Chapter 326
The popularization of aseptic technique in Qiu Wuhen is probably the most basic method and idea to improve ancient surgical knowledge. If this cannot be done, then no matter how beautiful the surgical method is, no matter how beautiful the suturing is, it will be useless. Once the operation is infected,
Causes sepsis and sepsis, which may be life-threatening.
So after he finished, he said, "I have to do your treatment again. Do you know why?"
The Tang Yuan envoy was dumbfounded. He had already worked hard and thought he had returned to his highest level of skills. Even he was quite satisfied with the results of the debridement of the stick injury. Unexpectedly
Qiu Wuhen actually denied it completely and even directly told him that it was all in vain and that he would have to do it again. It was just a waste of time and effort.
He looked at Qiu Wuhen with some fear and said, "Master Qiu, please give me some advice on what is not good enough?"
Qiu Wuhen was not polite and said: "It's no problem for you to clean the wound and suture it. Of course, there are some minor problems, such as the suture needle and thread are too thick, and the needle is straight, which is not good for suturing the skin."
Mature. And you use your fingers for direct contact, so when you sew the tissue in the wound cavity, your fingers can easily cause infection to the wound. And the fingers are too thick. If the wound is relatively small, it will be difficult to flexibly manipulate the needle.
When suturing, if the effect is not satisfactory, you should learn to use tweezers to hold the needle, also called a needle holder. Use this thing to hold the needle for suturing, and it will be much better. I will demonstrate to you later."
In ancient surgeries, people used fingers to hold needles for suturing. Who had ever seen people using tweezers to hold a curved needle for suturing? He was confused by what he heard.
Qiu Wuhen continued: "The biggest problem with your entire operation is that you did not perform strict aseptic operations. Maybe you don't understand what I said? But you should know that in our vast world, except for what we can see,
In addition to things, there are countless invisible tiny lives. We can call these things germs, or bacteria. These things are the main culprits of wound infections, and we can also understand these things as what we call them in the classics of traditional Chinese medicine.
That’s evil.”
"They are invisible and intangible, but they are real. Once they enter the body, they can cause illness or even death. Therefore, when treating open wounds, they must be disinfected and sterilized to achieve complete sterility.
If the environment is further manipulated, the possibility of patients being infected will be very low. Even if there is a small amount, we can kill it immediately with decoction."
This sentence made Tangyuan envoy and Fu Shangshu stunned for a moment. They couldn't understand it at all. Qiu Wuhen said: "How about this, you sit here and operate, I won't move him. I will do the rest.
Do it, and after a few days, we will compare the results of our two wound treatments to see who has better results. Then you will know whether what I said makes sense?"
Of course, the Tang Yuan envoy would not be completely overthrown by Qiu Wuhen with just a few words. His previous medical knowledge and concepts were completely blank regarding sterility and the like, and it was impossible to accept them all at once. Hearing Qiu Wuhen say that he wanted to
Conducting a comparative test was exactly what he wanted. He also wanted to see what the difference was in the results between what he did and what he did?
So Qiu Wuhen began to treat the wounds on the buttocks of the two remaining stick-injured patients.
All the surgical instruments had been sterilized at high temperatures beforehand. Now I took out the sterilized deerskin gloves and put them on. Then I started to clean the wound with the prepared medicine. If the damaged wound needed to be sutured, I took the needle holder and flew the needle.
The needle was used to sew. Not to mention other things, these three sutures left the Tang Yuan envoy dumbfounded.
Now he finally understood what Qiu Wuhen said about what it felt like to use a needle holder to sew a wound with a curved needle? Sure enough, in Qiu Wuhen's skillful flying up and down movements, he experienced a transcendent sense of beauty.
And it's not only pleasing to the senses, but also the suturing effect is amazing. The wounds stitched in this way are much faster than him, and secondly, the stitches are neat and tight, leaving no dead ends.
He has treated countless injured soldiers for many years. He has very rich experience and has learned many painful lessons. Many of them had dead ends and abscesses due to incomplete sutures. Some
caused damage and eventually died, and there were also many wounds that oozed pus for a long time, became infected continuously, and could not be healed.
He had always thought that these were unavoidable, but now that he saw Qiu Wuhen's sutures, he began to feel that he might have had a problem with the sutures and had not learned Qiu Wuhen's method of suturing with a curved needle between tweezers.
Technique. Therefore, the stitching is not in place in some places, leaving a dead corner of the stitching.
After Qiu Wuhen thoroughly treated the wound, he sprinkled medicinal powder and applied sterilized gauze. He told the patient to just lie down, not to touch, and to keep the wound clean.
These patients were all spanked for making minor mistakes and did not need to be admitted to prison anymore. They were taken directly home by their families. Therefore, they were not in cells because they were wearing handcuffs and shackles, so the injuries to their buttocks and thighs could not be cured.
Get able to stay clean and avoid infection.
After the treatment, Qiu Wuhen said: "Your Excellency, the general content of our treatment is the same, but have you seen it? All my instruments, including my hands, are strictly disinfected. And my hands are not only
After strict cleaning with disinfectant, I have to wear sterile gloves before performing the operation. This is the biggest difference between my surgery and yours. As for the effect of this treatment, it may take two days for you to see the effect.
Gotta get out. Okay, let's take care of the frostbite."
The three patients with frostbite that we found this time all had frostbite on their legs, with different degrees of frostbite, but the frostbite was all very serious. And they had lasted for a long time, which meant that they were no longer guaranteed to be saved.
Qiu Wuhen already knew that the necrotic tissue needed to be removed, and one of his legs needed to be amputated.
Let the Tang Yuan envoys do it first. The Ming Dynasty's method of dealing with frostbite was still an old problem, and the removal of necrotic tissue was also very arbitrary. Of course, it was probably because they were worried that the removal would not be complete, and would rather cut more than cut it off.
We don’t want the wound to be infected again. Because once the necrotic tissue is necrotic, it can easily cause sepsis, which is what Chinese medicine calls yellowing, which can be life-threatening. So it is better to remove some good tissue in order to
As for cutting out more normal tissue, such debridement will also cause serious complications and sequelae.
However, Qiu Wuhen decided to observe first, and after two days when they knew that their method was ineffective and was not as good as his own, he would go back to debridement the patient again.
The handling this time was similar to the previous one. Qiu Wuhen did not explain any more and said all that needed to be said.
After the treatment, especially the treatments commonly used by Qiu Wuhen, Tang Yuanzhi had already seen it before. After being shocked again, he was even more surprised by Qiu Wuhen's amputation surgery. The instruments and techniques used by Qiu Wuhen
, which he has never seen before.
It was already afternoon when Qiu Wuhen finished processing.
Tang Yuan was so impressed by the young man in front of him. As a doctor, when he met a master in his own profession, it felt like a person who was obsessed with martial arts discovered a secret book of martial arts. He was not willing to let go.
, I wish I could remember and study everything Qiu Wuhen learned.
At that moment, he said to Qiu Wuhen: "Master Qiu showed us a surgical instrument that we have never seen before. He also told me about his surgical skills. There is so much important surgical knowledge. To be honest, I really benefited a lot.
.It’s almost time for dinner. We’ve been busy all day. It’s the first time for Lord Qiu to come here. How about you don’t have to stay to eat? We can continue chatting during the banquet, which can be regarded as a welcome to Lord Qiu in advance!”
Fu Tianyuan chuckled and said: "What you said is a bit full. If your subordinates think differently from you, they all think that Master Qiu's treatment is different from theirs. It is a crooked way and pure deception.
If you don't vote for someone who is a master of martial arts, wouldn't it be a waste of joy? What you want to say is too full, and it will make brother Qiu happy in vain."
The Tang Yuan envoy laughed and said, "What you said is not impossible. Let's see. I'll have people notify Imperial Physician Jin and Master Zhongcheng to postpone the trial for two more days to see the effect of these two days of treatment.
How about? Bring them to the scene to show them the difference in the results of the two treatments. Without comparison, you won’t know who is higher and who is lower. After seeing it, everyone will know it clearly. "
"This method is quite good, I completely agree with it."
At that moment, the envoy from the Tang Yuan sent his entourage to inform them, and Qiu Wuhen also ordered the Niu Shui Tank to send someone to inform his family that he would not go back for dinner. The three rested for a while, and then followed the envoy from the Tang Yuan to the dining room to eat and drink. In the past, the envoy from the Tang Yuan
He always talked non-stop, but this time there was a big change. He always considered himself a student and asked Qiu Wuhen for advice on various problems.
Of course, Qiu Wuhen was also very willing to answer, but it was a pity that most of what Qiu Wuhen said could not be understood by the Tangyuan envoys, and the clouds were shrouded in fog. Even so, he still felt that his eyes had been opened, and many things were very interesting to him.
It makes sense. But because it is very different from the medicine he learned before, it will take quite some time to slowly accept it.
A meal where both guest and host enjoy themselves.
When he got home, he had already turned on the lights. As soon as he walked into the yard, he saw the lights on in his and his wife's rooms. Qiu Wuhen drank a lot of wine. He was worried that his wife wouldn't like the taste, so he ordered the cow water tank.
Prepare hot water, walk to the clean room next to you, prepare to take a bath, and then go to find your wife.
As soon as she reached the door, the door opened, and Xuehua's smiling face was revealed.
"Master, are you back?"
Qiu Wuhen nodded, looked inside, and said in a low voice: "After I drank, I went to wash up first and then go in. Is Madam asleep?"
Chapter completed!