118 Fight

There was a barb on the arrowhead. Feng Qingchen had seen this kind of barb before. Lan Jiuqing was injured in the same way. The barb was extremely painful. If it was pulled out, it would tear off a large piece of flesh, or even tear a blood vessel, and then cause death from bleeding.

This kind of arrowhead with a barb requires extreme caution when removing it, and sometimes the wound has to be cut open just to prevent the barb from damaging the blood vessels.

Dong Ling Zi Luo's artery was injured, which was difficult to treat. If not handled properly, he would bleed to death. But when the wound was stretched open, Feng Qingchen realized that this was not just difficult.

The barb of the arrowhead was stuck between two extremely thin blood vessels. Not to mention removing the broken arrow, even the slightest movement would rupture the blood vessel.

Due to insufficient blood supply, the area below the thigh will become necrotic. In this case, the doctor will advise the patient's family to choose amputation, which is the only way to ensure the patient's safety.

Qingchen looked at Dongling Ziluo and for the first time didn't know what to do.

Amputation is a good idea, but it cannot be used. She is not even 10% sure of getting the arrow.

Ninth Uncle, you have really caused me a lot of trouble.

Sighing, Feng Qingchen lowered his head, picked up the tweezers on the ground and put them aside.

Do your best and leave the rest to fate. All she can do at this time is to try her best.

"It would be nice to have an assistant. At least there would be someone to help me. I don't know if I can do it all by myself."

Feng Qingchen put away his annoyance and depression, took out a number three scalpel from the instrument tray, and this time used it directly.

Half squatting beside Dong Lingjiu, he held open Dong Lingziluo's wound with one hand, and with the hand holding the knife, he tried his best to cut the wound open, trying to see if he could put his finger in and move the blood vessel away.

In the wild, when a bullet hit the thigh and cut off the blood vessels, in the absence of complete equipment, he directly inserted his fingers into the wound, pulled out the retracted blood vessels, and then sutured them.

Blood vessels can be thin or thick. Thick ones, like the aorta and the superior and inferior vena cava, are generally two to three fingers thick. They can be seen with the naked eye and can be sutured directly.

As for those tiny blood vessels, they need to be sutured under a microscope using high-end equipment.

Dong Ling Ziluo damaged his arteries, and now these two tiny blood vessels are most likely to be lost.

Regardless of the thickness of the blood vessels, they must be everted and sutured because if the vascular endothelium is not smooth enough, it will cause thrombosis, which will block the blood vessels. When suturing blood vessels, the ratio of arteries to veins is generally 1:2 to ensure effective blood circulation.

At the same time, the needles used for vascular suture are also very special. They are generally a combination of needle and thread, with one thread and needles at both ends.

In a word, this is a very delicate job that not only tests the doctor's skills, but also tests the doctor's psychological quality.

If your hands shake, all your efforts will be wasted.

Dong Ling Zi Luo's injury not only tests the above two points, but also tests whether a doctor's actions are fast enough.

There is an artery and two small blood vessels. In this situation, even if she is a god, she cannot handle it. In modern times, such a wound would require at least three surgeons to be responsible for it.

Feng Qingchen doesn’t have the conditions for this now. Not to mention being the chief surgeon, she doesn’t even have a surgical assistant.

The artery was on top, and the two small blood vessels were at the bottom. Logically, she should have sutured the small blood vessels first, and then the artery, but...

By the time she had sutured the small blood vessels, Dong Ling Zi Luo had already died from the blood flowing like a river.

But if the artery is sutured and then the small blood vessels are sutured, the artery will block the two small blood vessels.

You can't have your cake and eat it too.

Originally, she was not very confident about pulling out the broken arrow and suturing the artery. In addition, there were two tiny blood vessels, so she really wanted to give up, but she had no right to refuse.

Doctor has never been a free profession.

Especially now, she couldn't go out and tell the emperor and the queen: "I'm sorry, I tried my best, but the operation failed."

call……

If she stuck her head out, she would be stabbed. If she retracted her head, she would also be stabbed. Feng Qingchen no longer hesitated. She turned various types of surgical knives and tweezers around in her hands...

Feng Qingchen cut the wound as wide as possible and put his finger in, trying to move the blood vessel at the barb, or hook it out, and sew it up first.

Feng Qingchen believed that with his own skills, he could do it without a microscope, but the speed would not be very fast. After all, this was a delicate job.

On the battlefield, it is normal for bullets to scratch blood vessels. Where could she get a microscope to suture? Even if she did, there was no condition to place such a sophisticated instrument on the battlefield.

Practice makes perfect for this kind of thing. The more you sew, the better your skills will become. Besides, there is a microscope in the smart medical bag. If conditions permit, it is not impossible for her to take out the microscope.

However, Feng Qingchen had just inserted a finger when blood began to ooze out of Dong Ling Ziluo's wound. Feng Qingchen was so scared that he quickly withdrew his hand.

"This won't work." Feng Qingchen wiped the sweat from his forehead and began to stop the bleeding for Dong Ling Ziluo.

The bleeding stopped, but there was still no way to treat the wound.

Feng Qingchen put the scalpel back into the iron plate, stood up, and looking at Dong Ling Ziluo's handsome face with a look of pain, Feng Qingchen gritted her teeth.

Let’s do it!

"Dong Ling Zi Luo, you must hold on. Give me a chance, and give yourself a chance, or we will both die."

After saying this, Feng Qingchen seemed like a different person. A cold aura emanated from his body, and his whole body was like a machine.

Every move he made was cold and without a trace of emotion.

Feng Qingchen picked up the scalpel again, squatted down, and cut the wound with the knife.

“Puff…”

Under the pressure, blood spurted out and splashed all over Feng Qingchen's face. However, Feng Qingchen acted as if he didn't see it. He didn't blink, and his hands didn't stop. The scalpel seemed to be rotating, seemingly leaving Dong Ling Ziluo's wound, but also seemed to be inside it. The movements were so fast that they could not be seen clearly.

Feng Qingchen didn't dare to breathe. The beads of sweat on his forehead gathered more and more, mixing with the blood on his face and flowing down. In the midst of his busy schedule, Feng Qingchen raised his arm and wiped it across his face without caring whether there were bacteria on his clothes, wiping away the blood that was blocking his eyes.

"It's life or death. This is the moment. Dong Ling Zi Luo, you have to hold on. This is about two lives."

Feng Qingchen moved his wrist, and with a "pop" sound, a blood vessel burst, and a small column of blood spurted out from Dong Ling Ziluo's wound like a spring.

Feng Qingchen threw the scalpel in his hand into the corner, took out the broken arrow and threw it aside. He pressed the wound with his left hand and used his right hand to get the needle for suture.

"Not having a surgical assistant is a real hassle. This is a big operation that one person can't handle. Damn it, stop making things more complicated for me."

Feng Qingchen inserted the needle into Dongling Ziluo's body, pressed the wound with his right hand, inserted two fingers of his left hand into the wound, hooked out the blood vessel that had retracted inward, and then inserted his right hand in again to hook out another blood vessel.

All this happened in just a moment. Before outsiders could see clearly, Feng Qingchen had already fixed the blood vessels.

However, she only had one pair of hands. No matter how strong she was, she was alone. She had to fix the blood vessels and sew them up. It was impossible for one person to do it...

A note to readers: It’s bloody and brutal, isn’t it?