第55章 吓跑了
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杜文浩按到了他左上腹部,刘捕快痛得弓起了背:“对对……!就是这……,这最痛……”
杜文浩点点头,又问:“你是怎么受伤的?”
刘捕快喘息着道:“我……,我与那贼子恶斗,被他用棍头一棍杵在肚子上……,就是你刚才按的部位上……,当时我就软到了,多亏雷捕头赶过来救我……,哎哟……,好痛!痛死我了……”
“怎么个痛法?”
“痛啊……,就是你摸那里痛……,一直痛到肩膀后背去……”
杜文浩心头一动,从痛的部位和放射性疼痛情况来看,很可能是脾破裂,病人现在面色苍白,四肢湿冷,腹部微胀,很可能有内出血,如果是这样,必须马上手术修补或者切除。不过,当务之急是先处理内出血,因为他没有输血设备,多流一滴血就多一份危险!
用什么治疗内出血?最佳选择是云南白药!可是,云南白药是晚清才出现的,宋朝没有,而这配方目前都是国家重要商业机密,杜文浩也不知道,不过他知道,云南白药的主要成分,就是云南的道地止血药材——三七!而三七宋朝虽然没有使用,但却能采挖到,而且恰好他前两天刚从山上挖回来,已经磨成了粉,三七粉就是很好的止血药!
杜文浩立即跑回房间,取来三七粉,合水给刘捕快灌下。
想不到,他接下来的一句话,让事情发生了意想不到的变化。他说:“帮我把他抬到房间里去!——我要给他剖腹疗伤!”
所有的人都惊呆了。
古代破腹手术,除了传说神医华佗擅长这种手术外,绝少有医者能实施这样的大手术的。原因主要是过不了麻沸关、感染关和止血关,病患几乎百分之百会在术中或者术后死于疼痛性休克、感染、大失血和急性肾衰竭等。所以,对于内脏受损,几乎所有古代外科医典都会注明“不治”。尤其是宋朝,外科手术特别是急腹症方面的大手术都实行的是保守疗法,灌汤药。没有开腹动手术的病案记载,所以死亡率很高。
所有大夫都不敢问津的禁地,这个年轻的大夫竟然说要做,所有人惊诧之余,都不敢相信,连对他医术比较信任的雪霏儿都用疑惑的目光瞧着他,低声道:“行不行啊?别乱来哦!”
“行不行都得试试,不试也是个死,为什么不试试呢!”
“你傻啊!”雪霏儿扯了他一把,压低了声音在他耳边道:“他现在死了,那是伤重而亡,谁也没办法,要是经过你救治才死的,知道他已经伤重不治的人也就罢了,不知道的,会说是你治死的!就算苦主不找你麻烦,但对你的名誉的损害可是很大的!”
“都这时候了,顾不得这么多!他是因公负伤,咱们不能坐视不理啊!”杜文浩有些着急,声音也提高了些。
雪霏儿也有些生气了,噘着嘴哼了一声,也提高了声音:“谁叫你坐视不理了!可你有这能耐吗?古往今来除了华佗,谁会破腹治疗了?连神医钱不收都不会,你就能行?”
这句话犹如当头一棒,把杜文浩发热的脑袋震醒了不少,的确,开腹手术可不是开疮引脓,这是大手术,就算在现代医疗条件设备齐全的大医院,也是需要经验丰富的医生经过精心准备才能实施的,涉及到各方位的配合,比如麻沸、复苏、纠正代偿性休克和隐性休克,生命体征监护和脏器功能的支持,对急性呼吸窘迫综合征和多系统器官功能衰竭进行预防性治疗等等,任何环节出现问题,都将导致手术失败,病患死亡!
对开腹手术自己只在书本上学过,教学录像看过,临床实习观摩过,虽然手术程序都知道,但却从来没有真正动手操作过。加之只有自己孤身一人,没有助手,没有现代急救设备手段,要想动这样大的手术,恐怕是头脑发热,痴人说梦了!别腹部一开,人就隔屁,那有什么意思,那还不如就这样等死好。
没等杜文浩说什么,那妇人已经哭着对老者道:“爹!咱们去找别的大夫看看,说不定就有能治的呢?”
老者连连点头:“好好!抬走!去找别的大夫瞧瞧!”
几个捕快用门板抬起那痛得打滚的捕快,跟着老者和妇人出了门。
杜文浩傻呆呆站着,没有出声阻拦,因为经雪霏儿这么一提醒,他发现,自己实在没有把握做好这么大的外科手术,更主要的,是病患家属根本不信任自己,刚开始还勉强让自己诊治,可以听自己要剖腹开刀,立刻吓怕了,将病人忙不迭抬走了。看来,自己要想树立医术声誉,还有很长的路要走。
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ps:新书冲榜,敬请投票支持。谢谢!
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