Song Yi

Chapter 57 Splenectomy
The second daughter went out, and after a while, the two came back panting, Xue Fei'er said to Du Wenhao:
"It's not good! Detective Liu is about to die!"

Du Wenhao felt a chill in his heart: "So fast?"

Pang Yuqin said: "It may not necessarily be dead. We went to his house just now, and his family is already holding a funeral. The female family members are all sitting in the lobby crying, and the bed board on which Detective Liu is lying is parked in the lobby of the house. Not moving at all. But no one is wearing sackcloth and mourning, maybe people are not dead yet, waiting to die before starting mourning."

A glimmer of hope rose in Du Wenhao's heart: "Let's take a look!"

The three of them rushed to Patrolman Liu's house. The yard was very small, and a hut was very dilapidated. It was obvious that the family was not very well off.

At this moment, there was a lot of crying in the yard, and two police officers with injured hands and feet and bandages at the door were sighing and discussing. When they saw Pang Yuqin and the others coming, they quickly greeted them with smiling faces.

Pang Yuqin said, "How is Detective Liu?"

"It can't be done! Alas! Poor... By the way, Miss Pang, your father is inside!"

"Ah? Is my dad back? Is my dad okay?"

"It's okay! He and Botou Lei are back, and the escaped thieves were caught up and surrounded by them and killed. Your father is good at martial arts, how can those thieves hurt him!"

Pang Yuqin hurriedly ran into the yard, and at a glance saw his father, Pang Xianwei, sitting on a long stool under the eaves, talking to the old father of Inspector Liu, while Inspector Lei and other officers were busy in the hall. Busy outside to help decorate the mourning hall.

"Father!" Pang Yuqin ran over, "Are you back? Are you okay?"

"It's okay! What are you doing here?—Mr. Du is here too!" Captain Pang saw Du Wenhao who was following up, and hurriedly got up to greet him.

Knowing the urgency of the matter, Pang Yuqin hurriedly said, "Father! Mr. Du said he can cure Detective Liu quickly! Use laparotomy to heal wounds! Let Mr. Du treat him!"

"Really?" Pang Xianwei couldn't help frowning when he heard the laparotomy, and glanced at Du Wenhao: "Sir, is that so?"

"I can give it a try. It's still the same sentence. The condition is very critical, and it may not be cured!"

Old man Liu stood up, weeping and saying:
"Mr. Du said earlier, try to see if it can be cured. We didn't agree at the time, and sent someone to find another doctor to see. As a result, all the doctors in the city said that there was no cure. Thinking about it, Dr. Du might not be able to do anything, so Brought it home."

Lieutenant Pang Xian pondered for a moment, then looked back at Captain Liu lying on the door panel in the lobby, and said to the old man:

"If it doesn't work, let Mr. Du take care of it! It's better to have hope than no hope!"

The old man wiped his tears, peeked at Du Wenhao, and said in a low voice:
"It's good, it's just..., our family doesn't have..., we don't have so much consultation fees..."

Du Wenhao was stunned: "Consultation fee? I didn't ask for your consultation fee! I told Butou Lei earlier that any yamen brothers who are injured on business and come to my Wuweitang to look at their injuries will not be charged a cent!"

"Really?" The old man looked at Du Wenhao suspiciously,
"Earlier, I brought the dog to the doctor for treatment. They said that it was seriously injured and died. I was going to bring the dog to Wuweitang for treatment. I happened to pass by Renyitang. Doctor Xu asked us where we were going. I said I would come to see Mr. Du. Caesarean section to save my son, Dr. Xu said..., said..."

Xue Fei'er snorted and said, "What's wrong with him? What did he say?"

"He said that apart from the Eastern Han Dynasty Hua Tuo Medical Association, no one knows this medical skill. He said... that Dr. Du is clearly trying to cheat us of money, and that Dr. Du charges a lot of money for treating patients. Well, for a critically ill patient like my son, Dr. Du wouldn't be able to treat him without tattooing a hundred taels of silver."

"Nonsense! Dr. Du has always paid five yuan for consultations and ten yuan for outpatient consultations. Why has he ever charged a high fee for consultation? This person just doesn't want others to be more skilled than him, so he deliberately makes trouble!"

Du Wenhao said in a deep voice: "Don't talk about this, old man, don't worry, your son was injured on duty, and we should treat him. If you are willing to entrust your son to me for treatment, I won't take any money for the consultation, and I will also send you a medical fee." Soup!"

"Really..., really?"

Du Wenhao nodded: "I'll go and see the situation of Captain Liu first."

Stepping in quickly, the pulse diagnosis found that Detective Liu's limbs were cold, and he was in a deep coma, but he was still alive, so he ran out quickly and said:

"Hurry up and take him to Wuweitang, I'm ready for treatment."

Pang Xianwei said: "Old man, don't worry! Dr. Du is very skilled in medicine. My concubine died of a serious illness. He was the one who saved my life. I will try my best to save your son's life. Hurry up and carry him to Wuweitang!" "

The old man hastily agreed, then turned around and told his family to take Catcher Liu to Wuweitang quickly.

The detectives hurriedly used the door panels to carry Captain Liu to Wuweitang and put him on the simple operating table in the living room in the backyard.

Du Wenhao urgently used acupuncture to fight the shock, and then asked Shapang and Wu Cong to help him pour the anti-shock Ginseng Sini Decoction and Guyin Decoction into his stomach first.

At the same time, myself, Xue Feier, and Pang Yuqin washed their hands with disinfectant to prepare for the operation.

After anti-shock acupuncture and medicinal soup poured down for a stick of incense, Detective Liu's body and limbs finally began to warm up, and his pulse also increased, indicating that the shock was getting better.

Only then did Du Wenhao order the two daughters to pour the new type of anesthetic drug, Mabotang, into Captain Liu quickly for general anesthesia.

Du Wenhao asked Sha Pang to help take off Police Officer Liu's underwear, and used a pillow to prop up his left waist.

With the help of Pang Yuqin, she put on the sterilized surgical gown, hat, mask and gloves. According to Du Wenhao's previous teaching, Xue Fei'er began to disinfect the surgical area with traditional Chinese medicine disinfectant, and spread the surgical mask. Single, to expose the left upper quadrant incision field.

The edges of the incision are covered with a large gauze pad.

Originally, Du Wenhao planned to ask the second daughter to be his assistant to help him with auxiliary tasks such as hemostasis, ligation, blood swabbing, hook pulling, thread cutting, and delivery of surgical instruments. One can imagine that it was the first time for the two of them to contact this modern laparotomy. Observe from the sidelines, let's go through the psychological barrier first, so as not to make things worse when it gets wrong and cause chaos.

So let the second girl stand one meter away from the left and watch.

After asking Silly Pang and the others to go out and close the door, Du Wenhao stood on the right side of the patient, holding a scalpel, trying to calm himself down, and decisively cut into the patient's upper left abdomen next to the center.

After the abdominal cavity was opened, blood accumulated everywhere in the abdominal cavity. He quickly reached into the left subdiaphragmatic area with his right hand, held the spleen inward and forward, and pulled it out.

Sure enough, it was a ruptured spleen!
After a preliminary estimate of the amount of bleeding, it was not too much, and the injured should not die due to hemorrhagic shock for the time being.

It seems that the tactic of giving Notoginseng powder to Detective Liu earlier was completely correct, and it has obviously slowed down the blood loss, buying time for the rescue.

He felt a little relieved, and immediately used a simple siphon device designed by himself to extract the blood and blood clots in the abdominal cavity, while checking the bleeding points and other organs.

After the accumulated blood was drawn out, he found that the injured person's spleen was relatively large, and he was overjoyed, indicating that there was a lot of blood in the spleen.

He immediately ligated the splenic artery to allow a large amount of blood in the spleen to flow back into the circulating blood. This is the best autologous blood transfusion, which can solve part of the problem of hemorrhagic shock.

After the splenic artery was ligated, Du Wenhao massaged the spleen with both hands, and the spleen quickly shrank by more than half.

Next, he pushed the spleen upwards and ligated it, cut the splenocolic ligament attached to the lower pole of the spleen, pulled the spleen to the inside, cut it open, and ligated the splenorenal ligament.

Use your right hand to reach behind the upper pole of the spleen, grasp the spleen and rotate it downward to hold it out of the incision, and immediately block a large gauze pad into the spleen fossa, clean up the connective tissue around the splenic pedicle, ligate and cut off the splenic portal artery and vein, and remove the The spleen is set aside.

Next is bleeding.

Du Wenhao ligated the bleeding point of the torn varicose vein to stop bleeding, sutured the wound at the tail of the pancreas, and covered it with retroperitoneal suture.

The greater omentum was placed in the left renal area and splenic fossa to establish collateral circulation.

Other organs in the abdominal cavity were subsequently checked, but no damage was found.

What a blessing in misfortune, I couldn't help but breathe a sigh of relief.

At this moment, Du Wenhao realized that his back was drenched in cold sweat from tension.

Xue Fei'er ran to the corner of the room to vomit after her abdominal cavity had already been opened.

Although Pang Yuqin's face was pale, she still stood there and watched.

Seeing that Du Wenhao's forehead was dripping with cold sweat, he hesitated for a moment, and finally took the sterilized towel and came over to gently wipe the sweat off his forehead.

Du Wenhao smiled at him and nodded in encouragement.

Then, Du Wenhao poked another wound in the spleen fossa of the injured, placed a hollow pumpkin vine as a drainage tube, and placed a cigarette-style drainage tube stuffed with gauze inside the pumpkin vine at the tail of the pancreas.

After the operation was completed, Du Wenhao was so nervous that he was almost in vain. He stretched out his hand to press Bu Kuai Liu's heart, and found that the heartbeat was still there and relatively stable, so he was relieved.

The wound was sutured, gold sore medicine was applied to the wound, the wound was wrapped with gauze, a catheter was inserted, and a porcelain basin was placed underneath it for drainage. The urine output was observed to determine the renal function.

When he washed his hands, took off his surgical gown, and opened the door, he realized that the courtyard was already full of people.

Among the crowd were the relatives of Catcher Liu, the brothers of Catcher Liu, and the neighbors who had heard about the incident, all of them gathered in the backyard and looked up.

Sha Pang and Wu Cong are maintaining order and no one is allowed to make noise.

So everyone quietly looked in from the cracks in the windows and doors in turn.

(End of this chapter)