第57章 脾切除术
最新网址:m.ltxsdz.com
杜文浩沉声道:“别说这些了,老人家,您放心,你儿子是因公负伤,救治他是我们应该做的,如果你愿意把你儿子交给我医治,我诊金分文不取,还附送汤药!”
“真……,真的?”
杜文浩点点头:“我先去看看刘捕快情况。”快步进去,诊脉发现,刘捕快四肢冰凉,已经深度昏迷,不过还活着,赶紧跑出来说道:“赶紧把人抬到五味堂去,我已经做好救治准备了。”
庞县尉道:“老人家放心吧!杜大夫医术很高,本官妾室病重不治,也是他救活的呢,一定会尽力抢救你儿子性命的。赶紧把人抬到五味堂去吧!”
老者忙不迭答应,转身吩咐家人把刘捕快抬去五味堂。
捕快们七手八脚用门板把刘捕快抬到五味堂放到后院客厅的简易手术台上。杜文浩急用针灸刺穴抗休克,然后让傻胖和吴聪帮忙将抗休克的人参四逆汤合固阴煎先给他用灌壶灌进肚子里。与此同时,自己和雪霏儿、庞雨琴三人用消毒液洗手消毒,做术前准备。
抗休克针灸加上药汤灌下去一炷香后,刘捕快身体四肢终于开始变得温暖,脉搏也有所增强,表明休克在好转。杜文浩这才吩咐二女将麻沸药新型麻沸汤给刘捕快灌了进去,进行全身麻沸。
杜文浩让傻胖帮忙脱掉刘捕快的衣裤,用一个枕头将左腰部垫高。自己在庞雨琴的帮助下,穿好消了毒的手术大褂,戴好帽子,口罩和手套,雪霏儿按照杜文浩先前教过的,开始用中药消毒液对手术区进行了消毒,铺上手术单,暴腾左上腹切口术野。切口边缘用大纱布垫遮盖。
本来杜文浩准备让二女做助手帮自己完成止血、结扎、拭血、拉钩、剪线和传递手术器械之类的辅助工作的,可想到她们两是第一次接触这种现代剖腹手术,还是在一旁观摩,先过了心理关再说,免得到时候弄不好反而添乱。所以让二女站在左侧一米外观看。
叫傻胖他们出去拉上门之后,杜文浩站在病人右侧,拿着手术刀,努力让自己平静,果断地在病人左上腹正中旁切入。
腹腔打开后,腹腔里到处都是积血,他右手迅速伸入左膈下区,将脾握住向内前方托出。果然是脾脏破裂!初略估计了一下出血量,还不算太多,伤者应该暂时不会因失血性休克而死亡,看来,自己先前给刘捕快服用了三七粉这一招是完全正确的,已经起到了明显减缓失血的效果,为抢救赢得了时间!
他心中稍宽,立即使用自己设计的简易虹吸装置抽取腹腔内积血和血块,同时查看出血点和其他脏器情况。
积血抽出后,他发现伤者脾脏比较大,心中一喜,说明脾脏里有大量血液,他立即进行了脾动脉结扎,让脾内大量血液重新流入循环血内,这是最好的自体输血!可以解决一部分失血休克问题。
脾动脉结扎之后,杜文浩用双手按摩脾脏,脾脏很快缩小了一大半。接着,他将脾往上推开、结扎,剪断附着在脾下极的脾结肠韧带,将脾拉向内侧,剪开,结扎脾肾韧带,用右手伸入脾上极的后方,抓住脾脏向下旋转托出切口外,旋即向脾窝内堵塞大纱布垫,清理脾蒂周围的结缔组织,将脾门动脉、静脉结扎切断,将切除的脾放在一边。
接下来是止血。杜文浩对撕裂的曲张静脉出血点进行结扎止血,并将胰尾部创面缝合,用后腹膜缝合覆盖,将大网膜放在左肾区和脾窝内,建立侧支循环。随后检查了腹腔内其他脏器,没有发现损伤,真是不幸中的万幸,不由轻舒了口气。
到了此刻,杜文浩才发现,自己后脊梁已经被紧张的冷汗浸透了。雪霏儿早已经在腹腔打开后,便跑到屋角呕吐去了,庞雨琴尽管脸色煞白,还站在那望着,瞧见杜文浩额头冷汗淋漓,犹豫片刻,终于拿过消毒毛巾,过来替他轻轻擦拭额头的汗水。
杜文浩朝他笑了笑,点点头表示鼓励。
接着,杜文浩在伤者脾窝部位另戳创口,放置了空心南瓜藤做引流管,在胰尾处,则放置了南瓜藤内塞纱布的烟卷式引流管。
术完成,杜文浩紧张得简直要虚托了,他伸手按住刘捕快的心脏部位,发觉心跳还在,且比较平稳,这才放心。
缝合伤口,在伤口敷上金疮药,用纱布包好伤口,插了导尿管,下面放置瓷盆接引,留待观察尿量,以确定肾功能情况。
当他洗了手,脱下手术大褂,拉开房门,这才发现,院子里已经围满了人。人群中有刘捕快的亲属,衙门的捕快兄弟,还有听说了这事的街坊邻里,都聚拢到后院翘着脑袋望着。傻胖和吴聪他们在维持秩序,不准人喧哗。所以大家都静悄悄在外面从窗户缝、门缝里轮流往里看。
[记住网址龙腾小说ltxs520.com]
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