It's not that difficult to open a hospital in another world, right? Chapter 507: If you can’t use magic to dissolve thrombosis, you can also use magic to remove thrombus! (Baibai first 10,000 rewards will be added)
Chapter 507: If you can’t use magic to dissolve thrombosis, you can also use magic to remove thrombus! (Baibai first 10,000 rewards will be added)
Gretel stared closely at the patient's intestinal blood vessels, his mind racing.
Thrombolytic drugs, none.
Magic anticoagulation cannot be used for thrombolysis.
Remove disease, attempt failed.
I tried a cleaning technique and tried to remove the blood clot from the blood vessel, but it still failed.
In my mind, all the magic, divine arts, and medicines I know are passing by one by one. There is another magic that can be used: necromancy magic, [thalassemia]. With this magic, the target's blood can be turned into sea water, causing
harm.
The casting material is a drop of seawater. If the seawater is replaced with saline, the blood in this section of the blood vessel should be converted into saline...
But the problem is that this is a fifth-level magic, and Gretel doesn't know it.
emmmm...Is there any other method that can be used?
"Gretel, what are you troubled about?"
The silver dragon girl stretched her head to look at the direction of the patient's head. Although Leon Carlos did not dare to stretch his head, he was full of curiosity. He looked at Grete and then at the intestine, although he could not tell the reason.
Gretel looked confused and pointed it out to them:
"There are blood clots blocking it... I'm wondering what method can be used to make these blood clots disappear... If there is no medicine for thrombolysis, if there is thrombus removal..."
"How about removing the thrombus?"
Serila couldn't wait to ask. As she asked, her fingers spread out, eager to try:
"Can your... vine... be able to reach into the blood vessels and remove the blood clots?"
Reaching into the blood vessels? Easier said than done. Grete smiled bitterly:
"It can't be that easy... Look at these blood vessels, they are so thin... My vines can't reach in..."
The length of this superior mesenteric artery, which is suspected to be blocked by thrombus, is 30~40m, but its inner diameter is only 0.6+-0.09m!
If it were its lower blood vessels, which are the branches that supply blood to this section of the intestine, the inner diameter would be as thin as a hair...
He wants to control the vine to enter from the femoral artery, twist and go all the way in, and then divide it into four, one into six, and one into eight, to "tie up" and "drag out" the blood clot. His precision in controlling the vine is truly amazing.
Not to this extent!
"So, what about cutting it? Cut it and take it out." She squinted her eyes, raised her palm like a knife, and made a long slash, making a "cutting" gesture:
"And then cure it?"
Grete shook his head quickly. It is possible to cut all lengths and thicknesses, take out the blood clots, and then heal the blood vessels, but the prognosis will be very poor:
Cut the blood vessels as little as possible, and make the incision as short as possible. If the inner diameter of blood vessels is slightly bumpy, it will lead to changes in hemodynamics. Then, blockages, thrombi, etc. will come to you one after another.
…
Even arteriotomy and thrombectomy only make a small opening and use the blood flow force of the artery itself to flush out the thrombus.
If this section of blood vessel is a branch blood vessel connected to the intestine, such a small blood vessel cannot be flushed out at all.
So... then...
"I have a solution! Serira, I have a solution!" He suddenly jumped up. He formed a circle with his right hand, raised it to his eyes, and compared:
"Celera, that magnifying glass, make me one! Quick! The kind I used to reattach amputated limbs before!"
"good!"
The light of the spell flickered and hit Gretel's face. Gretel held his breath and lowered his head. At this moment, the blood vessels less than one centimeter thick were magnified five or six times in his field of vision.
With a slight stroke of the scalpel, a small opening of less than 1 cm was made on the dark red blood vessel wall. Gretel raised the tip of the knife and pointed at the opening of the blood vessel:
"[Cleaning Technique]!"
The faint fluorescence of the magic trick shrouded silently.
The area covered by the Cleansing Technique is a cube of one foot each in length, width, and height. Of course, a skilled magician can lengthen, widen, or flatten this cube.
For example, if you control it to be one inch high and three feet square, you can easily clean the wall.
Well, almost all academic magicians have the experience of climbing on scaffolding and cleaning the exterior walls of buildings inch by inch. If the spell is well controlled, the cleaning area can be large with a single cast, and the work can be completed as quickly as possible.
Gretel has not experienced such high-intensity training. Even if he had, it would be of no use now:
His current operation requirement is to control the scope of influence of the cleaning technique to be equivalent to the inner diameter of the blood vessel, so as not to remove things that should not be removed!
Fortunately, there was a magnifying glass. With the assistance of the magic magnifying glass, Gretel carefully controlled the scope of the spell and advanced little by little:
Cleansing!
Cleansing!
Hey, it seems to be working, it really cleared up a bit! So, let’s move on.
The length that can be cleared with one cast is only one or two centimeters. Moreover, the further in, the greater the consumption.
After advancing seven to eight centimeters, Gretel's mental strength has reached its limit. If he tries to control it more precisely, he will feel dizzy and his ears will buzz.
But this was already pretty good! Gretel breathed a sigh of relief, clamped the end of the cleaned blood vessel, healed the front end, and released it. The bright red blood flow immediately rushed over happily.
feasible!
So, continue!
Clean up a section, treat a section, and release a section. Clean up a section again, treat a section again, and release a section again.
For the blood vessels that were thirty to forty centimeters long, plus the branch blood vessels, Grete had to undergo nearly a hundred treatments. After the arterial thrombectomy was completed, he continued to use treatments to treat the veins.
When all the treatments were finally completed, Gretel was so dizzy that he almost fell on the operating table.
He lowered his head and closed his eyes, feeling the stars flashing in front of his eyes. However, now was not the time to rest, so Grete could only squeeze the tiger's mouth with his left hand and command in a low voice:
"Warm salt water...cover it with warm salt water gauze. The water temperature should be higher than 37 degrees...probably, between 40 and 45 degrees..."
Carlos immediately rushed to do it. Heated the saline solution, cooled it with freezing rays, soaked it in gauze, picked it up with a mage's hand and twisted it slightly until it was wet but not dripping, and quickly covered it with the intestines.
A series of movements flowed smoothly without any instructions from Gretel. It was obvious that he had already done it well. Always pay attention to the temperature of the gauze and replace it every few minutes.
Serila was responsible for watching on the side. Change a piece of gauze and announce the good news:
"It's red, it's red!"
"Gretel, red!"
"The color of that section of intestine is red! It is no longer green and purple, it has become ruddy!"
It's red...that's life. Grete unconsciously evoked a relaxed smile.
It’s great that this old lady’s intestines don’t need to be cut.
It’s great to have found a method of vascular thrombectomy.
Next, I will try to see if there is any way to remove the thrombus in the air. There is a new research topic, which is great.
After confirming that the intestinal tract has been rescued, the subsequent obturator hernia surgery will not be a problem for Grete at all. He has become very familiar with this level of minor surgery during his treatment, and now he can do it repeatedly with his eyes closed.
Do
And there’s no need to sew!
All you need to do is cut, cut, bluntly separate, and return the intestines! Most of the work can be left to the treatment. Even if there is a slight mistake, the treatment can make up for it in time.
In his previous life, the operation required an hour, but Grete, with the help of Serrela, only took 20 minutes to complete it. Then, he clapped his hands and called Carlos:
"Rinse, close the abdomen, leave it to you, can you take it off?"
"able!"
"what about me?"
Serila pouted her mouth dissatisfied. Under the mask, there was a small bulge:
"Me too! Why don't you let me come?"
Staying with him in the hospital, not going back to the mage tower where it is warm in winter and cool in summer, getting up in the middle of the night to save people, so busy now, why don't she even let her get started?
This... looks very much like an intern who didn't get the opportunity to sew skin. Gretel was confident and smiled at her:
"This patient depends on you! Leon is finishing the treatment for the first time. If there is any problem, your treatment will save the day! Leon, do you still remember the steps of the closing?"
"Rinse with normal saline, suction, check for active bleeding, rinse with normal saline." Carlos answered smoothly:
"Then first heal the mesentery that was torn open before, and then close the abdomen layer by layer. Follow the previous steps of opening the abdomen in reverse. Use the hands of the mage to pull the abdominal cavity layer by layer to ensure perfect alignment, and then use healing techniques to close it."
"Okay, do it. I'll watch."
Gretel yawned a little. After training apprentices for so long, they finally came in handy. In other words, if you step down after doing the main part and leave the rest to others, you can finally act like a great director...
Carlos could not understand his emotion. The young necromancer, like every intern who was given the important task of sewing skin by his teacher or senior brother, had a blush on his face and said loudly:
"Okay, sir! Please feel free to leave it to me!"
Even if I say I'm not worried, I really might be worried... When a newbie is on the road, problems may occur anywhere. Otherwise, why would I still be watching here and not wash my hands...
"Hey, pay attention to the salt water temperature! 37 degrees! It was above 40 degrees just now? Has it dropped now?"
"Pick up the intestinal loops gently! Be gentle! Who told you to lift the intestines directly?!"
"Ahhh! Sir, patient, patient her"
"Cardiac arrest, I saw it. Don't be in a daze! Apply external cardiac compression! So I told you to use gentle force. Do you understand now?"
Gretel ordered without any surprise. Although it is a small probability event, pulling the intestines and stimulating the vagus nerve may indeed cause arrhythmia.
Otherwise, why would he have the electrocardiogram hanging all the time, and why would he stand by and watch...
After many stumblings and various thrills, the abdomen was finally closed successfully. When the patient was pushed out of the operating room, Albert Knight saw his mother open her eyes, and his legs softened with gratitude and he almost knelt down.
"Eh... don't, don't. It's a good thing if everything goes well for the old lady." Gretel quickly stopped him:
"If you trust us, if you have the opportunity later, introduce a few patients here? For those who have not been cured by the treatment, let me try and see if it can help..."
"Don't worry! Keep it with me!"
Knight Albert patted his chest and agreed repeatedly. Gretel gave him a smile, returned to the inner room, and immediately raised his fist vigorously:
"yeah!"
Finally a new patient!
Finally, I can stop being a manure digger!
****
3000 words!
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