Chapter 181 Tough the bullet to cure fractures

The wound treatment principles of burns and scalds are different from those of sores and carbuncles and ordinary gold trauma. You cannot perform too thorough debridement, otherwise it is easy to cause secondary trauma. Female 001

Female 001

Female 001

Female 001 book friend compiled _Complete*~ It only requires simple rinsing away dirt, charcoal ash and other foreign objects adhered to it. Since the wound surface is not too big and the pain is not particularly unbearable, Zuo Shaoyang did not use anesthetic drugs.

Some blisters of varying sizes have appeared in the wound. The small blisters don’t need to be taken care of. The large blisters cut a small mouth on the lower hang and drain the flow. The blisters should be kept as much as possible. This can protect the wounds under the scab, relieve pain, and facilitate healing. Of course, for blisters that are very contaminated or have been broken and contaminated, in order to prevent infection, they will be cut off.

For the part where the blister skin is cut, he applied a small piece of sterile gauze, and then used a sterilized clean brush to dip some sulfur burn ointment on the gauze. For other burn areas, he directly used a brush to dip the ointment.

Originally, this kind of small-area scald is best treated with exposure without covering or bandage. It is conducive to rapid scabs of exudates and necrotic tissues, and is also conducive to observing changes in wounds at any time. The exposed wounds are dry, and it is not conducive to bacterial tents. It is also convenient for changing the medicine. However, since it is cold winter now, long-term exposure is not conducive to keeping the body warm and easily catching cold. It is mainly because the war is in chaos now. Patients need to carry things to take care of their homes, and are prone to contact with other objects, causing pollution and secondary injuries. So Zuo Shaoyang decided to bandage the wound.

After applying the medicine, cover several layers of disinfectant gauze and bandage evenly from the distal end to the proximal end with a bandage.

After soaking in cold water, a burn ointment that can relieve pain was applied. After bandaging and treating the wound, the patient felt that the wound was much more comfortable. Zuo Shaoyang asked him to change the medicine five days later. He told the wound not to touch water, and prescribed a few doses of heat-clearing, detoxifying and anti-inflammatory drugs for the patient to take to prevent the wound from getting inflamed.

The young man's parents saw that their son had stopped moaning, and the painful expression on their faces became much more relaxed. They could see that the pain had been greatly reduced. They were all very happy. The woman asked carefully: "Doctor, how much does this medicine cost?"

Zuo Gui's father said: "A total of sixteen documents."

"Ah?" The woman was surprised and happy. She thought that treating a burn would be much more expensive than headache and fever, so she brought a hanging of money, and she was still thinking about it, afraid that it would not be enough, so she thought about how to say good things and let the doctor go back and raise money to send it. Unexpectedly, she only had sixteen cents.

The middle-aged man was a little disbelief: "You're just such a small fee? - Doctor, are you doing it wrong?"

Zuo Gui smiled: "Sixteen articles, that's right."

The woman was afraid that the doctor would not use good medicine, so she asked her son in detail. After learning that it was very good, she felt relieved. She paid a little embarrassedly and wanted to help her son leave, but the young man refused to let them support him. After thanking Zuo Gui and his son, he stepped out of the door.

The woman was grateful. After thanking her, she went out to the door, looked back at the signboard, and said to herself: "Guizhitang, well, it's so kind." The couple sighed very much, and then they followed her as they saw that their son had gone far away.

The modern burn ointment and wound treatment methods used by Zuo Shaoyang opened his eyes. Zuo Shaoyang asked Zuo Gui's father to treat the burned wounded soldiers and gave him guidance.

After successfully dealing with so many cases before, Zuo Gui's father already knew that the medical skills Zuo Shaoyang learned were indeed very skilled, far beyond his level. At this time, he had completely put down his airs and studied humbly. Following Zuo Shaoyang's instructions, he debrides, applied medicine and bandaged the burn soldier.

After the treatment, the last person to treat the wounded soldier with a broken leg bone was treated.

This is very troublesome, because Zuo Shaoyang had never encountered fracture cases before his internship. Although he had systematically learned "Bone Injury" but it was all about paper and had not really practiced it. Zuo Gui was even worse. He had only seen common internal medicine diseases such as exogenous diseases, and he had almost never encountered bone injuries. Patients with fractures generally went to famous pharmacies like Huimintang for treatment, and they dared not ask him to try his hands and feet. So he had never treated bone injuries, let alone systematically.

However, this time, the five wounded soldiers were sent by officers and soldiers, and they asked each pharmacy to help with treatment, but there was no way to recommend them.

Zuo Gui didn't know if Zuo Shaoyang had learned orthopedic treatment from the old doctor Ling, and whispered: "Zhong'er, if this patient doesn't work, please transfer it to another clinic? Don't make things happen and cause trouble."

"Don't worry, I'll take a look first." Zuo Shaoyang asked casually while checking the soldier, "Why are you injured?"

The soldier was only fourteen or fifteen years old, with a tuft of fluff on his lips and a childish face. He gritted his teeth and endured the pain in his legs and said, "I was shooting arrows on the city tower. Several enemy troops were holding shields to climb up the city tower. I threw away the bow and pulled out the knife to fight with them. It was very chaotic at that time, and I just swung my feet with a stick. As a result, my foot was swept by an enemy with a stick. I fell down. Fortunately, the other brothers rushed over to help and killed the enemy troops who rushed up. I was not hacked to death. But my legs were broken and I was sent to the square of the state government office. After a long time, no doctor came to treat me. Until just now, someone came over and said that he was too busy to take us to various pharmacies in the city for medical treatment, so I sent us here."

When Zuo Shaoyang heard that the soldier's injured leg was compromised by external force, he was worried that there would be a comminuted fracture, which would be troublesome. He is not confident of treating such complex fractures at present, so check it first.

Since there is no modern fluoroscopy detection technology, you can only rely on the feeling of your hands. Zuo Shaoyang has learned the method of checking the fracture. He carefully checked the patient's legs and found that the affected limb was locally swollen, tender, and had a bone rubbing feeling. He could hear bone rubbing and longitudinal percussion pain, and judged the fracture of the tibia and fibula.

After checking the injury, Zuo Shaoyang breathed a sigh of relief. The initial judgment of the soldier's fracture was simple. Thinking about it, the complicated bone injury cases must have been cured by the doctor of the team. The injured soldiers sent to each drug shop were relatively mild, but there were too many people and the doctor of the military was unable to take care of them, so they were distributed to each drug shop.

After discovering that it was a simple fracture, Zuo Shaoyang immediately became confident. He decided to try it with his own hands and use a technique to repair it first to see if it works. If possible, then put on a splint or plaster to fix it.

Since the small bed in the lobby of Guizhitang was occupied by the Master of Qu's family who had a stroke and coma, he was carried to the old house of Qu's family. He could only let the soldier lie flat on the long table of Zuo Gui's father in the lobby. He first applied the trauma to the trauma and then applied the bone-clearing external anesthetic made by Chuanwu, Shengnanxing and others.

Zuo Shaoyang asked the injured soldier to bend the knee joint, and asked his father Zuo Gui to use his elbow to wrap the soldier's popliteal fossa with his elbow joint, and asked a soldier who was not injured to hold the broken soldier's foot, and taught the two to fight the traction along the long axis of the tibia to correct the deformity. According to the oblique fracture, he used his thumb to push the distal end inwardly, and placed the other four fingers on the proximal inner side, lifted it outwardly, so that the soldier could rotate the distal end slightly inwardly, so that the fracture would be completely aligned. Let the two continue to pull, hold the fracture site with both hands, and let the soldier slowly sway the fracture segment, so that the fracture end should be inserted tightly. Then use his thumb and index finger to touch the fracture back and forth along the anterior ridge and medial side of the tibia to check the alignment of the alignment. The whole report was completed

The soldier's fracture was caused by external force, and the soft tissue damage in the leg was severely swelled. Fortunately, no blood vessel damage was found after examination. However, due to obvious swelling, it is not advisable to fix the gypsum or splint immediately. You must first apply external antiswelling and pain relief medicine to reduce swelling, and then replace the splint to fix it. Before this, you can only use a gypsum bracket for external fixation.

Zuo Shaoyang asked Miao Peilan to bring a bucket of warm water. He first used gauze to apply the wounded leg substrate to the injured soldier, then took out the gypsum bandage, and spread it on the ground according to the rough length of the soldier's tibia, folded it into a gypsum strip, fifteen layers thick. Then he held both ends with both hands and folded it in a warm water bucket. After the bubble was finished, he took it out, squeezed out the excess water, spread it on the opposite side of the injured leg of the soldier, wrapped it 60% to 70% of the injured leg, and then wrapped it with a bandage roll. In this way, after it was dry and hard, it became a support bracket. Incomplete wrapping is to apply medicine to the injured and swollen body, and at the same time leave a buffer space to avoid the local space of the tube-shaped gypsum that causes swelling and compressing the limbs, causing accidents.

After fixing with a gypsum, Zuo Shaoyang applied ointment to eliminate blood stasis, swelling and relieve pain on the exposed wound.

While they were busy, Old Mrs. Qu came over with Mrs. Qu, muttered with Liang in the inner room for a long time, and called Zuo Gui in. After a while, Old Mrs. Qu and Mrs. Qu said goodbye and left with great worries.

Zuo Shaoyang naturally knew the purpose of their arrival, but he is now busy treating the wounded soldiers. Besides, he has already expressed his attitude, so there is nothing more to say.

Seeing that Zuo Shaoyang was busy treating his injuries, Zuo Gui and Liang did not disturb him. In addition to these injured soldiers and the people, several people also came to seek medical treatment on this day. One of them was a stroke, and the symptoms were not too serious. Zuo Gui successfully prescribed a prescription under Zuo Shaoyang's guidance. The others were ordinary exogenous diseases. This was Zuo Gui's strength and he was treated independently.

I was busy until the evening and all the injured were treated.

It was troublesome to have dinner at night. The burned people went back after treating the wound, but no one came to take care of the five wounded soldiers. The officer who sent them only left a hanging of money. The money was so expensive to prescribe medicine, let alone food.

Although the Zuo family's masonry room was hidden underground, they did not dare to take it out for these wounded soldiers to eat. Moreover, these were food for the whole family to save their lives.

Zuo Gui asked the wounded soldiers, what should they do if they eat rations? None of them belonged to the same team, and they didn't know each other, and the officers who sent them did not explain what to do after healing the wounds. After a few of them decided to go back to their respective barracks to find food. Anyway, they were all skin injuries, so there was no need to stay here.

The one who had a leg bone injury could not leave, and was afraid of walking and staggering the bones, so he told the other people about his number and entrusted them to go to the army and say something, and let someone give him food.
Chapter completed!