(Thank you for your friends' encouragement, thank you for your friends' flowers, the years are quiet, the eagle flies, the sun is warm, and the monthly pass is encouraged)

The diagnosis of sleeping sickness is difficult, but once you have the direction, you can do a sophisticated laboratory test. If you can compare it with the corresponding index, this is about the same.

It is also possible to draw lymph fluid from the patient's swollen lymph nodes, which also has a high chance of finding the pathogen. It also depends on luck whether the pathogen can be extracted just right.

In fact, after Wang Huan's inquiry, it can basically be determined that it is the class reunion that has made the situation. The patient had attended a reunion at a university reunion six months ago, and one of his classmates traveled to Africa on business.

"Mr. Liu, it can already be diagnosed, it is sleeping sickness, Trypanosomes brucei gambiense, it is not easy to deal with. Liu Banxia was patrolling the room, and Wang Huan chased after him.

"It's a matter of luck, right? I've only seen it in books. Does that classmate of his, also have to track it down?" asked Liu Banxia.

"I've already found contact information, but it's not so convenient to contact abroad. Wang Huan nodded.

"I'm going to think about the medication plan first, this disease is not easy to do. I'll have to go to the director, and I've had such patients in our coastal city in the first few years. ”

"Okay, you go first, I'll keep an eye on it. The tour is also over, and everyone's recovery is very good. Liu Banxia said.

"I don't know what their life is like over there, it seems to be quite dangerous. Xu Yinuo sighed.

"There is no danger in doing anything, in fact, the most important point is to pay more attention to individuals. Liu Banxia said casually.

"Africa is synonymous with dirty environment, but I think that if we do a good job in terms of hygiene, we can reduce a lot of diseases. ”

"It seems that people from all over the world who go to work in Africa have to get vaccinated first, right? Who of you will be on duty tonight? Don't think that if I don't make a duty schedule for you, you will have more opportunities to work overtime. ”

"It's one thing to work hard, but it's the body that should come first. Not only do you not learn anything from your confused work, but you also threaten the patients if you don't do it well. ”

Liu Yiqing stuck out her tongue, otherwise she really wanted to rub one more overtime tonight.

In this regard, Liu Banxia used to be regarded as a reward, but now that they have grown a lot, they can relax appropriately. Let them exert this pressure themselves, and they themselves are the ones who know best how much they can bear it.

However, the disadvantage of this matter is that some young comrades like to work night shifts, and they always feel that if they spend more time in the hospital, they will be able to contact more cases and learn more things.

With Liu Banxia's reminder, after following the mixed inspection, those who should get off work have to get off work. Don't look at the record, they also know that Liu Banxia's memory is very good.

In normal times, they can joke with Liu Banxia casually, but at work, Liu Banxia's authority as an instructor is still very heavy.

Being on duty at night is now numb for Liu Banxia, and the people who are on duty 24 hours a day, what else do they have to do if they are not on duty?

"Is it connected?, and the result is not beautiful?" asked Liu Banxia.

"I got sick two months ago and I couldn't be saved. It's just that they only contact occasionally, so they haven't received any news. Wang Huan said.

"Hey...... There are still many diseases in the world that are very inconspicuous, thinking that they are far away from us, but in fact they may be around us. Liu Banxia said with emotion.

"If it weren't for the fact that we had one of these patients, who would have thought that there would be such a thing. I hope it hasn't spread too much, it's impossible to find out. ”

Wang Huan nodded, hoping that it was just an accident. If you're fun-loving, it's hard to talk about.

"Dr. Liu, there is a serious car accident and we need to send a surgeon to treat you on the spot. The rebar pierced through the windows and pierced the bodies of both patients. At this time, the dispatch nurse came running.

Liu Banxia frowned, "Qi Wentao, come with me to the ambulance." Bring 4 more bags of O-positive blood and set off immediately. ”

This matter is very serious, not only is it difficult to rescue from the car, but it will also be difficult to treat the patient, otherwise he would not have followed the visit.

The ambulance ran for more than half an hour before it arrived at the scene. Firefighters are already in place, but due to the complexity of the situation, they are unable to get the patient out of the trap for the time being.

A sedan sits across the side of the road, with several steel bars inserted through the window. The source of the steel bar is a large truck not far away, the front of the car is crooked to the side, and some steel bars are also inserted in the cab.

"The two patients were first examined, and the venous access was opened to replenish blood and fluids. Liu Banxia said.

"Doctor, now we don't dare to move. "That's when a firefighter came up.

"The steel bars strung the two injured and the car door together, and a total of two steel bars pierced the abdomen and neck of the female injured person respectively, bleeding severely. The one that went into the neck pierced the wounded man's abdomen. ”

Liu Banxia nodded, "Let's wait until we finish the initial inspection." ”

"Mr. Liu, the situation is very dangerous, the female patient has lost too much blood. Qi Wentao, who had finished the inspection, got out of the car.

"There are currently two possible options, because the female patient has lost too much blood, and we may cause more bleeding when we cut the rebar. Otherwise, take the door down and take it to the hospital, and then find a way. ”

"It's just that it's also very dangerous when the door is unloaded, and now two patients are conscious, and when they cut the door, there is a vibration that affects the patients. ”

Liu Banxia, who was also observing the situation in the car, was also making a judgment, and the most dangerous thing now was the female patient. The safest way is to give up the female patient and go all out to treat the male patient.

Because the male patient's abdomen was already bleeding heavily, the vibration of the steel bar would definitely cause more bleeding, which would make his condition more serious and life-threatening.

"Did you bring rope and tape?" asked Liu Banxia after thinking for a while.

"It's all there. The firefighter said.

"We fixed the two wounded and fixed the rebar. Cutting the steel bars in the car will minimize the impact on both patients, and hopefully they will be able to be saved. Liu Banxia said.

Qi Wentao glanced at him and did not speak.

Although this can save two people as much as possible, it is equivalent to increasing the risk of two people. Either way, they may not even survive the hospital.

Time is slowly passing, and such fixation is not so easy to do. It took more than ten minutes to see each other before it was fixed.

"You have to be more careful when cutting the car door, although we have taken appropriate precautions, but the condition of both patients is dangerous. Liu Banxia said.

The firefighters nodded, this job is indeed very difficult to do.

Liu Banxia was not idle, he got into the car directly, and held the steel bar with gloves, "You bear with it, there will definitely be some pain when you vibrate." I've just given you analgesics, no matter how painful it is, don't move, if you move, you'll die. ”

The two nodded with a little difficulty, and now they really wanted to pass out. I don't know anything, I can't do anything.

At the beginning of cutting, Liu Banxia also used all his strength to support the steel bar. Carefully feel the vibrations on the steel bar and observe the bleeding from the wounds of the two patients.

The sparks that burst out when cutting steel bars are similar to fireworks blooming in festivals, but Liu Banxia doesn't feel beautiful at all now.

"Hoo ......"

Seeing that the car door was cut down, Liu Banxia breathed a sigh of relief.

"Mr. Liu, I have notified the hospital of the situation, and Director Zhou is in the emergency center. Qi Wentao came to Liu Banxia's side.

Liu Banxia nodded, "Fortunately, the patient's condition is stable at present, put the gurney in the ambulance into another car, and everyone follow me to the ambulance to help these two patients." ”

"The next most important thing is to move, turn the ambulance upside down to reduce the distance. You two cooperated as much as you could, I knew it hurt, just get in the ambulance, there is a lot of equipment on it. ”

If just cutting the rebar is the first level, now moving from the trolley to the ambulance is the second level. The first level was passed safely, and the second level was so easy?

The movements of the two patients had to be synchronized because they were connected by steel bars. If one person moves slowly, he may hurt himself, he may hurt the other person, and it is more likely that both of them will be injured.

"Comrade firefighters, I'm afraid it will be difficult to move with their physical strength. Can we carry them out?" asked Liu Banxia after two efforts.

"Doctor, there's too little space here to lift. The firefighter frowned.

"Can you cut the roof of the car too?" asked Liu Banxia anxiously.

The firefighter nodded, "Yes, yes, but is there time?"

Liu Banxia gritted his teeth, "Come on, otherwise it will be very dangerous to move them now." ”

This is really risky because Liu Banxia doesn't want to give up on the patient. But if you don't want to give up, you have to bear the consequences. Whenever these two patients had an accident in the process, Liu Banxia was directly responsible.

Covering the three of them with a blanket, Liu Banxia also turned on the flashlight under the blanket. He had to keep an eye on both patients, and for the first time in months, he felt the tension.

The cutting sound above his head was loud, as if something had fallen on the blanket, which also made Liu Banxia even more nervous. Because the male patient is now losing a lot of blood, after receiving such stimulation, there are signs of immobility.

He didn't even know how long it was, the sound suddenly died down, and then the blanket was lifted. After seeing that the two patients still had vital signs, even Qi Wentao breathed a sigh of relief.

No one wants to give up on the patient, and sometimes there is really no choice. The current Liu Banxia is taking risks, and it can only be said to be a temporary success.