Chapter 28 Classification of Diseases

Nan Zhiqiao explained: "After the human body receives excessive radiation, a series of pathological changes occur, which are divided into three types according to the radiation dose and clinical manifestations: bone marrow radiation sickness, intestinal radiation sickness and brain radiation sickness. Pen, fun, pavilion www. biquge。 There are three types of radiation sickness, ranging from mild to severe. ”

Ye Zhenzhen: "I know the classification of radiation sickness, Wang Lichuan said on the phone before, and he also said that Li Mingfa is intestinal radiation sickness. ”

Nan Zhiqiao nodded, "Yes, Li Mingfa's condition is serious, it is intestinal radiation sickness, while Li Zhiyi, Li Zhihao and You Kexin belong to the milder bone marrow radiation sickness, and bone marrow radiation sickness is divided into three types: mild, moderate and severe. ”

"What is the 'Polar Period' you just mentioned?"

Nan Zhiqiao: "Moderate to severe myeloid radiation sickness has obvious stages, which are generally divided into four stages, the initial stage, the false recovery stage, the extreme stage and the recovery stage. In the initial stage, it generally appears tens of minutes to several hours after radiation, manifested as neuroendocrine dysfunction, especially autonomic nerve dysfunction, the main symptoms are fatigue, dizziness, nausea, vomiting, decreased appetite, palpitations, sweating, thirst, increased body temperature, insomnia or drowsiness, and some patients also have skin flushing, conjunctival hyperemia, parotid gland enlargement, lip swelling, etc. ”

Ye Zhenzhen: "Yes, this is the symptom of Kexin a few days ago. ”

Xiao Xiao didn't know when he also came up and said, "I also had these symptoms two days ago, did I also have radiation sickness?"

Nan Zhiqiao: "The initial symptoms generally last one to three days, to determine whether it is radiation sickness, mainly depends on the results of laboratory tests, a few hours to two days after receiving irradiation, white blood cells can rise to more than 10х109/L, and then decline, the absolute value of lymphocytes in 12 to 24 hours after irradiation significantly decreased, the degree of reduction is related to the radiation dose. ”

"My test results haven't come out yet, but I'm feeling much better now than I was a few days ago, shouldn't it be radiation sickness, right?, or is it a very mild type of radiation sickness?" Xiao Xiao asked with luck.

Nan Zhiqiao: "After the initial period, followed by the false recovery period, the false recovery period begins two to four days after irradiation, during the false recovery period, the initial symptoms basically disappear or significantly reduced, the patient in addition to fatigue, good spirits, appetite is basically normal. However, the disease continues to develop, the hematopoietic damage is further worsened, the peripheral blood leukocytes and platelets are progressively declining, the body's immune function also begins to decline, the speed of the decline of white blood cells is related to the severity of the disease, generally about ten days after irradiation, the white blood cells drop to a minimum value, red blood cells due to the long lifespan, there is generally no obvious change in this period, and some patients will have bacteremia during the false recovery period. If the patient has skin and mucosal bleeding and hair loss, it is generally considered to be a precursor to entering the extreme phase, and some patients may not have a false recovery period, but directly enter the extreme stage. ”

Xiao Xiao touched his hair, a few long hairpins were torn between his fingers, Xiao Xiao said in horror: "My hair has fallen out more than usual in the past two days, is it about to enter the extreme stage?"

Nan no Qiao: "The signs of the extreme stage of radiation sickness are an increase in body temperature, decreased appetite, vomiting, diarrhea, and general failure. After entering the extreme stage, the condition deteriorates sharply, various symptoms reach the peak stage, hematopoietic damage is serious, platelet reduction is obvious, function is reduced, causing severe bleeding, massive bleeding will aggravate hematopoietic disorders and substance metabolism disorders, promote the occurrence of infection, severe patients may also be complicated by mold and viral infection, viral infection is often a dangerous sign, can make the condition deteriorate rapidly, long-term fever does not go away, become the cause of death. Patients in the extreme stage sometimes have other symptoms, which are generally manifested as weakness, apathy, irritability, etc. ”

Xiao Xiao's face was pale, especially when he heard that the extreme period was the period of death, beads of sweat appeared on his pale face, and he was a little unsteady on his feet.

Ye Zhenzhen hurriedly supported Xiao Xiao, Nan Zhiqiao continued: "Although the symptoms of the extreme stage are very serious, but for moderate to severe patients, there is still the possibility of self-recovery, at the end of the extreme period, it can be seen that the bone marrow is re-hematopoiesis, as long as careful treatment is carried out to control the development of major symptoms such as infection and bleeding, the patient can get through the extreme period and enter the recovery period." ”

"If you enter the recovery period, does it mean that you will be fine?" Xiao Xiao asked.

Nan Zhiqiao: "Patients in the recovery period, immune function and anemia recover slowly, there are symptoms such as fatigue and the possibility of re-infection, severe patients may also have symptoms of some organ damage after entering the recovery period, so the care and treatment during the recovery period can not be relaxed, and it will take two to four months to basically return to normal, and some organs, such as gonads, will take one to two years to recover. ”

Xiao Xiao suddenly broke free of Ye Zhenzhen's hand and ran towards the main building of JS Hospital, Ye Zhenzhen shouted: "Xiao Xiao, where are you going?"

"Find a doctor, I'm going to be hospitalized, and Youkexin will be handed over to you. Xiao Xiao ran away without looking back.

Looking at the back of Xiao Xiao leaving, Nan Zhiqiao asked, "She is also an employee of Nanmu Group?"

Ye Zhenzhen nodded worriedly: "Well, Xiao Xiao is a colleague of Kexin, and he is also from the R&D Department of Nanmu Group. ”

Nan Zhiqiao: "Don't worry, since you are an employee of Nanmu Group, the group will arrange it." ”

Ye Zhenzhen asked rhetorically: "How can you be so sure? Many companies will shirk their responsibilities when they encounter this kind of thing, and besides, this radioactive source leakage incident has nothing to do with the Nanmu Group, will the Nanmu Group take care of it?"

Nan Zhiqiao: "Ye Zhenzhen, don't think so badly about the world, Nanmu Group is a regular listed group, and it will be responsible for this kind of large-scale injury of employees in the group, and I heard that Mr. Li of Nanmu Group has come to the hospital to deal with things." ”

"Oh, the Mr. Li who interviewed me, I saw it just now, in the general ward, it seems that two injured employees of Nanmu Group were sent here, and there are many employees of the R&D department who are doing examinations in the outpatient clinic. ”

"So, you don't have to worry, about You Kexin......" Nan Zhiqiao paused slightly, and then said: "Nanmu Group should arrange special care personnel, so that you can go to work normally during the day, and come to see her after work." ”

Ye Zhenzhen: "Special care personnel? Nanmu Group will arrange special care personnel to take care of Kexin? How do you know?"

Nan Zhiqiao: "When this kind of thing happens, Nanmu Group will definitely arrange it properly, you see, these employees who are hospitalized are very young, and there should be no friends who have free time, if they let their parents come to the hospital to take care of them, it is not realistic, so arranging special care personnel is the best choice." ”