Chapter 542: Sepsis
Yu Shaohua was naturally surprised when he heard what Ye Chen said. From Liao Wenen, when it was also confirmed like this, Yu Shaohua looked at Ye Chen, naturally he didn't know what to say.
"Then look at the situation of the mother and daughter now, is it typhoid fever or a symptom of warm disease?" Yu Shaohua hurriedly asked.
Ye Chen walked towards the old woman Su Guiying first, and now Su Guiying was wearing a hospital gown and a hanging bottle. However, judging from her look, she does belong to the kind that is more strict.
Judging from the situation in the plague areas, the elderly and children are in poor physical condition and are easily infected with plague diseases, and the mortality rate of the elderly and children after infection is also higher than that of young and middle-aged people after infection.
Ye Chen came to Su Guiying, in addition to first checking her pulse, after looking at the pulse, he gently pinched her mouth and saw her tongue.
Liao Wenen and Yu Shaohua found out that after he finished reading it, they saw him pondering there.
"Professor Yu, where are the medical records of these two people?" Ye Chen asked.
The female nurse in the tent hurriedly took over the previous medical records of the mother and daughter, Ye Chen first read Su Guiying's medical records, judging from the symptoms recorded by the Chinese and Western doctors who treated Su Guiying before, the symptoms of Su Guiying's old women were the same after they were infected with the plague. However, judging from the records of these two doctors, the effect of the prescriptions they prescribed was not obvious, but became more and more strict.
Ye Chen read the medical records, handed them back to the female nurse, and then looked at Luo Yuehua, a woman who was lying on the bed next door, who looked to be in her thirties. After also checking Luo Yuehua's pulse and tongue, her heart was a little different from what she thought just now.
"Ye Chen, how are these two people?" asked Yu Shaohua.
"Old Liao, Professor Yu, the symptoms of the mother-daughter infection are indeed warm diseases. However, it should be more specific to be sepsis. ”
"Sepsis?" After the two of them heard this word, they were naturally very clear.
According to the research of modern medicine, sepsis is a severe disease caused by bacterial infection, which refers to the invasion of pathogenic bacteria into the blood, and multiplies in it, producing toxins, causing systemic symptoms and infectious diseases.
It is clinically characterized by fever and toxic symptoms, hepatosplenomegaly, positive blood cultures, and septic shock in severe cases.
Sepsis is not the same as bacteremia, toxemia, sepsis. Bacteremia refers to the fact that bacteria only survive in the blood, but do not produce toxins; toxemia refers to the presence of toxins in the blood without bacteria; if on the basis of sepsis, pathogenic bacteria collect and locate in certain tissues and organs to form abscesses, which is called sepsis.
Now Ye Chen sees that the symptoms of Su Guiying and Luo Yuehua both belong to sepsis, and in traditional Chinese medicine, they also belong to the categories of warm disease, warm poison, and pestilence.
Therefore, if the general Chinese medicine doctor treats this kind of disease as typhoid fever, it will definitely not be curable, but more strict. This is also the reason why the symptoms of warm illness are generally found by TCM doctors to be more difficult to treat, and it is also difficult to cure.
"Old Liao, Professor Yu, what do you think?" Ye Chen said after he finished speaking, he looked at the two of them and said.
These two people, when Ye Chen finished speaking just now, they examined them, and naturally thought that they were symptoms of typhoid fever. Of course, now that Ye Chen said the word sepsis, when the two of them examined the two according to the symptoms of sepsis, the two found that Ye Chen's Chinese medicine dialectic was more accurate.
"Ye Chen, what you said is good!" Liao Lao said with a sigh.
Yu Shaohua also sighed, thinking that when Ye Chen was on the military plane, he felt that Ye Chen, a young man, had a solid TCM examination. As for the experience in practicing medicine, Yu Shaohua felt that Ye Chen was definitely not as good as himself. However, now that he is compared with Ye Chen, who is higher and who is lower, the female nurse next to him can see it.
"Professor Yu, what about you?" Ye Chen asked.
"Just now I just judged that these two people should belong to the symptoms of typhoid fever, but now it seems that I am wrong, it seems that sometimes, the medical skills are not perfect, and it will really kill people!" Yu Shaohua said.
He didn't add people to the typhoid faction, his medical skills basically belonged to the scope of typhoid fever, and as for the medical skills of warm diseases, he also wanted to learn in his early years. However, he felt that it was still too deep, and besides, he rarely had contact with it.
"Maybe my Chinese medicine dialectic is not necessarily very accurate!" Ye Chen looked at the two and said.
On the military plane, from the information from Vice President Wu Haiping, Ye Chen judged that the symptoms that appeared here in the plague area were very complicated according to the four types of symptoms that he had previously divided, namely influenza, plague, typhoid fever, and these three types of syndromes.
Now Ye Chen has only seen six patients before and after, and it has been seen that three of them obviously belong to the symptoms of warm disease, one is a symptom of typhoid fever, and now these two in front of him are blood and belong to the range of warm diseases.
It can now be guessed that the symptoms of the two old women in front of them are in fact similar to those of the plague.
If the scars of rat bites could be found on the two of them, Ye Chen could be sure that it was because they were bitten by rats infected with plague and contracted the plague.
However, there is another condition of plague, except for the initial infected person, who may have been exposed to rats and been bitten by rats, which can be the infection of plague. For example, infection can occur through physical contact, food contact, and the movement of air containing bacteria.
Now Ye Chen felt that the situation of the plague here in Xiaowang Village was even more complicated. However, it is important to save people now, and as for the general prescription, or where the source of the disease is, it is impossible to find out so quickly for the time being. After all, it turned out that the local doctors had spent nearly a month with no effect.
"Ye Chen, if the symptoms of this mother and daughter belong to sepsis, then what kind of symptoms do they belong to?" asked Liao Lao.
Now the question is more specific symptoms, first of all, these two people have also agreed with Ye Chen's statement, and they can confirm that the mother and daughter are suffering from sepsis.
However, in sepsis, what kind of syndrome does TCM dialectic belong to? In this case, different doctors may appear, and the results of TCM dialectic are different.
"Old Liao, Professor Yu, from the specific symptoms of these two people, I think that the old woman Su Guiying belongs to the blood certificate of fever entering the camp. The woman Luo Yuehua belongs to the hot poison certificate. Ye Chen looked at the two and said.
The specific symptoms of the old woman Su Guiying's current are heat and incomprehension, faint rashes, and even blood in the stool, and faint speech.
The specific symptoms of Luo Yuehua in women are acute onset, chills, persistent high fever, irritability, redness, swelling, heat and pain in the skin.
After Ye Chen finished speaking, Liao Wenen and Yu Shaohua glanced at each other, and from the eyes of the two, they could already see what the two of them thought.
"Ye Chen, what you said is right, we also think so!" Now that Ye Chen has said what kind of disease it belongs to, this is equivalent to a general direction, and when the two of them carefully argue, they will naturally not make mistakes again.