The system takes me for surgery

Chapter 270: History of Surgery

Liang Yi said: "This is the operating table of those famous doctors in ancient Europe."

The tall student said: "This is too crude."

"In the past, such conditions were used for surgeries. Those famous master surgeons would let hundreds of people watch like magicians, and then collect tickets." Liang Yi said.

The female student said: "There are so many people, it's too scary."

Liang Yi nodded and said, "In such an environment, you can imagine the rate of surgical infection. The literature at that time disclosed a set of statistical data on the mortality rate of amputation operations: 41% in the UK, 60% in Paris, France, 46% in Zurich, Switzerland, and 34% in Germany. Other European countries are around [-]%.

The student said: "Then on the operating table, there is only half the probability of being able to get off the operating table."

Liang Yi smiled and said: "That's right, there was a saying at the time that the death rate of patients lying on the operating table in British hospitals was higher than that of British soldiers on the battlefield of Waterloo. Although the infection mortality rate was extremely high, it was not yet Recognizing the existence of bacteria, the medical community could not correctly explain the frequent infections, and could only vaguely attribute it to the poisonous methane in the air. In addition, there was no aseptic technique at that time, whether patients could escape infection after surgery It's basically just luck."

The previous foreshadowing made the interns very interested in the historical story of this class, and everyone was very serious.

Liang Yi pressed the remote control and said: "The next person who brought a turning point in the history of surgery appeared. He was Semmelweis. This story was first told to me when I had the surgery with Professor Chen Mingde from the military hospital. mine."

An intern wearing glasses asked, "Have you had surgery with Professor Chen Mingde? I've read his published papers. What a great professor."

Liang Yi smiled and said, "Yes, we had surgery together in Huahai General Hospital not long ago."

He continued: "The Semmelweis doctor asked everyone in the obstetrics department to wash their hands thoroughly with chlorine water before delivering babies. After they started washing their hands as required, a miracle happened. The first section of the Obstetrics Department of Vienna General Hospital The proportion of puerperal fever has dropped from 20% to 1.2%. There is no doubt that this great discovery can save the lives of thousands of mothers. But at first few obstetricians were interested in it, and Semmelweis even He offended the authoritative professor of obstetrics at the hospital, and eventually lost his job at the Vienna General Hospital.

In the last years of Semmelweis' life, he became the "public enemy" of obstetricians all over Europe. "

The interns were touched by the sad ending of the story.

Liang Yi pressed the remote control, switched to another scene and said: "History will always clear the truth, and another important person in aseptic surgery appeared. His name is Liszt, and he put forward the theory and technology of sterilization.

Aseptic surgery was born, and it was the United States, which had paid a painful price, the first to implement aseptic surgery. In 1889, the first aseptic surgery in the United States was performed at Massachusetts General Hospital.

Since then, humans have finally taken the initiative in the battle against nosocomial infections, and have more and more methods to control nosocomial infections, including cleaning, disinfection, aseptic technique, isolation, rational use of antibiotics, and monitoring. "

Hearing this, the students thought that history, like all stories, can have a happy ending.

Liang Yi poured cold water on the interns at this moment.

He said: "Life is not a story. Although aseptic surgery has made great progress, it still has not won the final victory. There is a Mr. Chen who was diagnosed with an aortic aneurysm in a certain hospital. Infection occurred after the operation. He died of severe infection and multiple organ failure after being hospitalized three times in the hospital. Then Mr. Chen’s parents, wife and daughter sued the hospital for compensation. In the lawsuit, the judicial appraisal agency confirmed that the hospital did not strictly Compensate Mr. Chen's family for more than 100 million yuan according to the aseptic operation."

The interns were shocked to hear this.

Liang Yi said: "Actually, sterility is not that difficult, but the concept of sterility should become an iron rule in every doctor's heart, and gradually form an instinctive muscle memory."

He pressed the remote control again, and an operating room with a fusion warehouse appeared inside, saying: "In the future, the operating room may be this kind of operating room like a large corridor, and several operations may be performed at the same time. Your aseptic operation is extremely important, as long as one person does not operate properly, it may cause infection in all four patients in the entire operating room."

Liang Yi didn't scare them, but let them understand the strictness of aseptic operation in future medicine.

All the interns listened blankly, then nodded and said, "Mr. Liang, we understand."

Liang Yi warmly smiled and said: "I will give you an after-school homework. Everyone will practice the seven-step hand washing method. This is the first and most important step in aseptic operation. Be careful to keep the concept of asepsis forever. Engraved in your mind."

The interns felt that they had learned a lot in this class, so they sincerely bowed to Liang Yi and said, "We will definitely remember it."

When Liang Yi just walked out of the teaching room, he saw Curly Lei, Linfei Shan, and Director Zhao Yonghui staring at the computer, looking at his teaching video just now, and asked, "What are you doing?"

Lei Curly said: "Your storytelling level is good?"

"What's the matter?" Liang Yi was bewildered.

"We just watched your teaching live broadcast. It's very interesting like storytelling." Lei Curly said.

Shan Linfei also smiled and said, "I will teach like you next time."

Zhao Yonghui smiled and said: "Xiao Lei, when you give a lecture, the interns are either reading other books or playing with their mobile phones. Look at Liang Yi's class. After class, those students are serious about practicing the seven-step hand washing method. Look at the gap."

Lei Curly smiled and said, "It's because I didn't speak well. I will improve next time."

The director Zhao Yonghui looked at Liang Yi and said with a smile: "I didn't expect you to do a good job in surgery, and the lectures are also very good, and the kung fu of nonsense is even better."

Liang Yi asked: "Where am I talking nonsense?"

"Haha... Isn't your large corridor operating room just a lie?" Director Zhao Yonghui asked with a smile.

Liang Yi scratched his head and said, "Imagination about future surgery."

While saying this, Shen Changhe, the chief of the medical department, came to the general surgery office and complained, "Why can't you two get through on the phone?"

Zhao Yonghui and Liang Yi looked at their mobile phones, and they both missed calls from the two directors, Xiang Hongzhi.

Zhao Yonghui said with a smile: "Just now I was getting off the operating table, and I forgot to turn the phone back to silent mode."

Liang Yi said: "I was teaching the interns just now, and the mobile phone was turned to silent."

"Hurry up, the dean is looking for you two." Shen Changhe said eagerly.