PD :: Volume #6

#554: The opportunity of surgery

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The bone of person, is hard. 人的骨头,非常坚硬。 The bone of four limbs- long bone, is in the degree of hardness ranks among the best. 四肢的骨头-长骨,又是里面硬度数一数二的。 The amputation technique of ordinary people must use the high powered the bone saw, but the right hand that Cao Yicong needs to be cut is a different extremity/limb such, the degree of hardness may be very higher. 平常人的截肢术都要动用大马力的骨锯,而曹亦聪需要被截掉的右手还是这么的一只异肢,硬度很可能更高。 Perhaps such situation, even/including Guju will even be blocked. 这样的情况,或许甚至连骨锯都会受阻。 Moreover what is worst, here does not have the bone saw, without other power saws, or hand-saw. 而且最糟糕的是,这里没有骨锯,也没有其它电锯,或者手锯。 Therefore heard Gu Jun to say wants the amputation, except for Cao Yicong who the state of mind even more was dazzled, Li Liangbin and Wang Yong are startled, lacked self-confidence at heart completely, although must carry out the surgery was not they, they did not study the medicine, but some general knowledge had, this environment and this condition...... 所以听到顾俊说要截肢,除了神志越发昏蒙的曹亦聪,李良彬和王勇都是一怔,心里完全没底,虽然要执行手术的不是他们,他们也不是学医的,但一些常识还是有,这个环境、这个条件…… „Does Dr. Gu, how you prepare to do?” Li Liangbin cannot help but asked one. “顾医生,你准备怎么做？”李良彬不由得问了一句。 Wang Yong worries to take a fast look around the surroundings, is seeking, looked where has what sharp weapon to act as the bone saw. 王勇着急地扫视着周围,也是在寻找着,看哪里有没有什么利器可以充当骨锯。 Actually now the kitchen knife is also good, after all the most primitive amputation technique, basically also cuts directly, again interrupting the even bread is tight with the cotton material. 其实现在有一把菜刀也好,毕竟最原始的截肢术,基本上也就是直接砍下来,再用布料把截断平面包紧。 But they have not taken any cold weapons, the pistol truncation the extremity/limb, that minor surgery blade also truncation on Gu Jun the extremity/limb...... 但他们也没带上什么冷兵器,手枪截不了肢,顾俊手上的那把小手术刀也截不了肢…… „I prepare to use this to complete the scalpel, including sawing the step of bone.” Gu Jun said earnestly, this is the present only opportunity. “我准备就用这把手术刀完成,包括锯骨的步骤。”顾俊认真说道,这是眼下唯一的机会。 Li Liangbin they listened, but Gu Jun knows oneself did not crack a joke do not attempt blindly, was this saws the bone penetration of motionless black mountain sheep Youzai mutton leg Karrop scalpel even the power saw. This is not the bone saw in Karrop instrument, but he has the operating space. 李良彬他们听愣了,但顾俊知道自己既不是开玩笑也不是要盲目尝试,也是这把卡洛普解剖刀把连电锯都锯不动的黑山羊幼崽羊腿的骨头穿透。这不是卡洛普器械里的骨锯,但他有操作空间。 „This scalpel, is exceptionally sharp.” He slightly explains, „compared with the iron stone hard thing, can break open.” “这把手术刀,异常锋利。”他略作解释,“比铁石都硬的东西,都可以破开。” „Dr. Gu...... you feel, you try......” Cao Yicong to clench teeth saying that the state of mind dissociation is uncertain, can withstand the present to have no qualms the huge pain in Dongzhou intelligence department, „, if really not good...... gives me...... happily...... not to hesitate, do not rebuke oneself......” “顾医生……你觉得可以,你就试……”曹亦聪咬着牙道,神志游离不定,能把巨大的痛苦忍到现在已经无愧于东州调查部,“如果真的不行……就给我个……痛快……别犹豫,别自责……” „Vice- team!” Li Liangbin urgently said, Wang Yong also became flushed. “副队！”李良彬不禁急道,王勇也涨红了面。 They know, they understood, they have to write the posthumous writings, changing oneself is this position will also say. 他们知道,他们理解,他们都有写好遗书的,换了自己是这个位置也会这么说。 Not is only not willing to come down to the pain, but also because of this bad swamp environment, the commodity is quite limited, actually does not know where is the end, when can be recuperated and supplies, the team did not allow such can only implicate the wounded person of team. 不只是不愿沦于痛苦中,还因为这个恶劣的沼泽环境,物资极为有限,却不知道哪里是尽头、何时能得到休养和补给,队伍不容许有那样只能拖累全队的伤员了。 However, how Ok. 但是,怎么可以。 „I do not promise you.” Gu Jun broke their state of mind, said puts the ground the medical kit along, takes out a morphine from the box, installs the static note needle, „Cao Fudui, I first gives you to stop pain, you are supporting and that's the end, this is only an amputation technique, do not think difficultly.” “我不答应你。”顾俊打断了他们的心绪,边说边把随身医疗箱放到地上,从箱内取出一支吗啡,装上静注针头,“曹副队,我先给你止痛,你撑着就是了,这只是一个截肢术,别想得有多难。” It‘s nothing time, each movement as far as possible quick, before making the movement, has arranged in the mind. 没什么时间了,他每一个动作都尽可能地快,做出动作之前又已经在脑海里编排好了。 Grasps Cao Yicong left hand, to rub has drawn out the sleeves, exposes inside the left elbow thick blood vessel, tears off the drive pipe of needle, pinches tightly the elbow of injured single-handedly, grasps the needle to suit angle to the blood vessel, has the bo puncturing feeling, returning to the blood is very good, pushes the note, returns to the blood again, without issue. 抓过曹亦聪的左手,撸起衣袖,暴露出左手肘内侧的粗血管,拔下针头的套管,一手捏紧伤者的手肘,一手持针头就以适合角度扎向血管,有啵的刺破感,回血很好,推注,再回血,没问题。 Gu Jun had for a long time has not made the static note to operate, the skill that but exercised from white mouse there has not lost, pertinent, was completed. 顾俊是有很久没有做静注操作了,但是从小白鼠那里练就的功力没有丧失,一针见血,一针完成。 Then the loosen falls this one breath at heart slightly. 心里这才微微松掉这一口气。 He knows that oneself displays self-confidently and is defter, the disease-resistant confidence of patient is also higher, the will is even more tenacious. 他知道自己表现得越自信、越麻利,病人的抗病信心也就越高,意志越发顽强。 If a moment ago did not have in to bind, the probability that perhaps Cao Yicong survived will reduce a big truncation. 刚才如果一针没扎中,恐怕曹亦聪生存下来的机率会减少一大截。 However now, just as he expected, Li Liangbin, Wang Yong confidence rises sharply, the look had differently ; Cao Yicong bit the tooth made an effort, was because the morphine was rapid the effect, the state of mind was clearer, is willing to attempt to support full power: „I am supporting as far as possible......” 不过现在,正如他所预料的那样,李良彬、王勇信心大涨,眼神都有了不同;曹亦聪把牙齿重新咬得更用力了,也是因为吗啡在迅速起效,神志更清楚了,愿意全力尝试支撑:“我尽量撑着……” These investigators were skilled in the mood control, but in the face of disease grief, lost the mind/square inch. 这些调查员本来最精通于情绪操控,但在疾病伤痛面前,也失了方寸。 Gu Jun looked surrounding, decides to perform the surgery same place, all around swamp has no position to be very good, but here ray is good, calculates the flake stiff mud to for taking shelter., Creates the arrange/cloth as for the shadowless lamp and surgery table aseptically wait/etc, naturally all does not have. 顾俊看了周围一圈,决定就原地进行手术,四周的沼泽没有哪个位置特别好,而这里光线不错,也算有一小片硬泥地可供容身。至于无影灯、手术台、无菌创布等等,自然是全都没有。 If in medicine section surgical ward, before the technique, will make CT and mri inspection, makes x line piece at least, has a look at the bone situation, now does not have. 如果是在医学部外科楼,术前还会做ct和mri检查,至不济也做个x线片,看看骨头情况,现在也是没有。 Looks in the small medical kit something, Gu Jun deeply inspires quietly, the ordinary tourniquet, several volumes of aseptic gauzes, two bottles of physiological saline, suture with needlework...... 看着小医疗箱里有的东西,顾俊悄然深吸一口气,普通止血带、几卷无菌纱布、两瓶生理盐水、缝合用的针线…… Karrop's dissecting scissors, dissection forceps, dissection hammer, dissecting needle, as well as several ordinary instruments. 卡洛普的解剖剪,解剖镊,解剖锤,解剖针,以及几件普通器械。 On the medicine has Procaine that the local anesthesia uses, has blood congealing enzyme that the hematischesis uses...... 药物上有局麻用的普鲁卡因,有止血用的血凝酶…… The thing are not many, but truly has the opportunity, must become one time, cannot have the least bit waste. 东西不多,但确实有着机会,必须一次就成,不能有半点浪费。 Is thinking deeply about the surgery at the same time, Gu Jun has taken up the hematischesis to take to the mutation terminal of Cao Yicong right upper limb on to bind again- the position of truncation bone plane will make the 5 cm position under the humerus upper extreme, almost arrived at the shoulder blade, externally the entire hand will only be interrupted. 思索着手术方案的同时,顾俊已经拿起止血带往曹亦聪右上肢的异变末端再上一些绑住-截骨平面的位置将会就在肱骨上端下方约5cm的位置,几乎就到肩胛骨了,从外观上整只手都会被截断。 The Gu Jun confidence came from that right upper arm amputation technique that just soon participated in completing, he to the surgery step and technique in the matters needing attention, the technique post-processing and complication, still remembers clearly, how now should do how to do. 顾俊的信心来自于刚不久才参与完成的那台右上臂截肢术,他对手术步骤、术中注意事项、术后处理和并发症,都还记得清楚,现在该怎么做就怎么做。 „Blood congealing enzyme, the prevention hemorrhage uses.” He applies medicine and to the Cao Yicong static note, while intends to explain that continues to heighten their confidences: „Surgery affirms the meeting blood , is don't worry normal, I will tie up completely the trunks and other blood vessels, without the massive hemorrhage , there would be no major problem.” “血凝酶,预防出血用的。”他一边上药并给曹亦聪静注,一边有意以解释继续增强他们的信心:“手术肯定会见血,不用担心,是正常的,我会把大血管和其它血管全部结扎好,没有大出血就没有大问题。” Wang Yong, Li Liangbin hears word nod, even if clear(ly) knows that this pacifies and consoles their words, still listened comfortably. 王勇、李良彬闻言点头,就算明知道这是镇慰他们的话语,也还是听了自在。 The Gu Jun skilled artist is famous in the secret bureau interior, the field operation completed the surgery is not first, hopeful. 顾俊的妙手在天机局内部大名鼎鼎,野战完成手术也不是第一回了,有希望的。 „Vice- team, you are supporting.” Li Liangbin is responsible for pressing the right hand that Cao Yicong is making unceasingly with both hands, Gu Jun before starting to make the skin flap, making Wang Yong first also come up to press together, once because the blade edge paddles the skin of different extremity/limb, the strength of making might increase several times suddenly, even ten times. “副队,你就撑着吧。”李良彬负责用双手压着曹亦聪不断挣动的右手,顾俊在开始做皮瓣之前,让王勇先也上去一同压着,因为一旦刀锋划动异肢的皮肤,挣动的力量很可能会骤然增大几倍,甚至十倍。 One of this surgery maximum difficulties, this trouble extremity/limb cannot do as one pleases calmly and steadily, but here lacks the fixed tool. 这台手术最大的难度之一,就正是这只患肢不会安稳地任人摆布,而这里又缺乏固定工具。 Cannot, because the situation is urgent, gives up these fine operations. 不能因为事态紧急,就放弃那些精细的操作。 Even the side kitchen knife, Gu Jun will not choose this trouble extremity/limb reduces directly, the blood vessel does not process gradually, the injured too many blood and techniques could not stop the blood after the technique, cannot be transfused blood, at all impossible to survive in this different wilderness. 即使身边有一把菜刀,顾俊也不会选择将这只患肢直接砍掉,血管不逐步处理好的话,那伤者在术中出了太多血、术后又止不住血,又未能得到输血,就根本不可能在这片异界荒野存活下来。 Therefore the margin and skin flap must complete, is higher-quality, higher survival percentage. 所以切口及皮瓣必须做好,越高质量,越高存活率。 Gu Jun made the local anesthesia to Cao Yicong right shoulder, then takes up Karrop scalpel again, starts the surgery in this bad environment. 顾俊给曹亦聪的右肩做了局麻,便再次拿起卡洛普解剖刀,在这恶劣的环境中开始手术。
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