Chapter 5 followed
With Ye Zhenzhen's low exclamation, Nan Zhiqiao asked, "Can you see the type of insect egg?"
Ye Zhenzhen turned on the memory mode, studied the course "Parasite" in college, and also saw related slides, and also understood the morphology of various insect eggs, but it was too long, and the morphology of various insect eggs was very similar, and she couldn't distinguish them for a while.
Ye Zhenzhen began to mumble in a low voice: "Clonorchis sinensis, paragonimus westeri, schistosomiasis japonicum, fasciola, tapeworm, filaria, roundworm, whipworm, hookworm, pinworm, ......"
Changing my vision, the shape of the eggs has changed again, "It's like fluke eggs, but I'll have to see if it's specific." ”
Ye Zhenzhen fine-tuned the slide again, hoping to find more eggs from the specimen for identification and observation.
Nan Zhiqiao reminded on the side: "The green waters and green mountains are in vain, Hua Tuo is helpless and the little worm is he! ”
"Schistosomes!"
The poem that Nan Zhiqiao just read is very famous, it is the first half of the poem "Sending the Plague God" made in 1958, the background of the poem is that Yujiang County eliminated schistosomiasis that year, *** has feelings, this first half describes the schistosomiasis eradication, in the schistosomiasis epidemic area, the sick people have died one after another, resulting in the local people are sparsely populated, the countryside is barren, and the phenomenon of ten rooms and nine emptiness.
When Ye Zhenzhen heard this poem, she immediately reacted, and Nan Zhiqiao suggested that the Japanese schistosomiasis, which is the most popular in my country.
"Yes, it's schistosoma eggs, which have developed cercariae in them. ”
Ye Zhenzhen looked carefully in the field of view of the microscope, and sure enough, some of the eggs had developed and turned into symmetrical cercariae on both sides.
The pathogen was found, and Xiaoxian was infected with schistosomiasis!
Ye Zhenzhen picked up the phone to inform Zhang Xiaobin, but Nan Zhiqiao stopped her and said, "Xiaobin, I have already informed, and the doctor will follow the plan for treating schistosomiasis." ”
"Fortunately, Xiaoxian's symptoms look like acute schistosomiasis, and the prognosis will be good if treated in time. But how could Xiao Xian get infected with schistosomiasis? Schistosomiasis has not appeared for a long time. ”
"Schistosomiasis has always existed in China, especially in the southern region, where there have been no cases of schistosomiasis in Beijing for many years, and Xiaoxian's case is an imported case. ”
"Imported cases, oh, by the way, schistosomiasis can be transmitted through feces, and the district hospital should pay attention to disinfection. Ye Zhenzhen was a little worried about the district hospital where Xiaoxian was.
Nan Zhiqiao looked very relieved, "It's okay, as long as it is diagnosed as a schistosomiasis infection, the treatment and prevention at the hospital will be arranged, what I'm worried about is where Xiaoxian was first infected with schistosomiasis." ”
Xiao Xian had just come to Beijing from her hometown in the south for less than a week, and the incubation period of the onset of schistosomiasis infection was about a month, and the shortest was two weeks, so Xiao Xian must have been infected in her hometown.
Zhen Zhen heard her cousin Qianqian talk about the news she learned when chatting with Xiao Xian in the past few days, Xiao Xian's hometown is in a village in the southwest frontier, where many ethnic groups live together, a variety of production and lifestyle, geographical and climatic conditions are special, and it is likely to be a schistosomiasis epidemic area.
Ye Zhenzhen: "Xiaobin and Xiaoxian's hometown is in N Province in the southwest frontier, which seems to have been a schistosomiasis disaster area in my country before. ”
Nanzhiqiao has an understanding of the schistosomiasis control in N province, when the new China was first established, N province was the hardest hit area of schistosomiasis infestation, since the fifties of the twentieth century began schistosomiasis prevention and control work, after more than half a century of efforts, N province blood prevention work has made great achievements, many counties and cities have reached the schistosomiasis transmission blocking standard or control standard.
Nan Zhiqiao: "Xiaobin's file says that his hometown is Nanzhao County, Dali, and the specific village is not specified, Dali as early as 1995, the township as a unit reached the schistosomiasis transmission control standard, and in the following years, few cases of acute schistosomiasis infection were reported. Xiaoxian's situation this time may be where she came into contact with the infected water before coming to Beijing, and finding the source of the infected water can prevent and control it and prevent more people from being infected. ”
"Senior Nan, what should we do then? Do you want to notify the disease control department in Dali?"
"We don't need to inform you that when the district hospital encounters this kind of acute schistosomiasis case, it will be reported through the epidemic network, and the relevant departments will deal with it themselves. ”
After all, schistosomiasis control has been carried out in China for more than half a century, and all relevant departments should be very experienced.
Hanging her heart down, Zhen Zhen began to feel sleepy, and couldn't help but sigh.
It was already past eleven o'clock in the evening, which happened to be the most sleepy time, Nan Zhiqiao pulled Ye Zhenzhen out of the laboratory, ready to send the two sisters back to the Xincheng apartment to rest.
Qianqian stayed in the office, and through the transparent glass window between the office area and the experimental area, she saw her cousin and future brother-in-law entering and exiting in less than twenty minutes, and she was wondering in her heart.
As soon as the two arrived at the office, Qianqian asked curiously, "The results are out?"
"Well, it's out. ”
"So fast?!"
"Senior Nan found the right detection method, so it was faster. ”
From entering the laboratory to the diagnosis of the results, it also includes the time for the two to discuss, and it only takes less than twenty minutes to solve the problem that the hospital has not solved for half a day, and Qianqian has another layer of admiration for this future brother-in-law.
On the way back to the Xincheng apartment for the two sisters, Ye Zhenzhen was worried that Zhang Xiaobin would not be able to take care of him alone in the hospital, so she planned to go to the hospital again, but as soon as she said her thoughts, she was refuted by Nan Zhiqiao.
Nan Zhiqiao insisted that Zhen Zhen take Qianqian back to rest, and he went back to the district hospital alone, and only after making sure that Xiaobin and Xiaoxian were okay did he go back to the bachelor apartment in Longteng Villa.
In the next few days, Zhang Xiaobin took leave to take care of his sister in the hospital, Qianqian got along with Xiaoxian for a few days, had a good relationship, and often ran to the hospital, and Ye Zhenzhen also came to visit after work every day.
After a week of treatment, Xiaoxian's acute symptoms disappeared and her condition stabilized.
Zhang Xiaobin's hanging heart also settled down with the improvement of his sister Xiaoxian, and he was ready to be discharged from the hospital after a few more days of observation.
Just when everything was about to return to normal, Zhang Xiaobin received a call from the hospital in his hometown, and Xiaobin's parents were seriously ill and hospitalized at the same time.
The news was like a thunderbolt from the blue, Zhang Xiaobin was as anxious as an ant on a hot pot, and wanted to rush back to his hometown immediately, but his sister Xiaoxian could not be discharged from the hospital immediately, so she went back to her hometown alone, leaving her sister in Beijing and not at ease.
Zhang Xiaobin was in a dilemma, Ye Zhenzhen appeared in time and promised Xiaobin to let Xiaobin go back to his hometown first, and he and Teacher Nan would help him take care of his sister Xiaoxian in Beijing.
Sister Xiaoxian had a reliable person to take care of, and Zhang Xiaobin immediately flew back to his hometown of Nanzhao County, Dali.
After Xiaobin's parents fell ill, they were taken to the county hospital by a neighbor, and the doctor diagnosed acute diffuse peritonitis.
After two days of treatment, not only was the peritonitis not controlled, but also meningitis was complicated, and the county hospital could not treat it, so he was urgently transferred to the city hospital.