The humerus of cavity, Gu Junhas not goneto managetemporarily, cannot control, the words that must manage can only cutagainupward, make the shoulder bladeto take away the technique.
空腔的肱骨,顾俊暂时没去管,也管不了,现在要管的话只能是再往上截掉,做肩胛带离断术。Ordinary, the bone can also have the cavitytypepathological change, the bone fracturerepositionsalsoeasily the cancellous bone that because the hitcausescompressesto have the cavity, thisis not fatal, the currentsituationis most importantto guarantee the life of injured, keythattwopoints, againsthemorrhage, againstinfection.
平常而言,骨头也可以有空腔样病变,骨折复位也容易因为撞击导致的松质骨压缩而有空腔,这都不是致命的,目前的情况最重要是把伤者的性命保下来,关键还是那两点,防出血,防感染。Originallytopreventin the marginhas the hematocelefluid, reduces the organizationto respondandinfect the opportunity, before the closedmargin, mustlay aside the drainage, generally must retainthreetofivedays. Butside the presentdoes not have the drainageequipment, Gu Junonly to chooseto make the openamputation.
本来为了防止切口内有积血积液,减少组织反应和感染机会,在闭合切口之前,是必须放置引流的,一般还得保留三到五天。但现在身边没有引流装置,顾俊只能选择做开放性截肢。Heincompletingafter the conditioning of boneend, againwith the physiological salineflushingwound, removes the bone dust and hemoglutinationblock and disruptionorganization, completed the radicalhematischesis, uses the asepticgauzepadto cover the remnantendinjured area, thenseveraltoprevent the skinretractionskin flapinterrupted suturing.
他在完成对骨端的修整后,再用生理盐水冲洗伤口,把骨屑、凝血块和碎裂组织都去除掉,做好了彻底止血,就用无菌纱垫覆盖着残端创面,然后把把皮瓣间断缝合了几针以防止皮肤回缩。Finallywraps upwith the elasticbandage, thisamputationtechniquewas completedeven.
最后用弹性绑带包扎好,这台截肢术就算是完成了。Gu Jundoes not have the Matsushitaheart, made a lifesymptomsurveywith the stethoscopeandsphygmomanometertoCaoYicongagain, the heart rate, blood pressure, the complexion is a little fortunately pale, butdoes not have the massive hemorrhage, such a highstrongperson, notthatquickexcessive loss of blood, but can also support.顾俊没有松下心来,再用听诊器、血压计给曹亦聪做了一番生命体征测量,心率、血压等还好,面色有点惨白,但没有大出血,这么高壮的一个人,也不会那么快失血过多的,还能撑着。„Deputy ChiefCao, hereseveral do point at?”Helifts the threefingers of right handto ask.
“曹副队长,这里几只手指?”他抬起右手的三只手指问。„Three......”
“三只……”CaoYicongstate of mindconditionis good, canreplyregardinga series ofquestions that heasked,was onlysomeright armremnantendnumbpain, moreoverwas accompanied by the phantom pain, thiscanfeel the right hand that oneselflost, „Dr.Gu, Ifeelsmyright handnowalsoin......, but an intermittentpain, the needlegrippedto be the same probably.”
曹亦聪的神志状态还好,对于他问的一系列问题都能回答上来,只是右臂残端有些麻痛,而且伴有幻肢痛,这才能感受到自己失去的右手了,“顾医生,我现在感觉我的右手还在……但是一阵阵的痛,好像针扎一样。”LiLiangbinandWang Yongnottooclearthismeansanything, but the Gu Junheartsinks, onlyfelt that periphery is coldergloomily.
李良彬和王勇不太明白这意味着什么,但顾俊心头一沉,只感觉周围更加寒冷阴暗。
The phantom painis one of the amputationtechniquecommoncomplications, the pathogenesis was still not clear, lacks the effectivemethod of treatment.
幻肢痛是截肢术常见的并发症之一,发病机制尚不明确,也缺乏有效的治疗方法。But the Alien Hand Syndromepatient'ssymptomperformancebeforeamputation, is the biidpatientis similar. the biidpatientis longing fortruncationlimbs, after the amputationis completed, will not have the phantom pain, will only feel joyfulandsatisfied. ButnowAlien Hand Syndromepatient, oncegot rid of the differenthand, seems average person'samputationresponse.
只不过异手症患者在截肢前的症状表现,是与biid患者相似的。biid患者渴望着截除肢体,截肢完成后不会有幻肢痛,只会感到愉悦与满足。可现在异手症患者一旦摆脱了异手,似乎就会是普通人的截肢反应。„Deputy ChiefCao, normal, generallyonewill have been all right.”Gu Junsaid.
“曹副队长,正常的,一般过一会就没事了。”顾俊说道。
The phantom painwill gradually vanishgenerally, only then the small number of people have seriouslyandlong-termache, hehopes that the Alien Hand Syndromepatientis notsuch.
幻肢痛一般是会逐渐消失的,只有少数人有严重的和长期的疼痛,他希望异手症患者不是那样。NowCaoYicong can only firstendure, Gu Junanotheranxiety was other local anesthesias of techniqueareacrossed, can the injuredhave the fierceache in physiology, as well asmore seriousphantom pain. AlongmorphineandProcaine in the medical kitdid not remainmany, mustsaveusing.
现在曹亦聪只能先忍着了,顾俊的另一个忧虑是等术区的局麻过了,伤者会不会出现生理上的剧烈疼痛,以及更为严重的幻肢痛。随身医疗箱里的吗啡和普鲁卡因都不剩多少了,必须省着用。Then, hegives the flesh wounds of threepeople of faceandhandto clean, disinfectandsutureagain, completedthisfield operationto administer first aid.
接着,他再给三人的面部、手部的外伤都清洗、消毒和缝合好,完成了这场野战急救。Bythis time, Gu Junis the loosenhas the one breath, cleanedthesedissectioninstrumentssimply, takes offalready the seriouspollutedglove.
到了这个时候,顾俊才算松出一口气,把那些解剖器械简单清洗了一下,脱掉已经被严重污染的手套。Now the remainingcommoditiesare quite insufficient, the clear waterinsufficientlytheirfourpeopledrink for day.
如今剩下的物资已经极为不足,清水就不够他们四个人饮用一天。
The surroundingswampdoes not have the sign of least bitclear water, someare only the spoiledwater of becoming stale, insideis buryingthousanddirt. Beforethatonlyin the muddy land can still beatby the differentextremity/limb that the truncationgot down, LiLiangbinandWang Yongwere exhausted, Gu Junwas busy the surgery, in a flash, jumped in the mireto sinkbyit.
周围的沼泽没有半点清水的迹象,有的只是发臭的腐水,里面埋藏着千万般的污垢。之前那只被截下来的异肢在泥地上仍能跳动,李良彬和王勇筋疲力尽,顾俊又忙着手术,转瞬间,就被它跳进了泥沼中沉了下去。Perhapsat this moment, thatonlydifferenthandintheirunder footpositions, buthidesdeeply is very very deep.
也许此时此刻,那只异手就在他们的脚下位置,只是藏得很深很深。Thisenvironment, everywhereis the bad risk.
这片环境,处处都是凶险。„Everyone, walks, looks to go out ofthisswamp.”
“各位,走吧,看能不能走出这片沼泽。”Gu Junvisiontowarddeciding a direction, hereis very difficultto judge the east, south, west, and north, buttakesthatbasketball standas the basic pointwords, forestJingjia the roomin that side, that is also the biglaneentrancedirection.顾俊目光朝定了一个方向,在这里很难判断东南西北,但以那个篮球架为基点的话,林镜家的屋子是在那边,那也是大巷入口的方向。Threepeople of legs and feetnotbywhatwound, butCaoYicongis somewhat weak, LiLiangbinandWang Yongare supporting by the armhim.
三人的腿脚都没受什么伤,只不过曹亦聪有些虚弱,李良彬和王勇搀扶着他。Gu Jungives back tothemLiLiangbinpistol, oneselftakeCaoYicong that takes the leadcarefully. The putties of somemirepositionsstep onto sinkto collapse, hemustwalkveryprudently, before every stepfalls, mustprobegently.顾俊把李良彬两人的手枪还给他们,自己拿着曹亦聪那把,小心地走在前面。泥沼有些位置的泥是一踩就会沉塌下去的,他必须走得十分慎重,每一步落下之前,都要轻轻地试探。
The duskyskyas ifcanbesuchcolorforever, somecrowcriesdo not know the branch of whichdead treeoccasionallyfromtransmits.
灰蒙蒙的天空仿佛永远都会是那样的颜色,偶有的乌鸦叫声不知从哪颗枯树的枝头传来。Theytook a section of road, about200meter/rice, thisdistanceenoughhad gone out of the biglane.
他们走了一段路,大约两百来米,本来这个距离早已足够走出大巷。Nowperipheryisspoiledputties, buttheyhavediscover, sturdy and healthypavement that oneseparatespiece by pieceabovemire, is the roof of villagershouse, thatshouldintenmetersandmore than tenmeterssky, nowsinkin the mire.
现在周围还是一片腐泥,但他们还是有所发现的,有一片片分隔开的硬实水泥地就在泥沼之上,是村民房屋的屋顶,那本应该在十米、十几米的上空,现在都沉在泥沼里了。„Dr.Gu, thereprobablyisforestJingjia the room.”
“顾医生,那里好像就是林镜家的屋子。”At this time, LiLiangbinis pointing at a roof.
这时候,李良彬指着一处屋顶。forestJingjia the roomis an oldroom of twostory-high, constructedinthe 1980s, had not renovated, thereforeroofthatold-styledesigns that hadhalf oftileroofs, moreoverhad used the televisionantenna framehas not demolished, becamemarking of house.
林镜家的屋子是一间两层高的旧屋,建在上世纪八十年代的,一直也没有翻新过,所以屋顶还是那种带有一半瓦片房顶的旧式设计,而且曾经用过的电视天线架没有拆除,成了房屋的标识。Thatplacesinks the roofinmire, the televisionantenna frameis creakying.
那处沉在泥沼中的屋顶,就有一根电视天线架正摇摇欲坠。Gu Junlooks,nodssilent, right, thereis.顾俊看着,沉默地点了点头,没错,那里就是。
The house of trimbiglanesank to the swamp, thiskeptthemfromseeking forwhatcommodity. Moreover...... does not know the villagers and secretpersonnelinside and outsidehouse, hownow, wasto escape the vitality, as the housesubmergedtogether.
整片大巷的房屋都沉入沼泽中了,这让他们无法寻找到什么物资。而且……不知道在房屋内外的村民和天机人员,现在都怎么样,是逃得了生机,还是随着房屋一同沉没。Theyhad not foundanycanindicatethisissue the trace of answer, kingKeand the othersandforestJing the parents, completelymissing.
他们没找到任何可以表明这个问题的答案的踪影,王轲等人、林镜的父母,全部失踪了。
The room of Linis located in the biglanecenter-section the position, fourpeoplecontinuedto take a section of roadin the biglaneentrancedirectioncarefully, the depth that the surroundingshousesubmergedwas gradually deeper, even the roofcould not see, the dead tree of distant placealsobecameeven moresparseon the wane.
林家的屋子位于大巷中段的位置,四人朝着大巷入口方向继续小心地走了一段路,周围房屋沉没的深度渐渐更深了,连房顶也都见不到,远处的枯树也变得越发稀疏凋零。IfhereislikelypreviousOuter Mongoliatheremutationregion, will have the boundary, theycanthrough the boundary, return tooneselfEarthworld.
如果这里是像上次漠北那里的异变区域,就会有分界线,他们可以通过分界线,回到自己的地球世界去。Butthishope, quickwas suppressedby the presentphenomenon.
但这个希望,很快就被眼前的异象扑灭。Gu Junandthreeinvestigatorshave not seensuchthing, afterenlargingdistancecorrespondingbiglaneentry position, from the mireuntil the upper airclouds, a wallmembranousthing, coversthistrimworld, the membranenaturesituated intransparentandmuddy, opposite has made one not see clearly.顾俊和三位调查员都从来没有见过这样的东西,就在拉大了距离后相应的大巷入口位置,从泥沼直到高空云端,一层墙壁般的膜状东西,笼罩这一整片天地,膜质介于透明和混浊之间,已让人看不清楚对面。Suchhighmembranewall, theyshouldbe ableto seein the distant place, the factisto actually come closecan see.
这么高的膜墙,他们应该早在远处就能看到,事实却是走到近处来才看得到。CaoYicongseesthatheavymembranewall, the phantom painis fiercerimmediately, the left handpresses the right arm that is not havingtightly.
曹亦聪一看到那重膜墙,幻肢痛顿时更加剧烈起来,左手紧按着并不存在的右臂。„Thatisanything......”Wang Yongmutters.
“那是什么啊……”王勇喃喃。
The Gu Junmindmoved restlessly, saw the clue, „amnion, was an amnion, wepossiblyin...... the womb of black mountainsheep.”顾俊心神躁动,看出了头绪,“羊膜,是羊膜,我们可能是在……黑山羊的子宫里面。”
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