Chapter 510 How Does Magic Dissolve Blood Clots?

"Master Mage! Mage Nordmark!—Help!"

"coming!"

With a bang, the door opened. Gretel rushed out wearing a strange short-sleeved dress and a white robe. He only took one look, turned around and rushed in:

"Bernard! Lift people! Send them directly to the operating room! - I'll brush my hands!"

With a clicking sound, the silver rods blessed with the [Eternal Flame] opened their covers one after another. Looking from a distance at this moment, I can see the brightly lit hospital in the dark night, like a beacon of life in despair.

Bernard bursts out with a barbarian security guard. Pick up the semi-conscious old man, put it on a stretcher, one person at a time, and carry him away. With great strides, Albert Knight followed behind, chasing after him with all his strength, but he almost couldn't catch up.

He ran all the way to the door of the operating room. In the distance, I heard a clear female voice complaining in the operating room:

"Procrastinate, procrastinate, procrastinate, procrastinate, procrastinate, procrastinate. Originally, laparoscopy was enough, but now we have to open the abdomen; originally, there was no need to cut the intestines, but now we have to do it~~~ Why bother waiting for him here if you don't go back to the mage tower in the middle of the night? Woolen cloth!"

"Don't be like this, Cerela." The person who answered was the Nordmark mage who had met him during the day. He smiled gently and said in a soft voice:

"It's normal for patients to be afraid and for patients' families to have doubts. As healers, we just need to try our best to save the patient's life."

"As long as you have a good temper——"

What?

Want to cut your intestines? !

Knight Albert froze, feeling scared and secretly ashamed. He followed the stretcher and rushed straight in, wanting to find the mage, apologize and thank him, ask him about his situation, and ask him to treat his mother——

Unexpectedly, before he rushed into the operating room, a heavy wooden door slammed in his face, almost flattening the tip of his nose.

Next to the door of the operating room, stood a barbarian security guard who was a head taller than him. He stretched out his arm to stop him and said in a loud voice:

"Don't go in!"

this……

Knight Albert paused and looked up at the red light on top of the gate, feeling a war between heaven and man in his heart. He wanted to rush in desperately, but he was afraid that he would anger the mage and stop seeing his mother. Fortunately, after a moment, the door opened and Gretel quickly walked out:

"You're too late."

At the first sentence, Knight Albert's feet were weak and he almost fell down. Gretel did not help him, and continued talking on his own:

"Preliminary estimation is that your mother's illness has progressed to intestinal perforation, toxins have entered the blood, and there may be partial intestinal necrosis. The most suitable treatment method at present is to open the abdominal cavity to explore, clean out the intestinal contents, and may require the removal of part of the intestinal tract. .”

Do you really want to cut it?

There is a difference between hearing something through a wall and being told face to face. Knight Albert trembled. Before he could ask, he heard even more terrifying news:

"Because the toxins have entered the blood, the elderly are old and have poor recovery. Even if the abdomen is opened and the intestines are removed, they may not be able to save them."

"What?"

Albert Knight almost jumped. Cut open the stomach and remove the intestines, or is it possible that it cannot be saved?

So why bother with surgery? If you die, you will die, and your stomach will be cut open bloodyly!

Gretel had seen this reaction many times in his previous life. Time was urgent and he had no time to continue persuading. He just leaned forward with concern and spoke faster:

"It's up to you to decide whether you want to have surgery or not. If you understand the risks and still agree to the surgery, sign here. The sooner you decide, the sooner you decide, the less likely you will be saved -"

As he spoke, he took out a risk notification form, walked quickly to the small table next to him, and put it on the table. Knight Albert was in a state of confusion. He stared at Grete's eyes for a moment, and anxiously, he lowered his head to find the place to sign:

"I'll sign, I'll sign! Where can I sign?"

Luckily, this guy makes decisions very quickly. With a flourish, Gretel grabbed the notice, turned around and ran back to the operating room. While brushing his hands, he raised his voice from a distance:

"Cerela, tranquility! Leon! Disembowel!"

"OK!"

"OK!"

After practicing with him for several months, Leon Carlos's surgical skills have reached the point where he can perform laparotomy independently - at least, midline incision is no problem:

Cut the skin, cut the superficial fascia, and cut the abdominal linea alba. Grete came over after brushing his hands and saw that he had opened up the abdomen layer by layer, exposing the mess of the old lady's abdominal cavity:

"What to do next?"

"……attract?"

"Hey, at this time, we should be more flexible! - Cleaning Technique! Cleaning Technique! Cleaning Technique!"

One application of the mage's trick, the cleansing spell, can clean items within 1 cubic foot. It is just right for cleaning the feces in the abdominal cavity. Gretel said as he manipulated the mage's hand to bring a bucket over:

If it is a piece of dirty clothes, a piece of leather, or a piece of wall, it seems that the dirt that has been cleaned has disappeared into another dimension; but in fact, it is just thrown into the corner because it is too small. , unobtrusive.

But like now, with a belly full of feces, the mage who throws cleansing spells had better be aware of it. Get a bucket and continue, otherwise, the cleaning technique will let you know what it means to work hard...

After three or five cleaning operations in a row, the feces that leaked out due to intestinal perforation were swept away and all fell into the bucket. The stench was permeating the air, but luckily everyone on the scene was wearing a bubble technique, and everyone, including the barbarian security guard in the corner, remained calm.

Spells are so convenient!

Gretel gave himself a thumbs up. After the cleansing operation, all feces and blood were removed. When we looked at the abdominal cavity, at first glance, we saw a section of intestine about thirty to forty centimeters, which was obviously different from the surroundings:

Under the shadowless lamp, that section of intestine was blue-purple in color, much darker and thicker than the surrounding area. By visual inspection, the diameter is at least twice that of the nearby intestine.

"Look." Grete flew out the mage's hand, pointed at this intestine, and lectured the students:

"With this look, you can tell at a glance that there is too much feces in the intestine. In addition, there is strangulation or something underneath, which blocks this section, and the intestinal wall is extremely dilated and thinned. With this color, the intestine is already necrotic - —In other words, it has begun to die."

Based on his more than ten years of experience in the emergency department, it is basically impossible to save the patient just by covering him with warm saline gauze. Treatment alone may not bring it back.

For now, the safest approach is to remove the intestines.

However, the elderly are old and thin. Removing such a long section of intestine will definitely affect the absorption of nutrients in the future. In other words, the quality of life in the future will definitely be reduced, and may even affect life span...

Is there any way to save it?

Is there any way to restore the vitality of the intestine without removing it?

Gretel reached out and touched the intestines in front of him. Although it has expanded and changed color, its elasticity is still there. The intestines are moist. When you press it down slightly, the color becomes slightly lighter, and when you release it again, it becomes slightly darker.

There is also a blood supply. Although, it is only a very small and insignificant blood supply.

Give it a try, he said to himself, give it a try...

Anyway, the worst thing is to remove the intestines; anyway, the old lady's life is being watched by Cerela and the healing skills are there!

Gretel flew out of the mage's hand and clamped both ends of the normal-colored intestine, leaving a gap of about 5 centimeters. Clamp the mesenteric artery and mesenteric vein, then reach out for a scalpel and cut them off in one go.

The scalpel blessed with [Devilized Weapon] was extremely sharp. With just a slight swipe, the intestines, which were almost extremely thin, had already split open.

Before the excrement could pour out, Gretel pointed the tip of his knife at the crack and threw a series of spells at it:

"[Cleaning Technique]! [Cleaning Technique]! [Cleaning Technique]!"

Very good! The feces is cleared from the intestines and plops into the bucket. Although the section of intestine that was cut was deflated and no longer dilated, it was not torn!

very good. From this point of view, the mechanism of action of [Cleaning Technique] is to remove dirt from the user's cognition. Because he believed that this section of necrotic intestine could still be saved, not only was it not removed, it even suffered no additional damage.

Now it depends on the blood supply... If the blood supply can be restored, this section of intestine will be considered alive and there will be no need to cut it...

However, the opposite happened. Grete completed the anastomosis of the intestines, carefully released the mesenteric blood vessels, covered them with warm saline gauze, and went to deal with other nearby intestines. Make an incision, throw out the cleaning technique, clean up the feces, and treat the anastomosis; cut another section, throw out the cleaning technique, clean up the feces, and treat the anastomosis...

After five or ten minutes, I found that the purple color of my intestines had not improved, and had even gotten worse.

...Do you really want to cut it?

After all the work done before, it still cannot be saved. Does it still have to be removed?

Gretel stared at the bruised intestine in front of him with a serious expression. Under the shadowless light, above the mask, his brows knitted tightly. Cerela stood opposite the operating table and wanted to reach out to smooth his brow. She stopped halfway and asked cautiously:

"Gretel, how about I try throwing in a few more healing spells?"

...Without blood supply, even healing techniques can only last for a while, and it is impossible to bring the dead back to life. Grete shook his head slightly, but what he said was:

"Wait a minute...I'll think about it again, think about it again..."

How to restore blood supply?

The intestines are no longer extremely dilated, and the blood supply has not yet been restored. There is probably a blood clot... Throw a hemolysis spell? For example, the necromancy spell that prevents blood from coagulating?

Gretel tried to cast the spell. However, it was obvious that that spell could only target blood, not blood clots. Grete thought for a while and threw another [Remove Disease]...

The magic light passed by without any reaction. The spell to remove disease does not seem to recognize the thrombus in the intestinal feeding blood vessel as a disease.

If we were in modern times, we might try thrombolysis... Grete once saw a genius doctor who inserted a catheter from the hepatic portal vein into the splenic vein, superselected it into the mesenteric vein, injected urokinase, and succeeded in thrombolysis.

The erratic mesentery was difficult for his guidewire to penetrate!

But now, let alone he doesn't have a guide wire, even if he can use a vine instead, he doesn't have urokinase!

etc……

Gretel's face turned serious. Although he does not have urokinase, he has various magical arts and magic. Maybe, you can try it again?

****

This genius doctor is Dr. Zhou Congwen in "Become a Doctor Back to 2002", Chapter 643, "Can Dissolve". A big tribute to the real bear Chumo!

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