Hearing Fang Nana say "we", Ye Zhenzhen asked vigilantly, "Is there anyone else beside you?"

"Yes, Gao Wei and Wang Lichuan are here, Gao Wei also passed the interview, and now we are at the foot of Tuanshan Mountain. Pen @ fun @ pavilion wWw. ｂｉｑUｇE。 ｉｎｆｏ”

Ye Zhenzhen thought to herself, although the current four people are not experts in the Chinese CDC, but the three stinkers are Zhuge Liang, and they are four people, analyzing together, maybe it will be helpful to find the cause.

Ye Zhenzhen: "Okay, just so you can help me analyze it together." ”

"Wait a minute, I'll turn on my phone on speakerphone. Fang Nana turned on her phone to speakerphone, and everyone around her could hear Zhenzhen's voice.

Ye Zhenzhen thought for a while, and told what happened in concise words: "A friend of mine, a few days ago, he had symptoms such as fatigue and loss of appetite, two days ago he had nosebleeds, and today he had nosebleeds, and he had fever and other symptoms, and he was admitted to JS Hospital, and the results of the hospital examination were impaired hematopoietic function. ”

Fang Nana interjected: "Is it leukemia?"

Ye Zhenzhen: "The doctor said it was acute leukemia and is investigating the cause. ”

Gao Wei's voice: "You let Ye Zhenzhen finish the whole thing." ”

Fang Nana held back the doubt in her heart and stopped squeaking.

Ye continued: "My friend's thing is not alone, many of her colleagues had the same symptoms many days ago, three days ago, one of them was admitted to JS Hospital, just passed away this morning, this afternoon, two more colleagues were admitted to JS Hospital for vomiting blood, and the colleague who accompanied the person who passed away was also hospitalized. ”

Fang Nana couldn't help it and said, "Is it an infectious disease?"

Gao Wei: "Fang Nana, you let Ye Zhenzhen finish speaking, what about the hospital examination results?"

Ye Zhenzhen relied on her memory to say the results of the examination of several people: "The person who has died is called Li Zhihao, before Li Zhihao was admitted to the hospital, he had symptoms such as fatigue, nausea, vomiting, etc., two days later, the symptoms were reduced, and a day later, the symptoms of fainting and coma suddenly appeared, and the patient was admitted to the hospital, the patient had severe symptoms such as high fever, vomiting, diarrhea, refusal to eat, and bleeding, blood tests, white blood cells and platelets dropped to zero, and severe anemia; lung infection, progressive dyspnea, cyanosis, and the patient finally died of severe sepsis." ”

Fang Nana: "What about your friend?"

Ye Zhenzhen: "Kexin's condition is slightly better, the results of blood tests, the cell division index is reduced, the blood sinus is dilated and congested, the bone marrow cells are necrosis, the hematopoietic cells are reduced, the blood sinus is ooshing and ruptured, and the bleeding is bleeding; ”

Fang Nana was silent, although she had a medical foundation, she was still a little powerless to analyze such a professional blood test report.

Gao Wei and Wang Lichuan frowned, looking pensive.

Wang Lichuan suddenly asked, "What about the examination results of the two people who were hospitalized today?"

Ye Zhenzhen: "The two of them have just been hospitalized, and the test results have not yet come out, but the clinical symptoms are similar to Kexin, mainly bleeding. ”

Wang Lichuan: "Is there anything else? The colleague who accompanied the deceased was also hospitalized, how is his condition?"

Ye Zhenzhen: "His name is Li Zhiyi, he is the roommate of the deceased, his condition is very bad, now in the isolation ward, the case reads, hospitalized with vomiting blood, and then has difficulty moving his right lower limb, tissue cells are seriously damaged, there is a serious infection, and his right leg needs to be amputated. ”

Wang Lichuan asked: "What else, what are the symptoms of the people around the deceased Li Zhihao?"

Ye Zhenzhen: "Li Zhihao's colleagues in the R&D department have all developed symptoms such as mana and loss of appetite in the past week, and there is serious bleeding, by the way, Li Zhihao's father Li Mingfa died in a suburban hospital yesterday, the cause of death is unknown, and the information of Li Mingfa and Li Zhihao has been entered into the epidemic network. ”

Wang Lichuan: "Have you seen Li Mingfa's case?"

Ye Zhenzhen: "I saw some information on the Internet during the pandemic. ”

Wang Lichuan: "Let's be specific. ”

Ye Zhenzhen relied on the memory in her mind to explain: "Li Mingfa, male, 58 years old, living in Xiaoli Village in the suburbs, professional private factory owner, on June 30 this year, there were symptoms such as repeated vomiting, blood pressure drop, diarrhea, etc., self-medication Huoxiang Zhengqi Shui, the symptoms lasted for two days, the symptoms were relieved on July 2, and on the morning of July 5, the condition suddenly recurred, repeated vomiting, severe diarrhea, vomit containing bloody fluid, diarrhea was bloody and watery, was sent to a suburban hospital on the afternoon of July 5, and died two hours after admission. ”

Wang Lichuan: "Specifically, let's talk about Li Mingfa's laboratory test results and autopsy results. ”

Ye Zhenzhen: "Bone marrow and other hematopoietic organs are seriously damaged, the small intestinal mucosal epithelium is widely necrotic and shedding, the intestinal wall is thinned with the naked eye, the mucosal folds disappear, the surface is smooth, the crypt cells are necrosis observed under the microscope, the number of crypts is reduced or even completely disappeared, the villi are exposed, and huge malformed cells can be seen in the crypts and villi; the mucosal lamina propria and the submucosal layer are congested, the interstitial edema, and there are a small number of granulocytes and round cell infiltration. ”

Ye Zhenzhen struggled to recall that this was all she knew, so she added at the end: "This is all the test results I remember." ”

There was silence on the other end of the phone, and Ye Zhenzhen couldn't help but ask, "Can you analyze what the reason is?"

Fang Nana shook her head silently, Gao Wei and Wang Lichuan glanced at each other, and said at the same time: "Radiation sickness." ”

"Radiation sickness??" Ye Zhenzhen and Fang Nana asked at the same time.

Wang Lichuan explained: "Radiation sickness is a systemic disease caused by a large dose (>1Gy) of ionizing radiation in a short period of time, due to different doses of irradiation, showing different clinical manifestations, nausea and loss of appetite in the early stage after irradiation, the radiation dose may be greater than 1Gy, and vomiting may be greater than 2Gy. Vomiting may be greater than 4 Gy if multiple occurs. If vomiting and diarrhea occur very early, it may be irradiated with more than 6 Gy, and those who vomit repeatedly within a few hours after irradiation and have severe diarrhea soon on, but have no neurological symptoms, can be considered to be intestinal radiation sickness, and those with frequent vomiting, disorientation, ataxia, limb tremor, and increased muscle tone within 1 hour after irradiation can be basically diagnosed as cerebral radiation sickness. Cerebral radiation sickness is confirmed in patients who have seizures that have been excluded from trauma. ”

Gao Wei then explained: "Judging from Ye Zhenzhen's description just now, Li Zhihao's father, Li Mingfa, vomited many times, and the illness soon developed severe diarrhea, which is a typical intestinal radiation sickness. ”

Fang Nana asked, "Radiation sickness, isn't this a disease that only occurs during a nuclear war, and how can it appear with us?"

Gao Wei: "In addition to nuclear war, there will also be radiation sickness in peacetime, mainly nuclear radiation accidents, medical accidents, and therapeutic exposure. ”