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

The density of the vegetation in the lower layers depends on how much sunlight penetrates the trees above, and the more sunlight that comes in, the greater the density. There are quite a few species of insects and ants, and many of them can infect Plasmodium. ”

Wu Mian explained to Wei Dabao.

"When Emperor Wu of the Han Dynasty conquered Minyue, "there were many miasma, and the soldiers died of disease without blood", and the Eastern Han Dynasty led 8,000 Han troops to the south, but "the military officials passed through the miasma and died in the 14th Five-Year Plan"" Wu Mian continued, "At that time, because of the malaria parasite, our area since ancient times was small...... No, Vietnam is also within the scope of ancient times, there is no doubt about it. ”

Listening to Section Chief Wu start to talk nonsense, Wei Dabao knew that his most difficult time had passed. This matter should not affect my ability to go to the Sword Association Hospital, and I feel relieved.

During the Qianlong period of the Qing Dynasty, several attacks on Burma were frustrated by malaria, and sometimes "before the battle, seven or eight out of ten soldiers died." In the theory of three causes and one disease syndrome compiled by Chen Yan of the Song Dynasty, the characteristics of epidemic malaria were pointed out: "Between the age of one year, the appearance of young and old, or when it is infected, it becomes cold and hot, and it is called epidemic malaria." ”

"Section Chief Wu, how do I remember that malaria is diarrhea and dehydration. Wei Dabao asked.

"There are generally three types of malaria, cerebral malaria, hyperthermia, and gastrointestinal. Wu Mian said, "You're talking about the gastrointestinal type." ”

"The clinical manifestations of this type are high fever and relaxation, nausea and vomiting, frequent diarrhea, watery or bloody stools. It can be accompanied by tenesmus, severe abdominal pain and colonic tenderness, no diarrhea, and is often mistaken for an acute abdomen. ”

"Do you know the tenesmus?"

"Yes, yes. Wei Dabao hurriedly said, "I just want to have diarrhea but I can't pull it out." ”

"Yes. "And the most common is not gastrointestinal malaria, but cerebral malaria." ”

"......" Wei Dabao was speechless.

"Cerebral malaria symptoms are similar to encephalitis and meningitis, manifested by headache, fever, varying degrees of impaired consciousness, if not treated in time...... If the disease continues to progress, it will quickly lead to cerebral edema, respiratory, circulatory, and renal failure, and rapid death of the patient.

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

"I don't think you're confusing cholera with malaria?" asked Chu Zhixi.

"Uh...... It's possible. ”

"I don't blame you, malaria and cholera have long been under control in our Huaxia. Ordinary people have only heard that all kinds of plagues were rampant in the early days of the founding of the People's Republic of China. Not to mention ordinary people, doctors in our north are also rare. Wu Mian smiled.

Wei Dabao smiled and agreed.

"Anyone who has been to a malaria-endemic area during the mosquito season, or who has a history of malaria or blood transfusion, who has an unexplained fever, and who has a history of progressive anemia and splenomegaly, should be reminded of the possibility of malaria. Dr. Wei, do you remember?" asked Wu Mian.

"Remember, Section Chief Wu. Wei Dabao hurriedly said.

"Then you repeat it. ”

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

I originally wanted to go back and flip through the book and memorize this paragraph, but Section Chief Wu actually asked him to repeat it.

"No more fuss. Wu Mian said, "Doctor Wei, find a nurse to collect blood." ”

Wei Dabao let out a sigh of relief and hurriedly asked, "What is the test?"

"Three dengue antigen antibodies, Phytophyllis and Phephyldis tests, Japanese encephalitis antibodies, epidemic hemorrhagic fever antibodies, eight respiratory pathogens, and blood malaria parasite tests. Wu Mian said.

Wei Dabao took out a tube of ballpoint pens, took out a crumpled piece of paper, and wrote down everything Wu Mian said.

"If you don't know how much blood to take, ask...... Forget it, I'm in contact. Wu Mian sighed.

Not to mention the nurses of Bajingzi Traditional Chinese Medicine Hospital, even the nurses of several hospitals in the provincial medical university may not know how to collect blood.

"Li Qiong, are you home?"

"I'm in the Chinese medicine hospital, I want to collect blood and go back to our laboratory for testing, you bring something. Wu Mian took his mobile phone 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, and hung up the phone.

Wei Dabao asked in a low voice, "Section Chief Wu, do the nurses know what tubes to bring, do you know how to collect blood?"

These are all problems, Wei Dabao has extremely rich clinical experience, he has never heard of these "strange" examinations, how can a nurse be proficient? Not to mention the Bajingzi Traditional Chinese Medicine Hospital, 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 a surprised gaze.

Wei Dabao subconsciously rubbed his face with his hand.

"Huh. Wu Mian didn't answer Wei Dabao's words, but just smiled.

Wei Dabao was informed, did not continue to ask, and accompanied Section Chief Wu back to see the patient. Less than half an hour later, a small nurse arrived in the ward with an emergency kit on her back.

Now the emergency rescue box is rare except for 120 cars and anesthesiology intubation, and Wei Dabao feels professional at first sight.

The little nurse should be Li Qiong that Section Chief Wu said before, she looks very capable, and after she came, she changed her clothes first, and then came to the ward.

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

Li Qiong began to look for the median vein of the elbow, placed an indwelling needle, and then felt for a test tube to receive blood.

Her movements were extremely swift, especially tying a tourniquet with one hand, which stunned Wei Dabao.

5 tubes of blood, after being collected in less than 1 minute, Li Qiong immediately withdrew the needle, pressed it with a sterile cotton swab, and asked the patient's family to suppress it, and she began to collect the blood sample.

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

"It's hard work, please send blood back. Wu Mian said gently, "I stared at some patients, afraid of accidents." ”

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

Wei Dabao felt that she was like a military doctor, not like an ordinary nurse. It's just this sharp energy, revealing a heroic posture.

Seeing that Wu Mian was observing the patient's state, Wei Dabao sneaked out.

"Nurse Lee. Wei Dabao shouted.

"Hmm, who are you?" asked Li Qiong looking back.

"I am a doctor from the Chinese Medicine Hospital, and I will be transferred to our Sword Association Hospital immediately. Wei Dabao said, "I see that you are so quick to collect blood, have you met similar patients before?"

"No, the first time I met a patient diagnosed with malaria. Li Qiong said as she walked out quickly.

"Then you know how to collect blood?"

"Isn't this how it should be?" Li Qiong was also a little surprised, "Teacher Wu asked me to collect blood, and I will come to collect it, so I can't delay the diagnosis and treatment of the patient." ”

：。 ：m.x