Sleepless Doctor

"Most tropical rain forests are located between 23.5 degrees north latitude and 23.5 degrees south latitude. In tropical rain forests, there are usually three to five layers of vegetation, with trees up to 150 to 180 feet tall and covered like tents.

The density of the lower layers of vegetation depends on how much sunlight penetrates the upper trees. The more sunlight that comes in, the greater the density. Among them, there are quite a few species of insect ants, and many of them can infect malaria parasites. "

Wu Mian explained to Wei Dabao.

"When Emperor Wu of the Han Dynasty conquered Fujian and Vietnam, "there were many miasma, and the soldiers died of illness and twelve or three." "Wu Mian continued, "Because of the malaria parasite, our area has been small since ancient times... No, Vietnam has been within the range since ancient times. There is no doubt about it."

Hearing Mr. Wu started talking nonsense, Wei Dabao knew that his hardest time had passed. This matter shouldn't affect me going to Jianxie Hospital, and I feel relieved.

"Several attacks on Burma during the Qianlong period of the Qing Dynasty were frustrated by the raging malaria, and sometimes "until there was no battle, the deaths of soldiers and soldiers were seven or eight." In the "Three Causes, Extremes, and One Disease Syndrome" compiled by Song Dynasty Chen Yan, it is pointed out The characteristics of the epidemic malaria: "At one year old, the young and the young are similar, or when they are infected, they become cold and hot, and the name is called the epidemic malaria."

"Chapter Wu, how do I remember that malaria is caused by diarrhea and dehydration." Wei Dabao asked.

"Malaria generally has three dangerous types: cerebral malaria, hyperthermia, and gastrointestinal type." Wu Miandao, "you are talking about the gastrointestinal type."

"The clinical manifestations of this type of fever are flaccid fever, nausea and vomiting, frequent diarrhea, watery or **** stools. It can be accompanied by tenesmus, severe abdominal pain and colon tenderness, without diarrhea, and is often mistaken for acute abdomen."

"Do you know that it's too urgent?"

"I know," Wei Dabao said quickly, "I just want to have diarrhea but can't get it."

"Yes." Wu Mian said, "and the most common one is not gastrointestinal malaria, but cerebral malaria."

"..." Wei Dabao was speechless.

"Symptoms of cerebral malaria are similar to encephalitis and meningitis, manifested as headache, fever, and varying degrees of consciousness disturbance. If not treated in time... If the condition continues to develop, it will quickly lead to cerebral edema, respiratory, circulatory, and renal failure. , The patient died quickly.

The case fatality rate is as high as about 50%, which is particularly dangerous, you have to remember. Next time you see a patient with Bixin, you must think of malaria, especially if you have a history of contact with tropical jungles. "Wu Mian said.

"I think you confuse cholera and malaria?" Chu Zhixi asked.

"Uh... it's possible."

"Don't blame you? Malaria and cholera have been brought under control in China for a long time. Ordinary people have only heard of it? All kinds of plagues were rampant in the early days of the founding of the People’s Republic of China. Let alone ordinary people, our doctors in the north are also rare "Wu Mian smiled.

Wei Dabao agreed with a smile.

"Anyone who has been to a malaria-endemic area during the mosquito season? Or a person with a history of malaria or a history of blood transfusion has unexplained fever? As well as with progressive anemia and splenomegaly, one should think of the possibility of malaria. Wei Wei Doctor? Did you remember?" Wu Mian asked.

"Remember, Chief Wu." Wei Dabao said hastily.

"Then you repeat it."

"..." Wei Dabao almost didn't cry.

Originally wanted to go back and read the book? Memorize this paragraph? But Section Chief Wu asked himself to repeat it.

"Stop making trouble." Wu Mian said, "Dr. Wei, look for a nurse to collect blood."

Wei Dabao took a deep breath and asked quickly? "What is the test?"

"Three dengue fever antigen antibodies, Wiedah test, Wai Fei's test, Japanese encephalitis antibody, epidemic hemorrhagic fever antibody, eight respiratory pathogens, blood Plasmodium examination." Wu Mian said.

We took out a ball pen from the big BMW? He took out a crumpled piece of paper and wrote down everything Wu Mian said.

"If you don't know how much blood to collect, ask...Forget it, my contact person." Wu Mian sighed.

These checks are not to mention the nurses of the Bajingzi Hospital of Traditional Chinese Medicine. Even the nurses of the Provincial Medical University may not know how to collect blood.

"Li Qiong? Are you home?"

"I'm in the Hospital of Traditional Chinese Medicine, want to take blood back to our laboratory for testing? You bring things here." Wu Mian took the cellphone and called Li Qiong, the nurse who accompanied him and Chu Zhixi to the "free clinic" in the afternoon.

Wu Mian then said the items to be checked? He hung up the phone.

Wei Dabao asked in a low voice, "Chief Wu? Does the nurse know what tube to bring? Do you know how to take blood?"

This is all a problem? Wei Dabao has extremely rich clinical experience? He has never heard of these "weird" examinations. How can a nurse master them proficiently? Not to mention the Bajingzi Hospital of Traditional Chinese Medicine, Wei Dabao is sure that the nurses at the Medical University are not at this level.

Wu Mian tilted his head slightly and looked at Wei Dabao with surprise.

Wei Dabao rubbed his face with his hands subconsciously.

"Hehe." Wu Mian didn't answer Wei Dabao's words, but he smiled.

Wei Dabao knew of his interest and did not continue to ask, but accompanied Section Chief Wu back to see the patient. Less than half an hour later, a young nurse came to the ward with an emergency box on his back.

Nowadays, emergency rescue kits are rare except for 120 vehicles and anesthesiology intubation. Wei Dabao feels professional at first glance.

The little nurse should be Li Qiong, whom Section Chief Wu said before. She looked very capable. After she came, she changed her clothes and went to the ward immediately.

Opening the first aid box, Wei Dabao looked at a row of test tubes of various colors inside.

Li Qiong began to search for the median cubital vein, put a needle in, and then took out a test tube to receive blood.

Her movements were extremely swift, especially when she tied a tourniquet with one hand, Wei Dabao was taken aback.

After 5 tubes of blood were collected in less than 1 minute, Li Qiong immediately withdrew the needle, pressed it with a sterile cotton swab, and let the patient’s family press it, and she began to collect the blood sample.

"Ms. Wu, what else is there to do?" Li Qiong asked.

"Thank you, please send the blood back." Wu Mian said gently~www.wuxiaspot.com~ I stared at the patient for fear of accidents. "

Li Qiong didn't say anything, and walked away with the first aid kit on his back after packing. When he came to the door, he turned and bowed slightly to Wu Mian, then left.

Wei Dabao felt that she was like a military doctor, not an ordinary nurse. Just this swift energy, revealing heroism.

Seeing Wu Mian observing the patient's condition, Wei Dabao sneaked out.

"Nurse Li." Wei Dabao shouted.

"Huh? Are you?" Li Qiong asked back.

"I am a doctor from the Hospital of Traditional Chinese Medicine, and I will be transferred to our Jianxie Hospital immediately." Wei Dabao said, "I think your blood collection is so fast. Have you encountered similar patients before?"

"No, it's the first time I met a patient diagnosed with malaria." Li Qiong said as he walked away quickly.

"Then you know how to collect blood?"

"Isn't this what it should be?" Li Qiong was also a little surprised, "Ms. Wu asked me to collect the blood, and I will come to collect it, so the patient's diagnosis and treatment should not be delayed."