Chapter 0064: Dealing with Tetanus

After Ma Xiuzhai left, Su Tie walked into another ward while looking down at Wen JiΓ n who had been picked up from the conference room. Suddenly, his head hadn't been raised. His face turned to the side.

"Tetanus!" Su Tie secretly screamed in his heart.

He looked up and saw an old man on the hospital bed who was short of breath but had difficulty opening his mouth, and his waist was stiff and spasmed. Su Tie walked over and put his hand on his forehead, only to feel that the patient suddenly had a convulsive convulsion, muttered in his throat and couldn't say a word, and wanted to cough but was powerless and silent. And his forehead was like a wet piece of mud, and the cycad's hand on it felt a burst of cold moisture seeping out, which was the appearance of sweating from time to time.

The cycad touched his nose and sniffed again, this is tetanus, and it is quite strict.

Tetanus and sepsis are similar in that they are essentially diseases caused by the body's infection with pathogenic bacteria, but they are actually two different things.

Sepsis is a bacteremia that occurs when the blood is infected with a pathogenic bacterium that survives and releases toxins in the body's blood.

Tetanus is a type of toxemia, which is a severe disease caused by the infection of the body with tetanus bacilli. However, unlike sepsis, tetanus bacilli does not directly infect the blood, but the bacteria are stored in a certain organ of the body, and the toxins are released into the blood through guΓ² and lead to infection in the human body.

Tetanus has an incubation period that can range from a few hours to a dozen days or even up to ten years, but it can be very dangerous if it occurs.

Some typical tetanus can be quickly identified and cured with prompt antitoxin injections, and the prognosis is good. However, some ** types of tetanus are not only difficult to detect, but even if they are detected, they are prone to misjudgment, which is misdiagnosed as hysteria or cerebral insufficiency, which leads to the loss of the best treatment opportunity for the patient and indirectly leads to the death of the patient.

Not to mention that tetanus in patients now comes with sepsis, and many tetanus symptoms are masked by the symptoms of sepsis.

The cycad took the patient's pulse, only to feel that the pulse was short, and the sweat came out from time to time, it seemed that the evil poison had passed into the liver through the blood, and the best time to inject antitoxin had been missed, and he was afraid that the medicine stone would be ineffective if he was not treated.

At this time, Ma Xiuzhai walked in, and he was stunned when he saw the contemplative appearance of the cycad, but when he saw the patient on the bed, he hurriedly came over to check the pulse.

"How is that possible? How can there be tetanus? Ma Xiuzhai exclaimed. But he looked at the patient on the hospital bed with a little wry smile, and he didn't have time to think about it, so he quickly rang the alarm bell next to the bed.

The bitter smile is not because the patient is aware of Ma Xiuzhai's words, but because of the spasm of the facial muscles, the lips are contracted, and the corners of the mouth are contracted, which looks like a bitter smile.

Soon Fang Xingxiong and several doctors hurried in, and when they didn't understand what was going on, Ma Xiuzhai glanced at Su Tie and motioned for him to report his condition.

"The patient has tetanus and has passed the anti-drug period. I suspect that all patients have latent tetanus bacilli and need to be given antitoxin injections. Some patients have been reported to have signs of spasms in their bodies, and many may have already started to have flare-ups of infection. ”

Fang Xingxiong looked at the patient in disbelief, if the cycad didn't prompt, he and the other doctors really didn't expect that there would be tetanus. But once this prompts, and then look at the patient's symptoms, it is really very similar to tetanus symptoms.

The outbreak of more than 100 sepsis patients in Baocheng is already very strict, and if you add the compound infection tetanus, it will be terrifying.

At that moment, Xingxiong felt humane to the person behind him: "Notify the emergency to come and treat this patient, and at the same time inject other patients with tetanus antitoxin." Report to the Health Bureau and bring the issue to the attention of other hospitals. ”

He glanced at Ma Xiuzhai and Cycad again, and then continued: "JianyΓ¬ other hospitals don't have the confidence to deal with tetanus, and send patients here for intensive treatment. ”

Ma Xiuzhai nodded and said, "Yes, if you have resources, it is better to dispose of them centrally than to dispose of them in a decentralized manner." ”

Soon the people from the emergency department came, and a nurse opened a bottle of medicine to inject the patient, it seemed that it should be a tranquilizer or other injection, and now the antitoxin is not much use.

It's just that the cycad looked at the medicine opened by the nurse, and his sensitive nose smelled the smell, and he suddenly felt dizzy and weak, and hurriedly rushed out of the ward.

Is this guy still afraid of injections? That's a lot of fun. Ma Xiuzhai and Fang Xingxiong glanced at each other and couldn't help but smile. There was no use for themselves here, so the two of them hurriedly followed.

"You're afraid of injections?" In the distance of the ward, Fang Xingxiong looked at the cycad leaning on the wall with one hand and said with a smile.

Cycad exhaled a few deep breaths, and his face was a little pale. He waved his hand and said, "That's sodium thiopental, I can't stand the smell of it." ”

Fang Xingxiong smiled at the corner of his mouth, the nurse in the ward was indeed preparing to inject sodium thiopental, which is an anticonvulsant tranquilizer, although it has no therapeutic significance for tetanus, it can soothe the patient's body and feelings, relieve the condition, and buy time for further treatment.

This sodium thiopental injection does have a very unpleasant taste, but at that time, the cycad was a few steps away from the nurse, and he didn't know how his nose was so sensitive, and he could smell it when he entered, maybe he knew that it had a mental effect.

But soon Fang Xingxiong couldn't help but say worriedly: "If it is really tetanus, it seems that some patients have missed the best time to fight against the virus." At this time, it is very dangerous, I am afraid that Western medicine cannot do too much, and as soon as the disease starts, it becomes difficult to control after losing the opportunity to resist poison. ”

"For patients who have already had a seizure, I am afraid that it is too late for traditional Chinese medicine. What do you think of cycads? Ma Xiuzhai looked at Su Tiehui's expression and asked.

Su Tie thought for a while and said: "Acupuncture soothes the condition, and then prescribe Chinese medicine to remove the evil poison of the viscera." The patient was injected with antitoxin reinforcement therapy immediately after stabilization, and finally the lesion was found to remove tetanus bacilli. ”

He said in a very general way, although Fang Xingxiong, as a Western doctor, can understand the steps of cycads, but he is confused about how to administer the needle and what prescription to administer. He glanced at Ma Xiuzhai, hoping if he had anything to add.

It's just that Ma Xiuzhai spread his hands and said: "I have a little experience in acupuncture, but I am afraid that I may not know more than cycads in terms of prescriptions, and my prescription can only deal with patients with early onset of disease, like the poison that entered the liver meridian just now, I am afraid that I am helpless." ”

Seeing that Ma Xiuzhai said this, Fang Xingxiong simply became the shopkeeper, and besides, this aspect may be someone's secret recipe, and it is useless to listen to it more. Immediately, he said, "Then get rid of the two, I still need to coordinate resources and other hospitals." But please rest assured, no matter what the situation happened in our Aurora Hospital, since we have taken over this matter, we will naturally take responsibility. ”

He nodded and saluted Fang Xingxiong, Su Tie naturally understood what Fang Xingxiong meant, that is to say, you should let it go, and the hospital will take care of you if you have the consequences. In fact, this sentence may be said to himself, after all, Fang Xingxiong and Ma Xiuzhai don't seem to be working together for the first time, and they both know the roots.

Watching Fang Xingxiong leave, Ma Xiuzhai smiled and said, "We will divide and cooperate again." You're in charge of prescribing and finding out the patients who have had a tetanus attack, and I'm getting the shots out of the others. ”

Su Tie waved his hand, found a place to prescribe a prescription for Ma Xiuzhai, and then walked into the ward from the new to find patients who had seizures.

It's always a pleasant experience for me to be part of a team that is responsible and trusting each other. Besides, the members of the team are not general.

Of the 30 patients with sepsis in Aurora Private Hospital, 21 were confirmed to have tetanus. Although the other nine have not been confirmed, it may be that the virus is still in the incubation period and has not yet attacked. Regardless of whether they are really infected or not, taking antivirals can at least make them feel much more at ease, and also avoid potential pain later.

However, some patients were soon transferred from other hospitals, and many of them were already seriously ill. The entire hospital was busy until 3 a.m. the next morning. In the end, in Aurora Hospital, there were 72 patients diagnosed with tetanus, and another 10 were highly suspected patients.

Although there were no final deaths in this incident, the cycads still gasped at the result. What is it that causes so many people to be infected with sepsis and tetanus at the same time?

After he was done, he couldn't help but open the report he got at the meeting, and finally Su Tie fixed his eyes on the word "injection" on the page. All of these patients have recently received some kind of injection treatment from different small hospitals or clinics. If there is a possibility, this place is the most doubtful.

But how can a person be infected with sepsis and tetanus at the same time with ordinary injections? What was that syringe so contaminated? The cycad hurriedly closed the report, not daring to imagine it any further.

It is hoped that the health department and other official institutions will realize the severity of the problem as soon as possible, not only close the small hospitals and clinics immediately, but most importantly, find out the source and destination of the syringes as much as possible, otherwise the matter will get bigger and bigger.

Su Tie smiled, thinking that Fang Xingxiong was handy in allocating resources and coordinating all hospitals, it is estimated that the official has long been aware.

"Cycad, I've worked hard for you today. I didn't expect you at first, it was Lu Ancheng who recommended you to come over to help. But you did do a lot of help. ”

At this time, Ma Xiuzhai dragged his body over slowly, with a tired look in his eyes.

Lu Ancheng recommended himself to come, of course, because he believed that he could help. However, the well-intentioned cycad knows very well in his heart that what a medical worker, especially a doctor, needs most is opportunity.

A doctor who does not have access to patients cannot be a good doctor. Maybe Lu Ancheng has completely regarded himself as a doctor, so he stuffed this opportunity to himself.

No matter what, I am still very grateful for this recommendation, not to mention that it is also a very memorable experience to be able to cooperate with Ma Xiuzhai and Fang Xingxiong and others.

Su Tie saw Ma Xiuzhai coming, and looked at the tired appearance of the seventy-year-old man, and felt a little uncomfortable. He quickly got up and helped Ma Xiuzhai sit down and said, "Doctor Ma, I see if you need to rest first?" ”

Ma Xiuzhai waved his hand and said, "You have called me a doctor, I still don't know my own business?" ”

Su Tie smiled, he felt that this old man's body was really very tough. A person who is in good health has a healthy and unique refreshing taste, even if he dresses sloppily.

Ma Xiuzhai sat down and said with a smile: "After seeing you in Nanfeng that day, I originally wanted to find you. I didn't expect Lu Ancheng to hear about you early on, and finally gave him the first month near the water. But it doesn't matter, he is fully qualified for it. You're also very good, and it's a blessing for him to find you. ”

Cycad said: "Dr. Ma is overrated. In my early years, I read the co-authorship between you and Professor Lu, and I benefited a lot. ”

"How did you say we just got the needle?" Ma Xiuzhai didn't answer the cycad's words, and asked about tetanus needles to relieve the patient's condition.

Su Tie thought for a while and said: "For those who have a corner bow and reverse tension, take Fengchi, Fengfu, Taizhi, and Changqiang points with Kunlun and Chengshan; Those with convulsions of the limbs take the valley and the pool, as well as the inner and outer passes; Trismus are removed from the cheek car and the lower gate, and the inner courtyard and the valley are matched. The needle method is used to vent, and the needle is left for a moment. ”

Ma Xiuzhai laughed, very satisfied with the cycad's statement. At that moment, he continued: "I saw your recipe, but I was a little surprised. For spasms, it is generally divided into wind poison in Xiang and wind poison in the inside. The prescription is either to dispel wind, relieve the surface, detoxify and fix spasmodics, or calm the liver and quench wind, detoxify and suppress spasmodics, and it is rare to combine the two into one like you. ”

The spasms mentioned by Ma Xiuzhai are actually the early names for tetanus in Chinese medicine, and this term is generally used in the prescription for dealing with tetanus.

Su Tie naturally understood his words, and immediately said: "The spasm is more important than the characterization. All symptoms start with a sore, which travels with the body's blood to the liver and spleen. I think that prescription medicine should naturally be dealt with against wind poison and follow the meridian path of wind poison circulation. In addition, there are many patients, and it is difficult to coordinate them one by one, and the drug is suspected of nitpicking and missing the source. ”

Ma Xiuzhai nodded and said, "It should be so." Huaxia Medicine has been tracing the source, conforming to the pathology, and flexibly transporting medicines. According to the script, the gain is stable and the loss of agility. ”

The two were worried that the patient would change, so they stayed in Aurora Hospital and discussed pathological treatment and prescribed drugs overnight, but they didn't feel that time passed quickly. Fang Xingxiong didn't come over until the morning, he didn't expect that Su Tie and Lu Ancheng were still in the hospital, so he hurriedly arranged a car to send the two back.

It seems that he has been busy all night, but looking at the relaxed smile on his face, Su Tie and Ma Xiuzhai estimate that the patients in the hospital have been well handled.

To treat sepsis, they were handy, and even those with tetanus latent received antiviral injections. As for those patients with tetanus, Ma Xiuzhai and Cycads are still very confident in their recovery.

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PS: Added support for Star Jump. Every time you can't grab a red envelope, I feel guilty.

In addition, I will make a strict statement again: the treatment in my novel is nonsense! :)

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