Cholera, although it is known to be a terrible infectious disease, has a very high case fatality rate due to poor medical care and inadequate treatment. But cholera itself, as well as its symptoms, is not well understood.

In fact, cholera is a virulent intestinal infectious disease, one of the two Class A infectious diseases, caused by the transmission of Vibrio cholerae contaminated with water and food, and clinically characterized by rapid onset, violent diarrhea and vomiting, excretion of a large amount of rice-like intestinal contents, dehydration, muscle spasm oliguria and anuria, and severe cases can die due to shock, uremia or acidosis.

Vibrio cholerae was discovered in Egypt in 1883 during the fifth cholera worldwide pandemic by Koch, a German bacteriologist and medical scientist who won the 1905 Nobel Prize in Physiology and Medicine.

According to the clinical manifestations, cholera patients can be divided into typical cases, ** cases, and poisoning cases, ** cases are relatively mild, and typical cases, the situation is more serious, as for poisoning cases, it can also be called dry cholera.

Typical cases of cholera patients have typical symptoms of diarrhea and vomiting, with more severe cholera patients having up to 20 episodes of diarrhea per day, significant signs of dehydration, and a drop in blood pressure. In very severe cases, in addition to the typical symptoms of diarrhoea and vomiting, there is severe dehydration and therefore circulatory collapse. Presents with a rapid or palpable pulse and a marked drop in blood pressure. In mild cholera, patients have a slow onset, diarrhea is not frequent every day, generally not accompanied by vomiting, and the diarrhea persists for a few days and then recovers, with no obvious signs of dehydration.

However, in the case of poisoning, the situation is very serious, which is characterized by a very rapid onset, and died of circulatory failure before diarrhea and vomiting, so it is also called "dry cholera".

Even today, cholera affects 5.5 million people every year, including 120,000 deaths, and one in five deaths among children under five years of age are caused by cholera.

Hearing Fang Mutian's words, everyone was stunned, they were all famous medical experts, and no one knew better than them what cholera was. Although they had thought of such a possibility before, depending on the patient's condition, they did not dare to admit it, knowing that if it was really cholera, the consequences would not be imagined.

"Young man, don't talk nonsense if you don't understand, do you know what cholera is?" After a moment of silence, there was a sudden shout.

"Nonsense, it's just nonsense, how can it be cholera? Although the patients looked somewhat similar to cholera, I bet the cause of these patients was not cholera. ”

"Yes, it's just a different lung infection, it can't be cholera, if it's cholera, I'll cut off my head and kick it for you."

Almost everyone was very disdainful, looking at Fang Mutian with contempt, originally listened to Gu Xishan's words, listened to him blow so powerfully, thought that Fang Mutian was really a very powerful Chinese medicine doctor, but now it seems that he is just unworthy of his name, and he is just a waste of fame.

Feng Shan's face is not very good-looking, these people here are all experts in the field of pulmonary infections, and there are other very famous Chinese medicine practitioners, they have affiliated hospitals, and there are also high-level talents transferred from other hospitals and places, and they are ordered to be in danger, and they shoulder the expectations of the government and the people.

Although he also disagreed with Fang Mutian's opinion, but looking at the other people like clowns one by one, his face suddenly sank, at this time, he was still making a lot of noise here, and the serious situation he faced was reported by the media, and now everyone knows that if the more than 70 patients in the hospital cannot be treated, then this is not only a shame in the history of medicine, but also the world's largest medical malpractice scandal.

The credibility of the hospital no longer exists, not to mention, it is more than 70 lives, what kind of face will they have in the future for these doctors who are called life-saving and helping the wounded?

"That's enough, listen to Mr. Fang before speaking." Feng Shan shouted in a deep voice.

Gu Xishan also had a calm face, the person who proposed that these more than seventy patients might change the cholera was him, and now that Fang Mutian said so, he immediately believed it, for how powerful Fang Mutian was, others didn't know, he was very clear, the other party Mutian could be said to be blindly believing.

"Mu Tian, ignore them, tell me what you think, and, you say it's a cholera-like infectious disease? Isn't it cholera? Gu Xishan asked Fang Mutian.

Fang Mutian glanced at those people and nodded: "Yes, judging from the patient's pulse, the patient is suffering from a lung infection, the lung infection is serious, shortness of breath, tracheal secretions will inevitably increase, and severe fever, and at the same time, there is a urinary tract infection, and the internal organs are in danger of failure." You can compare it to the cholera disease in the past, is it very similar? ”

Feng Shan nodded and said, "Yes, it is indeed very similar." ”

When the others heard this, they didn't speak, because this is indeed very similar to the previous cholera incidence, almost exactly the same, they are experts, and they can naturally distinguish it, but they dare not admit that this is cholera, because cholera is so terrible, if it spreads, it will inevitably cause a social panic.

"I thought it was cholera, but," Gu Xishan said, shaking his head.

"I know what the impact of cholera can be." Fang Mutian nodded and said, "But this is indeed cholera, but it can also be said to be a serious infectious disease similar to cholera, because the patient is infected by the Vibrio cholerae variant, and this is more serious than cholera." ”

"Mr. Fang, is this really a cholera-like infectious disease? Or worse than cholera? Feng Shan asked solemnly, at this moment, he had basically completely believed Fang Mutian's words.

"Indeed, as I said, of course, as for whether you believe it or not, you can take my words as wind in your ears." Fang Mutian said with a smile. According to the information on the medical record, and he has recently read a lot of modern medical books, he is very confident in the patient's condition.

"Mr. Fang, do you have any cure?" Feng Shan asked.

Although the bacterial culture has been carried out, but the culture results have not come out, they can't prescribe the right medicine, they don't have any way, you must know that the first batch of patients are very seriously ill, they don't have the confidence to let the patients hold out until the bacterial culture results come out, and after the bacterial culture results come out, they have to study antiviral drugs, which will take time.

No one can afford to wait for today's situation.

"There is a way, with acupuncture, supplemented by traditional Chinese medicine, those patients can be cured." Fang Mutian nodded and said, "But be quick, I just found out that one or two patients are in very serious condition, if it is delayed any longer, I am afraid that even if the immortals come, they will not be able to save them." Also, I just heard that these patients are all from Yunnan Ethnic Village, you should contact them as soon as possible to see if there are any other patients, if so, you must control them as soon as possible, otherwise the epidemic will spread, and it will be troublesome. ”

"And as far as I know, almost all of the references in Yunnan Nationalities Village are groundwater, so if my guess is correct, please tell the people over there, and let them tell the local people to stop using groundwater."

"Stop using groundwater? Why? One of the people next to him wondered.

Fang Mutian glanced at him and said, "Because I suspect that this incident is very likely to be man-made." ”

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