"Go back and ask the nurses in the medical camp to make some of these masks, so that you don't have saliva splashing into the wounds of the injured when you speak......"

Wearing a cotton mask, Zhu Mingzhong used surgical scissors to cut the sutures at the wound, while explaining the purpose of wearing masks to Wu Wenping and others, and said after noticing the blood-stained aprons on their bodies.

"Wear a special surgical gown when performing surgery......

Without asking them if they could understand his words, Zhu Mingzhong just explained to them that although he was not a doctor, he knew some interesting anecdotes related to medical progress, and naturally knew very well that in history, the biggest progress in surgery was not anything else, but seemingly simple preoperative hand washing and equipment disinfection. Joseph Liszt also became famous for his invention of the "surgical sterilization method". Before he invented the "surgical disinfection method", doctors did not know how to wash their hands and sterilize surgical tools after operating or delivering babies, and they wore bloodstained clothes to operate or deliver other patients. Doctors themselves become infectors of the disease, and no doctor knows that he or she is quietly playing the role of spreading the disease.

Even at that time, one of the most fundamental reasons why the medical profession in various countries resisted or even banned surgery was the high mortality rate, which was less than 25% in the early 19th century. The cause of death is that the wound compound time is too long, and the wound often suppurates and produces sores, causing sepsis, such as infection of the subcutaneous tissue, so that the patient dies due to blood poisoning.

In his paper published in 1865, Liszt pointed out that the virus that causes the patient's wound to suppurate after surgery is transmitted from the outside world, and he proposed that doctors should wash their hands carefully, surgical tools should be sterilized at high temperatures, operating rooms should be kept clean, patients' wounds should be disinfected and bandaged, and doctors should wear white clothes to prevent the virus from entering the wounds, etc.

These arguments aroused the objections of many doctors, but Liszt then used these steps to perform surgery, especially dissolving stone carbonic acid in olive oil to disinfect the wound so that the patient's wound did not suppurate after the operation. As a result, the postoperative mortality rate is reduced to less than 15%.

But even so, it took more than ten years for the medical community in Europe and the United States in the 19th century to accept the "surgical sterilization method". For Zhu Mingzhong, he has no interest in data to convince these people to accept the idea of surgical sterilization, only with orders.

"When performing surgery, it is necessary to achieve one bag per person, each package of equipment must be sterilized, and surgical equipment must not be mixed......

When Zhu Mingzhong put forward his request for surgical disinfection, Wu Wenping and others were attracted by the equipment in his hand, even if he didn't know what the scissors were made of, but just by virtue of the luster and shining surface, he believed that these instruments in the military gate were by no means ordinary.

“…… The vascular damage around the wound tract can be concealed at the distal end, and only when the wound tract is fully exposed, a limited incision can be made to moderately enlarge the wound and remove obvious foreign bodies, blood clots, and necrotic tissue...... When taking out the bullet, use special surgical forceps, because you can't see the position of the bullet, so you have to rely on the feeling between your fingers......"

This feeling is very subtle, although it is only the first time to take a bullet for a wounded, Zhu Mingzhong still easily finds that feeling, which is actually the difference between the tip of the pliers touching the flesh and the bullet.

"Wipe the sweat!"

Feeling the sweat on his forehead, Zhu Mingzhong instructed the female nurse on the side, as soon as his words fell, the nurse next to him hurriedly wiped the sweat for him, maybe he was not a real doctor, but with his understanding of surgery, he still established a somewhat rudimentary surgical system.

After concentrating and exploring for a while, when the surgical forceps touched the hard object, Zhu Mingzhong was suddenly happy in his heart, he carefully stretched out the surgical forceps, and then clamped the bullet, and used the bite teeth behind the surgical forceps to fix the projectile, the lead projectile was easily clamped to death, and after easily taking out the lead bullet, he said with some excitement.

"Come here with a plate......"

"Ding......

Some of the variant bullets were thrown into the plate, Zhu Mingzhong looked at the bullets, and then looked at Wu Wenping and said.

"Now after the bullet is taken out, pay attention to observe the bullet and pay attention to whether it is broken, so as to avoid fragments remaining in the body......"

Sometimes it is not complicated to establish something, at least for Zhu Mingzhong, as the commander of an army, he can easily influence these low-status "foreign skills", and even turn his words into "golden rules", although this is not a good thing, but at least he has mastered these basic surgical knowledge, which is at least three centuries ahead of this era.

"The next step is to disinfect, and the disinfection of the wound of this wound is somewhat different from the disinfection of ordinary wounds...... Generally, initial suture is not done, due to the complexity of the wound tract and the extensive range of damaged organs and tissues, it is not easy to be thorough during debridement, and it is easy to miss ......"

Although he does not know much about the debridement of gunshot wounds, Zhu Mingzhong still analyzes and proposes relatively suitable treatment methods for gunshot wounds through his surgical knowledge, so as to teach them to master the basic treatment methods.

The only thing that makes Zhu Mingzhong happy is that even if they are bone-setters, they also need to be able to read medical books and write prescriptions, so in the end, Zhu Mingzhong specially told them to pay attention to making surgical records in the future, and through surgical records, record the process of surgery and the analysis of the injuries of the wounded.

Whether it is the "surgical disinfection method" or the surgical record, for this era, it is undoubtedly a method beyond the times, as for what kind of changes will be brought to the surgical level in the future, it is not something that Zhu Mingzhong can predict, but it is certain that at least in this army, there is his "bias", and surgery can no longer be the "last skill" of the sideways.

After another operation to remove projectiles for a wounded soldier, Zhu Mingzhong, who felt a little tired, finally handed over the operation to Wu Wenping and others to do.

"This surgical forceps, you use it for the time being, but this is a gift from the master on his deathbed, and after I go back and tell the craftsman to make the same instrument with copper, you will be fine!"

In order to continue the operation, Zhu Mingzhong could only temporarily lend him the stainless steel surgical forceps, and when he left the medical tent, looking at the simple surgical equipment, he once again thought of the various knives in Shi Lei's bag.

Maybe you can learn from his equipment and the surgical equipment of later generations, and let the craftsman camp make a batch of surgical instruments, when Zhu Mingzhong was thinking about it, Zhang Shiji, who was originally extremely embarrassed on the side, walked over and said.

"The military gate, the military gate, the villain, the villain is not looking down on external skills, but this external skill is really a trick to hurt people, so the villain will know it, and it will ......"

As for Zhang Shiji's explanation, Zhu Mingzhong just smiled slightly, patted him on the shoulder and said.

"Zhang Langzhong, you are a military medical officer, so you naturally know that most of the wounds and sores in this army are external injuries, how do you see the healing of my injuries in this battalion?"

Perhaps it was because I thought that before Liszt promoted the "surgical sterilization method", the reason why doctors from all over the world resisted surgery was because of its high mortality rate, so Zhu Mingzhong could also understand Zhang Shiji.

"If it weren't for the soldiers' orders to clean up the sheds and nurses to take care of the wounded, I don't know how many brothers would have died from external injuries!"

Although Zhang Shiji's words were suspicious of sycophancy, Zhu Mingzhong, who was in a good mood, accepted it with a smile.

"Therefore, it is not the external technique that hurts the person, but the actual injury, but the disinfection and subsequent care in the surgical operation, and it is precisely because of the neglect of disinfection and nursing that a large number of injured people will die because of the external technique. As long as the surgical disinfection and meticulous care can be achieved, unless the seriously injured are seriously injured, the brothers who are generally traumatized can always be saved! ”

When he said this, Zhu Mingzhong's heart was a little proud, more than two thousand wounded, if it were replaced by the army at this time, it would be good to be able to return to the camp alive for four or five hundred, but now it seems that at least more than half of them will be able to return to the camp alive and well in the next half a month, and they will definitely grow into real elites after a bloody battle.

If a large number of wounded are saved alive because of the improvement of medical care in every battle, and return to the battalion to continue fighting, there will only be more and more veterans of the loyal and righteous army in the future, and the combat effectiveness will only become stronger and stronger. In contrast, their enemies continue to have a large number of wounded and die from injuries that could have been saved, so the combat effectiveness of the loyal army will naturally only get stronger and stronger!

"Destroy the enemy and save yourself" is the only rule of war.

And the level of medical care, especially the level of surgical treatment. It is to preserve one's own roots, this military doctor is combat effectiveness!

Zhu Mingzhong, who figured this out, suddenly became happy, and even discussed the importance of surgery with Zhang Shiji quite rarely, especially its irreplaceability, until he was completely convinced, and then left the shed in the gratitude of the other party.

"It seems that it's time to build a military medical training center, well, and nurses, and some articles on equipment, what does the surgical equipment look like?"

When leaving the so-called "Mancheng School Field" shed, when passing through the city gate, Zhu Mingzhong couldn't help but look towards the Tongji Gate not far away, looking at the city gate tower of the Tongji Gate that was completely burned down, that day in order to end the battle on the city wall as soon as possible, put more strength into the city, after the women and children of the Eight Banners who guarded the city retreated into the city gate tower, Zhu Mingzhong ordered someone to burn down the city gate tower, and now the majestic city gate tower is only a little broken wall.

"Junmen, why don't you go to the camp later?"

Wang Dahu noticed that the military gate always looked towards Tongji Gate, so he spoke.

"The brothers in the camp are thinking of you!"

"I know!"

Nodding, Zhu Mingzhong shook his head again and said.

"There is no need to go over to the camp for the time being, well, where is Li Ziyuan now? Not in the camp? ”