Chapter 119 Acupuncture anesthesia, Chu Yunlong is numb(1/2)
After Chu Yunlong checked the ward, he still couldn't let go of his nephew after all, because this was a major marriage event related to his nephew.
He wanted to see his future niece-in-law. If Zhang Yan really couldn't solve the problem, he could contact Union and Peking University experts as soon as possible to come for consultation.
It is a lifelong event that concerns my nephew, and I dare not ignore it, otherwise the old lady will not have to knock him with a stick when she returns home?
At this time, Chu Mingxing was standing with Zhang Xiaodi at the door of the operating room waiting, comforting Zhang Xiaodi with very pale and powerless words.
At this time, anything is pale and powerless.
The only thing the patient's family expects is that as soon as the operating room door opens, the doctor walked out and said: So-and-so operation is very successful.
"Star!" Chu Yunlong, who was extraordinary in art, walked to the door of the operating room and called Chu Mingxing gently.
"Uncle San!" Seeing Chu Yunlong, Chu Mingxing shouted happily.
"how's it going?"
"Uncle San, Yanzi has gone for surgery. It's almost an hour. I don't know what's going on inside. Uncle San, can you help me go in and take a look?" Chu Mingxing's eyes rolled and begged.
Who is Chu Yunlong? Naturally, he can see Chu Mingxing’s little abacus at a glance.
Chu Yunlong had to cooperate for his nephew's lifelong event.
"Okay! I'll go in and take a look. Although Dr. Zhang is young, he is the best surgeon here!" Chu Yunlong glanced at Zhang Xiaodi and nodded happily.
My nephew is not reliable in other aspects, but it is still very reliable in finding women.
This girl is pretty tall, nearly 1.7 meters tall, with a melon-shaped face, big eyes, double eyelids, and a high nose bridge.
Um!
As an uncle, it is not convenient for him to comment on other things, but it is easy to give birth to, so the child will definitely not be hungry in the future.
Speaking of the past.
After Zhang Yan entered the operating room, his assistant Lu Jun stepped forward to report on the preoperative examination.
"Doctor Zhang, the patient has a history of hypertension and diabetes. I dare not take this anesthesia." The anesthesiologist reported the situation in embarrassment.
This is a dilemma. Because of hypertension and diabetes, patients are not suitable for surgery. Maybe they will never wake up again after having anesthesia.
But the current situation is that the patient has perforated acute cholecystitis and must undergo surgery, otherwise he will be in danger of life.
Zhang Yan thought for a few seconds and said decisively: "Wait for me for a few minutes!"
After saying that, he turned around and left the operating room, entered the locker, and took out the nine needles rewarded by the system through the concealment of the locker.
He took the nine needles and returned to the inner corridor of the operating room, handed the nine needles to the circuit nurse, "disinfect these needles."
After saying that, Zhang Yan went to brush his hands again.
This is not good for the surgeon. As long as he leaves the operating room and touches other non-sterile items with his hands, he has to brush his hands once.
Brushing hands is not washing hands.
That's a real brush. Take a special brush and brush your hands like a shoe to make sure there is no bacteria in the palm lines.
The whole process hurts very much.
After Zhang Yan finished brushing his hands, he returned to the operation room. At this time, the patrol nurse had already completed the disinfection of the silver needle.
It is actually not accurate to say that it is a silver needle. It looks bright and looks like a silver needle, but Zhang Yan feels that this is not a silver needle made of sterling silver, it should be a silver needle made of a certain alloy.
In fact, as early as the Spring and Autumn Period and the Warring States Period, China's ancestors had already mastered the secrets of alloys.
Like the bronze ware unearthed in later generations, it is actually not pure copper, but an alloy.
Including the very famous Xuande Furnace, it is also an alloy, which uses gold, silver and copper plus various gems.
The top ten famous swords in ancient times were also made of alloys.
However, ancient technology was relatively backward, and many alloys were accidental and were not passed down.
There are also some alloys that predecessors mastered by regular ones, such as ancient bronzes, which were a very mature alloying process. Unfortunately, due to war and other reasons, they disappeared into the long river of history.
There is also the rotten silver spear that often appears in Romance novels, which is actually an alloy.
Zhang Yan seriously suspected that his silver needle was made of rotten silver gun alloy.
Because the legendary rotten silver spear is very tough, can bend and bend, but it is very strong, which is very similar to the characteristics of your own silver needle.
"Doctor Zhang, the patient's condition is very bad. If you use anesthesia, the risk factor is too high." Zhao Pengcheng also came to the operation room and said with a heavy expression after seeing Zhang Yan.
"I know that there is no need for anesthetics. If I use silver needles to seal the patient's acupoints, it can also have anesthetic effect." Zhang Yan said confidently.
If it were before, Zhang Yan really had no choice but to say helplessly to the patient's family: Sorry, we have tried our best.
This sentence is probably something that no doctor wants to say.
Now, Zhang Yan is fully confident to complete this complicated operation.
Just now, he had already pointed out the cholecystectomy and the gallbladder perforation repair to the mastery level.
The same technique, the level of proficiency in techniques is already the highest. The gap between experts, masters and masters is no longer the surgical technique, but the changes in the surgical vision and thinking mode.
To give a simple example, one plus one equals two. When you reach the mastery level, you can accurately answer equals two, but why is it equals two, how to prove that it equals two, and extend it, one plus one equals one equals what? These are experts,
Master, the level of a master.
“Can acupuncture still anesthetize?”
"Why can't it? The nine needles and twelve originals target the five internal organs, six internal organs, twelve meridians, and fifteen collaterals. They can clear and naturally block them.
The function of anesthesia is to paralyze nerve transmission, so that the brain cannot receive pain signals transmitted by nerve endings." Zhang Yan was full of confidence.
"Okay, great!" Zhao Pengcheng was suddenly excited. If silver needles could replace the effect of anesthesia, it would be a great initiative in the integration of traditional Chinese and Western medicine.
Zhang Yan didn't say anything more. Time waited for no one. The patient's condition continued to deteriorate and surgery must be done as soon as possible.
Zhang Yan took the silver needle and began to apply the needle.
Note: Acupuncture and anesthesia is not fantasy or imagined by the author, but an anesthesia method that was very popular in the 1970s and 1980s.
Even until later generations and in the 21st century, some surgeries were subjected to acupuncture and anesthesia.
However, it is very difficult to achieve true painlessness for acupuncture and anesthesia, and requires a high level of acupuncture experience. Therefore, in the later use, it is gradually replaced by modern drug anesthesia with more convenient and better results.
However, in some special occasions, such as the patient in front of you, if you cannot use medication to anesthetize, acupuncture anesthesia cannot be completely replaced.
Zhang Yan inserted one needle into each acupoint of the patient.
Nine needles do not mean that there are only nine needles, but rather nine different types of needles. One set of needles has eighty-one.
The reason why there is eighty-one is not very particular, it is just a special hobby of the ancients for numbers.
Ninety-nine is united.
After Zhang Yan applied the injection, he checked and confirmed that the patient had lost consciousness. Then he put another injection into a deep sleep state.
"Prepare for the operation!" Zhang Yan issued a surgical order.
Zhao Pengcheng stood in the opposite Ichisuke.
As for the Army, they can only be second-handed. Even so, the Army is already very excited.
Compared with traditional Chinese medicine orthopedics, he prefers to be a surgeon.
Soon, his abdomen was opened, and Zhao Pengcheng took a look. Even he, the chief director of general surgery, couldn't help but take a breath of air conditioning.
The gallbladder perforation is accompanied by multiple organ adhesions, which increases the difficulty index of the surgery linearly.
Even in later generations, it is a very dangerous operation.
"Doctor Zhang, the adhesion is too serious and the surgery cannot be continued." Zhao Pengcheng said in a deep voice.
"Add five milligrams of chloramphenicol in light salt water! Rinse the abdominal cavity." Zhang Yan did not answer, but issued an order directly.
The Army faithfully carried out Zhang Yan's surgical instructions, took the light salt water handed over by the circuit nurse, and began to rinse the abdominal cavity.
Generally, blunt separation is required for adhesions, surgical forceps or vascular forceps are used for blunt separation, but in this case, blunt separation is simply impossible.
Adhesion causes other organs and organ walls to become thinner and fragile. If you don’t pay attention, blood vessel pincers may pierce the organ walls of the gastrointestinal tract or other organs.
Zhang Yan put down the shape of the instrument in his hand, asked for a silver needle again, and acupuncture and anesthetize the organs in the abdominal cavity.
Acupuncture and anesthesia are gradually replaced by medicinal anesthesia in later generations. Another reason is that it is difficult to achieve deep anesthesia for acupuncture, especially when performing viscera surgery, patients can still feel the pain from the organs.
Zhang Yan now directly performs deep anesthesia on the organs, completely avoiding the pain of organs involved during the operation.
This requires very advanced acupuncture techniques, which are not something that ordinary anesthesiologists can master after studying acupuncture techniques for a few months.
After Zhang Yan completed the deep acupuncture and anesthesia, he directly reached into the abdominal cavity and performed blunt separation with his fingers.
Zhao Pengcheng opened his mouth wide and looked at Zhang Yan's actions.
This is too bold.
Separating directly with your fingers requires a lot of skills, as well as the flexibility of your fingers and the strength of your fingers.
Anyway, he can't do it.
When Chu Yunlong entered the operation room, Zhang Yan had just completed blunt separation and exposed the gallbladder and common bile duct intact.
"How is it?" Chu Yunlong asked Zhao Pengcheng.
To be continued...