece of paper from Shuanzi's hand.
"You said this was written by Qian Jin Tang for you?" he asked.
The young man called out to the shopkeeper, the middle-aged man waved his hand to him, and the young man ran away.
Shuanzi took a look at the man and saw what he was wearing. He knew he was the shopkeeper of the medicine shop, so he nodded and told the story.
The middle-aged man had already read this document, with a surprised and disdainful smile on his face.
"It's really ridiculous. How can anyone sign such a life and death document?" He shook his head and said.
When he saw him shaking his head, Shuanzi immediately panicked.
"What are you writing about?" he asked hurriedly.
"The meaning of this is that your relatives are entrusted to them, and their life and death have nothing to do with their Qianjintang. How can this be irrelevant? Treating diseases and saving people, if they are cured, it is relevant, but if they are not cured, it has nothing to do with it? It's really..."
The middle-aged man shook the paper and said with a dissatisfied expression. While looking at Shuanzi, he saw that the man was full of arrogance, and a smile appeared on his lips, "Is your family being treated at Qianjin Hall?"
Shuanzi nodded and hurriedly explained the matter from beginning to end, even including what the first doctor said.
The middle-aged man's eyes narrowed, and when he heard Shuan Zi say that the coffin boy was here, his eyes widened suddenly.
"What?" he exclaimed, but then stopped and nodded, "Sure enough..."
But he stopped talking.
Sure enough, this scream and several times made Shuanzi panic even more.
"Shopkeeper, what's wrong?" he asked.
The middle-aged man shook his head and sighed, looking at him with some pity.
"Young man, go back and prepare for the funeral." He whispered.
Shuan Zi was stunned for a moment.
"But, but the doctor said there is some certainty that it can be cured..." he shouted.
The middle-aged man smiled mysteriously, looked outside, pulled the bolt and approached the corner, lowering his voice.
"Silly boy, do you know what Coffin Boy does?" he whispered.
"Looking at Yizhuang." Shuanzi replied.
"Besides that, he also did other things." The middle-aged man lowered his voice, "Only we doctors know this. He also played with human corpses, cut them open with a knife, and looked at the internal organs..."
Shuanzi's eyes suddenly widened and he couldn't breathe.
"We won't hide this from you. Many doctors will go to him to buy corpses and practice medical skills by studying the corpses and examining the internal organs. I think you are a martial arts practitioner, so do you know how to improve your martial arts?" The middle-aged man continued.
Said in a low voice.
Shuanzi nodded.
"Practice more..." he said blankly.
"That's right." The middle-aged man patted him on the shoulder and looked at him with sympathetic and pitiful eyes. "Qianjintang can disembowel people. How do you think he can do it?"
Shuanzi stood there blankly, then let out a howl, turned around and rushed out.
The howling frightened the middle-aged man to tremble, but he quickly recovered and smiled happily.
He reached out and took out a letter from his sleeve, shook it before stuffing it back with a bit of pride.
"Let's see what's going on." He said to himself, then walked away humming a little tune.
At this time, in Qianjin Hall, the operating staff completed disinfection and entered the operating room.
This is the second time everyone has stepped in, but they are still nervous. After all, the last time it was the mouth and nose of a child, but this time it is an adult, and it is also the chest. Just looking at the hammers, scissors and saws on the shelf is scary enough.
"Anesthesia is complete." Liu Pucheng said.
Qi Yue nodded and stood at her position. Seeing her standing, the coffin boy also stood over. He had been told his position last time. Aru pushed the instrument, and Zhang and Hu San shook out the sheet and fixed it with a clip.
"Now we're going to perform emergency thoracotomy and prepare to open the chest." Qi Yue said, stretching out his hand.
Aru placed the scalpel accurately in her hand.
Qi Yue held the knife and made a transverse incision on the left side of the neck from the center of the chest. Blood gradually seeped out. The coffin boy picked up gauze and wiped it.
The only sound in the operating room was rapid breathing.
Outside the operating room, the disciples were also observing. When they saw Qi Yue picking up the saw and starting to saw it on the patient's chest, everyone closed their eyes and timidly covered their mouths with their hands to avoid screaming.
Next to me, Hu, three and Zhang Tong had reached their limit. One could barely pull, while the other's hands and feet were trembling. The words on the surgical record paper were constantly deformed.
"The blood has been recovered." Liu Pucheng took the blood that flowed from the siphon. A'ru took the porcelain bottle and placed it on the shelf. Next to it were the prepared syringes, needles, and the only remaining one that was originally a needle and has now become a
Three plastic tubes.
"The tension in the mediastinum is very high..." Qi Yue said so that Hu San could record it.
The coffin boy looked at the open chest carefully.
"There's bruises here!" he said.
Qi Yue nodded.
"This is the thymus, this is the mediastinum...the hematoma goes from the upper mediastinum downwards..." Qi Yue said, touching one by one with one hand, "...involving both sides of the mediastinal pleura...this is the left innominate vein...the posterior side..."
She said and stopped suddenly.
"Found it, the hematoma is here." She shouted happily, stretching out her hand, "Now cut open the fibrous capsule and eliminate the blood clot..."
A'ru handed over the scalpel and Qi Yue stretched it in. Blood suddenly poured out at this moment, bright red and dazzling, filling his vision instantly.
"ah!"
Screams suddenly sounded in the room, and even the coffin boy standing close couldn't help but let out a low cry.
It's not venous bleeding, it's arterial bleeding!
Qi Yue's head suddenly pounded, the hair on his hair stood on end, and a layer of cold sweat broke out on his back.
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When I add more updates, I will ask for votes...***(To be continued)
