The Tang Dynasty’s Female Forensic Doctor - Chapter 363

[Chapter three hundred and seventieth difficult surgery]

Before the operation, Ran Yan checked the large box that Liu Qingsong usually did not leave her body.

“Ran Yan, this is gut thread, I made it myself.” Liu Qingsong carefully took out a long metal box from a wooden ice bucket, and then took out another thing wrapped in silk handkerchief.

There are only two catgut threads. This thing is as thin as a hair, but it is very dry and hard, like dead branches, but Ran Yan knows that this is an excellent thing. It is a kind of thread that can be absorbed by the human body and is suitable for suturing blood vessels. In places where it is not easy to remove stitches, it must be stored at low temperature for a long time, otherwise it will easily deteriorate.

There are also various wound medicines, disinfectant potions, and almost a complete set of scalpels prepared by Liu Qingsong in the box.

There’s even a magnifying glass!

Ran Yan’s eyes were slightly wet, and it was at this moment that she felt that Liu Qingsong’s existence was very necessary.

With Liu Qingsong, a boring person, making these “boring” things, Ran Yan has a little more confidence.

Even with these things, Liu Qingsong felt that the success rate of the operation was limited. An injury like Sang Chen, even in a well-equipped operating room, was not a simple operation. In such an environment, for the chief surgeon, It is a unique challenge, four points depend on strength, six points depend on luck.

Despite this thought, Liu Qingsong’s actions were not careless and actively cooperated.

He soaked the catgut in salt water to soften it, and then returned to Ran Yan as his deputy.

Because the lighting conditions are very limited in the wilderness, all the torches can only be lit and held by officers and soldiers standing around the grass hut.

In the center of the cleaned grass house, two officers and soldiers supported Sang Chen. Ran Yan had already cut off his robe, revealing his naked upper body, and was removing the arrow bit by bit.

At the beginning, every time he moved, Sang Chen groaned in pain, but after a while, he could no longer hear his voice.

Looking at the massive bleeding, Ran Yan tightened her voice, “Liu Qingsong, can you test your blood type?”

“Yes.” Liu Qingsong said immediately. In the more than ten years since he came to Datang, he has not accomplished a single major event. Instead, he has come up with a bunch of very unreliable inventions. Extracting serum is a rare and relatively successful thing.

Because usually, natural precipitation can also get serum.

However, one of the most important functions of extracting serum is to identify blood types. In the absence of Western medicine, what do people need to know about their blood types?

Therefore, this technology can only be used as a trick by Liu Qingsong to deceive the little lady occasionally.

“Is there serum?” Ran Yan has been focusing on the wound, but there is a little joy in her questioning voice.

Under good storage conditions, the serum only lasts for a week. Under normal circumstances, it will stink within five or six hours. If there is a temporary serum, it must be God’s will to let Sang Chen live.

“No, but I read an academic report before and was able to quickly extract serum. I have done it many times before, and the chance of success is quite high.” Liu Qingsong said, then got up and took out a bottle from the box, hesitating for a while, Cai said, “I have cultivated some anti-venom serum myself, but I have never done any experiments…”

One of the most important functions of antitoxin is to prevent and treat tetanus, which is very necessary for Sang Chen.

Liu Qingsong has a syringe and needles from Ran Yan’s search here, and Ran Yandun said without pause, “Let Wan Lu sterilize the syringe needles with boiling water.”

Liu Qingsong didn’t have any confidence in the anti-venom he made, but he felt that the syringe was made by Sang Chen himself, maybe he was destined to save his life today, so he didn’t say anything. Go out and prepare. .

The atmosphere in the room was dignified, everyone slowed their breathing unconsciously, and more than a dozen pairs of eyes stared at Ran Yan’s movements without blinking.

She was wearing a mask, and the sweat on her forehead gathered into droplets under the beating firelight, and Ge Lan was constantly helping her wipe it.

Ran Yan has not performed surgery on living people for many years. She was only an intern in the brain department of the hospital during the period of graduation. She had never done it even as the chief surgeon. After three years, she was the chief surgeon, but it was only for corpses.

But today Sang Chen’s life is right in front of her eyes, and there is still room for recovery.

Even if there is only a 1 in 100,000 chance, she will never give up.

Sang Chen, hold on a little longer… Ran Yan secretly said.

Without any equipment, Ran Yan could only rely on visual inspection to observe the changes in the wound and Sang Chen’s signs of life.

Chu removed the arrow, Ran Yan turned behind Sang Chen, took a deep breath, grabbed the arrow with both hands, and pumped sharply.

In an instant, blood splattered all over Ran Yan’s body and face, but her expression did not change in the slightest, and her voice was flat, “Put him down.”

Ran Yan quickly changed into a pair of clean gloves, “No. 4 knife.”

In Liu Qingsong’s box, there is a relatively complete set of surgical knives. Although there is not much opportunity to use them, he carefully disinfects them every day.

The model number is marked on each hilt and on the body of the knife, and the song blue is easy to find.

After Ran Yan pulled out the arrow, she did not sew it up immediately, but first cut the wound with a scalpel using a holding technique, and cleaned the inside with a cotton cloth dipped in disinfectant.

“Number seven.” Ran Yan put down the scalpel in her hand and reached out to take the longer scalpel that Ge Lan handed over.

No. 7 scalpel is a scalpel for deep incision. Ran Yan has a better understanding of the human body than ordinary doctors. She has dissected almost every part of the human body, and the chest and abdomen are the most common places for forensics. With years of forensic experience, based on factors such as the location of the injury and the amount of bleeding, he determined the location of Sang Chen’s injured artery, and cut the skin and muscle tissue slightly along the wound, and soon found the artery in a blur of blood.

“Tweezers.” She took the tweezers, holding the knife in the right hand and the forceps in the left, to quickly and accurately peel off the blood vessels, and then use silk to temporarily tie the arteries to avoid shock caused by excessive blood.

During the period, she sucked blood with a cotton cloth that she looked at, so that the blood vessels could be exposed more clearly.

The artery wasn’t completely broken, just a little bit of a cut was scraped when the arrow passed by.

Fortunately, Ran Yan’s judgment was correct, and she thought of removing the arrow before pulling it out. Otherwise, this time, as long as the hand is indistinguishable, it may cause the blood vessel to rupture.

He Sizheng also knelt not far away, watching this scene, the sweat on his forehead was more than that of Ran Yan, his hands were clenched into fists by his legs, and he was both nervous and surprised, but he didn’t dare to. Get close, because Ran Yan said before that everyone in the house is not allowed to move casually because the change of light and shadow will affect her sight.

He could only see a blur of blood and blood, and Ran Yan’s calm expression.

After doing all this, Ran Yan probed for Sang Chen’s pulse, and his breathing was also gradually declining. When Ran Yan had just clamped the blood vessel, he clearly felt that the pulse of the heart and the amount of bleeding were already very weak.

Ran Yan took a deep breath, took off her gloves, and put on a new pair. She took out the soaked catgut from the salt water, and made Ge Lan use a magnifying glass to pass through it easily.

It is best to suture blood vessels under a microscope. However, the conditions are limited and only a magnifying glass can be used.

In the finishing work of Ran Yan’s autopsy, the general suture only needs to look neat, and there is no need to consider the impact on the human body after the suture. In this regard, she is not as good as a doctor with many years of surgical experience, but The usual practice of embroidery is of great help to her, and she can easily complete the fine stitches of the blood vessels.

“Let the lanterns come closer.” Ran Yan’s voice had no emotion at all, which made those who heard the lanterns awestruck. The few soldiers holding the lanterns didn’t need He Sizheng to speak any more and immediately leaned over.

In addition to the torches, there are also four lanterns, which are indispensable for official duties at night.

After adjusting the best lighting position, Ran Yan asked Ge Lan to place the magnifying glass above the wound. She fixed the blood vessel with tweezers in one hand, and started suturing with a needle in the other hand.

He Si was looking at Ran Yan in the corner. She was now described as embarrassed, covered in blood, kneeling on the ground and lying down. Only calm and focus in his eyes.

Ge Lan is also very hard. One hand of her holding the magnifying glass cannot shake, but the other hand has to keep wiping sweat on Ranyan. She cannot let the sweat affect her vision or drip onto the wound.

In the absence of equipment such as an oxygen mask, Ran Yan must end the stitching as soon as possible in such a harsh environment.

Fortunately, the wound was not large, and the entire suture did not last long, but everyone felt that decades had passed and they were exhausted.

The soldiers holding the lanterns had their legs stiff, holding on to their hands so as not to tremble. At this moment, they looked at Ran Yan with admiration, because from beginning to end, she never moved on her knees. .

After suturing the blood vessels, Ran Yan quickly cleaned the wound, untied the silk that tied the blood vessels, and then began to sew the external wound.

Compared with suturing blood vessels, Ran Yan is really familiar with it.

However, it is impossible for Sang Chen to remain unchanged like a corpse. As time goes by, the signs of his life are gradually stagnant.

Ran Yan had to suture the wound more quickly, and then performed CPR on him.

Under normal circumstances, these tasks should be done by assistants, but Liu Qingsong has to deal with the follow-up rescue preparations. He has to test blood, draw blood, and find a catheter suitable for blood transfusion. No one can replace these.

So now, Ran Yan can only come by herself.

The blood vessels near Sang Chen’s heart had just been sutured, and Ran Yan didn’t dare to press hard, so she could only use massage.

There is also very important artificial respiration.

When Ran Yan straightened Sang Chen’s head and bowed his head to mouth to mouth, the people around him who were already stunned were shocked and didn’t know how to react, but just stared at this scene with wide eyes.

But Ran Yan was not kissing. After a few moments, everyone could basically see that she was sucking in the air and passing it to Sang Chen.

Even though it is really shocking to do this, and no one has ever done it before, isn’t Ran Yan’s anatomy technique a magical technique only used by the legendary Chinese Tuo!

Ran Yan did not stop, doing CPR massage and artificial respiration repeatedly.

UU reading www.sonicmtl.

com

This wealthy Liu Qingsong came in and saw this situation, he hurriedly stepped forward to cooperate with her, Liu Qingsong did artificial respiration, and Ran Yan did a heart massage.

About two minutes later, Ran Yan probed the pulse of Sang Chen’s breath, and finally had a faint reaction.

The two continued for a cup of tea until Sang Chen could regain his own breathing, even though it was very weak, it was the hope of survival.

“Has the syringe been sterilized?” Ran Yan asked.

Liu Qingsong called Wan Lu to bring in the syringe and needle.

Ran Yan took off her gloves, took the syringe, sucked a little from the anti-venom serum made by Liu Qingsong, and rolled up her sleeves. Due to the ongoing operation, her hand holding the syringe kept shaking.

Liu Qingsong grabbed her hand, “Ran Yan, what are you doing! Can you try this thing randomly?”

“Then what should I do? His vital signs are weak now, and he can’t hold the test!” Ran Yan shook off his hand and said in a flat voice.

Ming.

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t Tips for reading the article: The above operation scenarios are provided exclusively by Xiu Tang, please do not take them as medical common sense, the content is dangerous level № №n, and imitation under any circumstances is not recommended.

B sleeve Tang exclusive warm reminder: catgut, the earliest surgical thread in medical history that can be absorbed, is made from the submucosa of the small intestine of sheep.

No. 4 surgical knife is used for superficial cortical incision. No. 7 surgical knife is used for deep tissue dissection such as texture and separation of blood vessels.

The above is normal medical knowledge, please take it seriously.

b (float away… farewell to Ran Yan for a while, I will go to Song Chuyi in “The Beauty of Jiangshan”, by the way, everyone has votes, please vote for Ms. Chuyi two) There is no pop-up window, and the update is timely!

[End of this Chapter]