Chapter 87 84. Good Luck

Veins are completely different from arteries. The venous lumen is thick, the wall is thin, the elasticity is low, and the blood flow is much slower. Venous rupture and bleeding cannot be like an artery's jet, which is destined to cause venous blood to remain in the rupture more easily during trauma.

Blood clots form around the mouth.【1】

Blood coagulation itself is a self-protection mechanism of the body. When injured and bleeding, blood coagulation can block the blood vessel breach and prevent bleeding.

But for the word "healed", the presence of blood clots is obviously not suitable. So before crossing, when Kawei encountered this situation, for the sake of safety, he would clamp the blood vessels, remove the clots, and then perform repair sutures.

He has also encountered situations where the trauma lasted for a long time, and the blood vessels had been completely blocked by blood clots and self-repair, and the repair was abandoned in order to prevent secondary damage. But this was just a passive accommodation, because there was a blood clot.

Another option after that.

The conditions for this choice are harsh, and it needs to be checked repeatedly before it can be executed. In most other cases, he will sew it.

The situation is different now. Kawei has gradually adapted to the rudimentary medical conditions of the 19th century, and cannot let go of anyone who can take advantage of it.

Once he changed his mind, he became active from being passive and took the initiative to create a blood clot outside the blood vessel that could be blocked. Because Li Ben suffered a simple cut injury and there was no defect in the blood vessel, it would be completely possible after the blood clot solidifies and adheres.

It blocks blood vessels and further helps the lumen heal.

All Kawi has to do is do nothing, etc.

Wait for the blood to coagulate and seal the rupture.【2】

Things were going in the direction Kawei hoped. It didn't take long for the bleeding from the original oozing area around the breach to gradually slow down. After a few more minutes, a new blood clot completely blocked the breach and the bleeding started.

disappear completely.

Originally, after blood vessel repair, it was necessary to flush with normal saline to check for leaks. Now there is no clean water, so it is not necessary to prevent the blood clot from falling off.

After dealing with the blood vessels, the remaining finishing work was much simpler. Kawei quickly connected Li Ben's severed muscles and skin, completing the neck incision and wound exploration technique completed under candlelight.

The entire operation process, from examination, negotiation, leg suturing, arm suturing, to the final neck exploration, only took about 40 minutes. Especially the final neck exploration, it ended very neatly, and most of the time was spent on that

"Wait" on.

So when Werther arrived in the police station carriage, Li Ben was still able to limp onto the carriage with the help of others and relying on his other good leg.

To this day, Werther still remembers that when Nora looked at Li Ben and Kawei, her dull eyes suddenly became bright. A guy who was cut into a bloody man by himself actually took less than an hour to heal.

Anyone would find it incredible that he had recovered so miraculously.

"If I had known that Dr. Kawei was so powerful, I would have chopped him more times."

Thinking of Li Ben's appearance when he got in the car, Nora was filled with anger. Seeing her like this, Werther couldn't help but explain: "This guy has told everything, and with the testimony of you and Mr. Carvey, I think you can get a large sum of money."

Commutation of sentence.”

"That's why I regret that this dwarf is still alive!" Nora was a little excited. "I don't hate Dr. Kawei for saving him. It's natural for doctors to save people, but I feel sick when I think about this guy's face!"

At this time, Musil suddenly said: "It's just that we are still alive now. It is normal for wounds to ulcerate after surgery. Don't ask me how I know this. I was a surgeon before and I know how painful wound ulcers are. Think about him

There are so many wounds all over the body, it’s not an exaggeration to say that life is worse than death.”

After saying this, Nora’s anger calmed down a little.

Musil handed the autopsy report in his hand to Witte, stood up and walked out: "You can hand the things to the director's office together. I have to go to the hospital to have a look."

"Why did you go to the hospital?"

"Based on your description alone, I can't imagine how a person with such severe trauma could stand up." Musil was completely interested. "It just so happened that I had to go to assess his injury. This is also

One of the jobs of a forensic scientist.”

Werther looked at the report and asked, "Aren't you going to go home and sleep?"

"How can we rest in this situation?" Musil pointed to the "serious injury" in Werther's report and asked, "He was stabbed four times and his neck was cut. It was a serious injury like being cut into blood, but in the end he died on his own.

He opened the door, jumped into the carriage, and was still talking and laughing. Is this a serious injury? Are you kidding me?"

"Well" Werther looked at what he had written and couldn't really make a conclusion.

To others it was just a surprising thing, but to Musil it was a huge conceptual shock, which made him feel uncomfortable.

Fortunately, he is not alone, because the surgeons at the Municipal General Hospital are also in trouble.

10:18 pm

As a nurse came in and said a patient was here, Ignatz dropped the microscope and pathology report and hurriedly left the autopsy room: "Where is he?"

"Sent to Ward 3."

"No. 3? No. 3 is the postoperative rest ward. Why are we sent there?" Ignatz looked at the general ward at hand, "Isn't there an empty bed here?"

"That's what Dr. Carvey said."

That's true, but after all, the person standing in front of her was the director of surgery. The nurse looked back at Ward 3 in the distance, and asked: "How about I change the person back again?"

Ignatz hesitated for a moment and shook his head: "Forget it, I'll go take a look. You can bring the equipment box from the general ward."

"oh."

In his impression, Kawei was not a random person. He must have had his reasons for sending No. 3. Ignatz still had some premonitions. But the gap between premonitions and reality was still too big after all, and he had a serious problem in his mind.

The state that the knife wound should show and Li Ben's current state are completely separated.

Apart from his pale complexion, pain in his wounds, dizziness, and general lack of strength, Li Ben has no other discomfort. He can at least live well.

Ignatz had been on the battlefield before, and sword cuts were not easy to treat.

Especially with the small incision on Li Ben's neck, the field of view for surgical exploration is very limited. If you want to find the ruptured blood vessels, you must first make a large incision, and the neck is rich in blood vessels, so making a large incision will cause more damage.

Bleeding violently, and then entering an endless cycle.

The most terrible thing is that this cycle dies very quickly.

Ignatz carefully examined Li Ben's neck. The incision was about 8.5cm, diagonally from the upper left to the midline. There was nothing to say about suturing the skin. The key was how to stop the bleeding: "Is the bleeding serious?"

"It's not bad. The amount of bleeding all over the body is estimated to be about 700-800ml, and the neck should account for 80% of the total."

800ml doesn't sound like too much, and the human body can compensate. But that's not what Li Ben's clothes said. Just looking at the black and red shirt, you can tell how serious the injury was, and the front was completely soaked.

Seeing that Li Ben was fine, Ignatz couldn't help but believe it, so he could only continue to ask: "Where are the injuries?"

"The neck is the most serious. The anterior cervical muscles are all severed. The left anterior jugular vein and superior thyroid artery are also severed. Several small branches are also severed. The internal jugular vein is ruptured."

"The internal jugular vein was also ruptured?"

"Well, I did a simple sealing of the about 4mm breach, and it should be fine now." Kawei said in an understatement, "Some small arteries were severed in his legs and arms. It's not in the way. The main thing now is his nose.

and bites on the corners of the mouth.”

Simple blocking?

Not in the way?

It was difficult for Ignatz to understand how a young doctor who had never been on a battlefield could immediately find the order of treatment when faced with compound trauma.

He has no nurses, no other medical assistants, and no one to help hold the lamp. The conditions are much more difficult than on the battlefield. It is like trying to solve a maze in a very short time. Once you choose the wrong path, there is no way.

Possibility of going back and re-electing.

The most critical thing is not which path to choose, but how to stabilize your mentality in the face of such heavy pressure.

It took Ignatz three years of his military career to just learn to keep calm in everything, but he was still a long way from being able to truly remain calm in times of crisis. After five years of stumbling, he barely managed to do this.

a little.

He has been using it for so long, how many years has Kawei been using it?

"Teacher, are there new patients?"

"Um."

Just when Ignatz was still confused, Herman walked into the ward: "Do you need help?"

help?

How can I help in this situation?

Ignatz shook his head, his helplessness and endless curiosity hidden in his slowly shaking head: "Kavi had finished sewing at the scene. Unexpectedly, the new patient had already walked out of the hospital just after entering the hospital before he could sleep peacefully.

on the way.”

Herman was a little surprised, but thinking about the previous appendix and cesarean section, the degree of surprise was much lighter. He just hummed and stepped forward and asked: "Is it compound trauma?"

Seeing that Herman had no reaction, Ignatz was even more surprised: "A neck incision of about 9cm, a leg incision of 10cm, and two arm incisions of 5cm and 3cm respectively. Four incisions, a total of more than ten breaks

blood vessels, including the anterior jugular vein, superior thyroid artery, and internal jugular vein."

"The internal jugular vein was also ruptured?"

Herman finally showed the proper expression, and Ignatz finally felt a little more comfortable.

"Director, your equipment box is here."

At this time, the nurse hurried in without looking at the people on the bed. She went directly to the ward's diagnosis and treatment table and opened the lid, preparing to deliver instruments to them: "Force, crow's beak forceps, gauze."

"No need, just put it back."

"Um?"

Before the nurse could react, Ignatz scolded her out of the ward: "You didn't even look at the patient when you took over the door. Why do you need an instrument box when all the wounds have been sutured?"
To be continued...