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"You guys should also take a closer look at this film to see if there is anything I missed watching. Liu Banxia said.

In fact, it goes without saying that the interns just now were also looking at the images displayed on the computer. It's just that they are also confused, and there is no problem at all.

"Doctor, am I seriously ill?" asked the patient, who had been waiting for a while, worriedly.

"I'll auscultate you again, how does it feel to pant now?" asked Liu Banxia.

"It's much better now than it was just now, and suddenly I couldn't breathe. The patient said.

Liu Banxia took out a stethoscope and listened to his lungs again, and there were indeed crackles, but they were weaker than when he first heard the diagnosis.

He was a little confused, and he didn't know whether it was better to do an endoscope or a CT scan for the patient.

At this time, he accidentally noticed that some pimples appeared in the patient's abdomen.

"Uncle, when did you have these pimples on your abdomen?

"Pimples, eh, not last night, you still seem to be a little itchy when you say that. The patient scratched his hand.

Liu Banxia frowned, not knowing if he was dazzled just now, as if he saw a line-like bulge on the skin of the patient's abdomen.

"Uncle, don't scratch it yet, I'll take a closer look. Liu Banxia said.

"Ahem, ahem, ahem......"

At this point, the patient coughs again.

Liu Banxia hurriedly buckled the stethoscope to the uncle's lungs and listened carefully.

Now I can hear it more clearly, and the crackles have become a lot louder.

Papules on the abdomen, as well as smaller, larger crackles, are new symptoms. But for the current Liu Banxia, he can't make an accurate judgment.

"It's a bit hard to catch your breath again. The patient said with some hard work.

"Uncle, lie down and continue to give oxygen. Liu Banxia hurriedly said.

This is a recurrence of the condition, and there are symptoms of coughing.

"What's going on?" Liu Banxia muttered.

"The condition is recurrent, and there are obvious crackles and cough during the attacks. Mild anemia, high fever, high blood pressure, high white blood cell index, pimples, huh?"

Liu Banxia, who finished muttering, was stunned, and the little bulge he saw when he had just examined the patient's abdominal pimples resurfaced in front of him. What if I wasn't dazzled at that time? What if there was a bump that quickly emerged and disappeared?

Thinking of this, sweat broke out in his head, and a possibility came to mind.

"Li Hao come here. Liu Banxia greeted.

"Teacher Liu. Li Hao hurriedly came over.

"Take this patient to take urine samples and feces, and take all protective measures. Liu Banxia said.

"Zhou Qian, did the patient cough or spit during the X-ray just now?

Zhou Qian shook her head a little blankly, "No, I have been wearing a mask." ”

Liu Banxia nodded, "Change the mask, wash your hands and disinfect carefully, the patient may be strongyloides." Li Hao, tell the laboratory to do expedited processing. If there is no result from the first test, the second and third tests are taken. ”

Hearing Liu Banxia's words, the big guys became nervous, this strongyloides is not a simple parasite. It is likely that there are larvae in the saliva of the patient, which are likely to become new hosts if accidentally touched.

Although the eggs of this parasite are mostly found in the soil, the larvae are mostly found in feces and sputum? But it is also contagious.

After the patient's breathing condition is a little better? Li Hao hurriedly took the patient to take the sample.

Liu Banxia and the others in the neighborhood also changed into new masks and gloves, and also arranged for people to disinfect the road to the X-ray room.

In fact, there is a detection method for this disease? Is that an ELISA test? It's just that it takes longer.

Blood needs to be collected first, and serum is taken after half an hour of agglutination. After another hour of incubation, washing, and substrate addition? Half an hour of dark reaction, this can read the value.

Waiting a little bit? Liu Banxia was a little anxious.

"Teacher Liu? Filamentous larvae were found in feces and saliva. Li Hao ran back.

Ding! Strange Pneumonia Mission Complete

Gain 300 XP and 300 Diagnostics Skill Mastery

This mission is rated as flawless, gaining 500 experience points and 500 diagnostic skill proficiency points? Kodo: 5 points

Liu Banxia sighed in his heart? This uncle is in danger.

Because the growth of strongyloides is divided into two generations, the self-generated generation in the soil and the parasitic generation in the human body.

What I saw just now is not bad, that is, the filamentous larvae have spread to the skin layer, so it causes a bulge. And after the development of such a situation? The effectiveness of anthelmintic drugs is greatly reduced, and most patients do not stick to it.

"Uncle? Your illness has been diagnosed clearly, infected with parasites. Liu Banxia came to the patient's side.

"This parasite is very cumbersome to deal with? We need to admit you to the hospital and we need to notify your dependents. Does deworming take a process? This anthelmintic drug is still relatively damaging to the liver and kidneys. ”

"Doctor? Can't you? Where are there parasites now? The patient said with some incomprehension.

"It's true that this parasite isn't very common on our side? Do you have any travel history to the south in the past six months or a year, especially in the areas of Hainan Island and Sanya?" asked Liu Banxia.

The patient shook his head, "Where do I have the money to play in that place, I've been working in our city." ”

"Uncle, we have detected a parasite in your feces, urine, and saliva, called strongyloides. Liu Banxia continued.

"There are many ways to get it, and the parasite will sleep in the human body for a long time. Months, years, even decades, decades will happen. ”

"If we were able to get rid of the eggs with normal anthelmintics before they flare-up. Now that they have started to have seizures, we can only use thiobendazole, which may affect your liver and kidney function and need to be accompanied by your family members. ”

"The reason why you have respiratory pain is also because these larvae are shuttling around your lungs. The larvae are so small that sometimes they cannot be detected by X-rays. ”

"And the outbreak of these strongyloides may be because you are taking prednisone, which makes your own immunity lower, giving these parasites a chance. ”

Liu Banxia has explained as much as possible, but the patient still doesn't understand.

This is also a very normal phenomenon, patients are just ordinary people, if they have so much medical knowledge, they may not come to the hospital.

However, the treatment can not be delayed, the best effect is thibenidazole, and the experimental data has a cure rate of more than 95%. Even if it will cause some damage to the liver and kidneys, it is now the first choice of drugs.

If the patient's body reacts greatly, it can also be changed to drugs with slightly less effective drugs such as prothhimazole and thiazine.

"Li Hao, continue to persuade the uncle to contact the family. Well...... , I don't know if this is the last time I see him. After sending the patient into the ward, Liu Banxia said.

"Teacher Liu, is strongyloides so serious?" Li Hao asked in surprise.

Liu Banxia nodded, "It has spread to the skin layer, just now I thought it was dazzling." And he should also notify his family to do the corresponding examination, the ability of strongyloides cross-infection is still very strong, I hope the family is fine. ”

Hearing Liu Banxia's words, the big guys shivered again.

Because they know what it means for the parasite to reach the skin layer, it has reached the point of widespread flare-up. Now it may only be seen occasionally, but after the medication, it is likely to move widely under the skin.

"Because this parasite has been parasitic for a long time, it is difficult for us to trace it even if we want to. It depends on the luck of this uncle, and I hope to have a good result. Liu Banxia said.

"Li Hao went to communicate with patients, which is also an opportunity to exercise you. The rest of the people should stop thinking about this case and continue to take care of it, and I will supervise it. ”

Hearing Liu Banxia's words, the interns scattered everywhere and began to get busy.

"It seems that this case has touched them a lot. Shi Lei said.

"Yes, don't say it's them, they all touched me a lot. Liu Banxia said.

"In fact, the most fearful thing is that when such a case can be diagnosed, but there is no effective treatment. I was relieved that the patient with infectious myocarditis in the ICU had finally gotten better. ”

"The more patients we see, the more patients we can't treat, the higher the proportion of patients who can't be treated. I don't even know if I'll be able to hold on after a long time, and it's a test for us, let alone these interns. ”

"I said how have you been a lot more stable lately, take your time, this is also a process that all doctors need to go through. Shi Lei said.

"Actually, I thought about letting the interns go to the ICU to exercise, and then I thought about giving up, in Su Hongbo's words, they are accompanied by death every day. Liu Banxia said.

"It's not easy to do education and training work, and I think about it too much. I don't dare to pick and choose, and I don't know when the new vice president appointment will be announced. ”

"Wait, how can personnel appointments be so fast. It's not a doctor, it's a vice president. Shi Lei said.

"You can rest for a while, and if there is a patient, we will come to receive the patient. The patients have indeed been somewhat concentrated in the past two days, and the surgery schedule will have to be planned well later. ”

"Don't worry, I'll have my stitches removed tomorrow morning, and then I'll have surgery. Liu Banxia said.

Shi Lei is happy, this is the normal version of Liu Banxia. If he is depressed, the atmosphere of the entire emergency center will become depressing.

may also be familiar with Liu Banxia, although Liu Banxia's unobtrusive personality is sometimes a headache, but more often it can help you decompress.