Chapter 864: It's tetanus
"Dean Guo......" Xu Wei turned around to call Guo Xiang, but found that she was still staring at the old man's feet.
"What's wrong?" Xu Wei asked.
"How did you get this injury?" Guo Xiang pointed to a small wound on the old man's calf.
"Well, this is a few days ago to help a friend move, accidentally pricked by a nail on the furniture, and when I got home, I applied a red potion, and it was fine, so I left it alone." The eldest lady said.
Several people looked at each other and said in unison, "Tetanus?!" ”
On second thought, the tense facial muscles of the elderly, the inability to bite food and the inability to swallow are really symptoms of tetanus.
"I didn't have a tetanus shot at the time?" Guo Xiang asked.
"I didn't fight, how could we think of it so much, I used to bump and bump into some small injuries, and it was fine...... "The eldest lady said a little annoyed, no one thought that such a small injury would get tetanus this time.
Tetanus is caused by the exotoxin produced by Clostridium tetani that invades the wound, and clostridium tetani is easily attached to soil, rust, etc., so if you are injured outdoors, it is easy to get infected with tetanus.
Especially in small wounds of the same kind, Clostridium tetani is particularly prone to multiply.
Because Clostridium tetani is an anaerobic bacterium, what is called anaerobic bacteria is that it is particularly easy to survive in an oxygen-free environment and has a strong reproductive ability.
Some open wounds are not as easy to get tetanus.
Small, deep wounds promote the growth of Clostridium tetani because oxygen does not easily enter.
Therefore, if there is a wound, it is best to wash it with hydrogen peroxide before tetanus injection.
Otherwise, Clostridium tetani will multiply rapidly and then secrete exotoxins, mainly spasmodic toxins, which are absorbed into the spinal cord and brainstem, increasing nerve excitability and causing voluntary muscle tension and spasm.
The inability of the elderly to open and swallow is a tense spasm of the femur, and if it is severe, the tension of the respiratory muscles will lead to suffocation.
While they were discussing, the old man over there became short of breath and his whole body convulsed.
"Quick, get on the ventilator, go to the ICU!" Guo Xiang hurriedly rushed over.
The old man was pushed into the ICU, and Guo Xiang and they began to rescue.
"Can it be diagnosed?" Xing Ming was a little hesitant, although all the symptoms could be corrected, but Clostridium tetani had not yet been detected.
"It's too late to do bacterial culture, so let's prescribe the right medicine first." Guo Xiang said.
Tetanus is diagnosed mainly by trauma and symptoms, because bacterial culture is sometimes not possible.
There are mainly wounds, and there are typical symptoms, that is, muscle spasms, and the phenomenon of angular arch reflexion.
The angle arch is reversed like a bow, but the whole person is back up, like a reverse bow. If you have watched zombie movies, you may associate that the zombies in some movies will twist their whole bodies into incredible arcs when they have a seizure, which is a bit like that.
Treatment is now mainly with tetanus antitoxin and immunoglobulin.
Coupled with a large number of sedatives, muscle relaxants, etc., it is necessary to relax people's muscles.
The old man's respiratory muscles were too tense to breathe, and he couldn't insert an oxygen tube, so he had to tracheotomy and the ventilator was directly connected to the trachea.
The eldest lady was so frightened that she cried to the ground outside, and her face was terrifyingly white.
On the other side, the wound on the old man's leg is cut open to restore the aerobic environment and prevent the clostridium tetani bacteria that are still present in it from multiplying.
After doing this, the old man remained in a coma.
In the next few days, the situation was good and bad, and the muscle spasms were relieved to a certain extent, but it may be because the old man is old and his organs have been damaged, and the situation has not been good.
The old man's sons and daughters also came back from other places.
Guo Xiang told them about the situation, and emphasized that this situation can only be in the ICU, the cost is very high, and if they are not willing to be treated, they can be transferred to the hospital.
Because this situation can not be improved in a few days, it may take more than ten or twenty days or even a month, and the cost may be tens of thousands of yuan. In this era, tens of thousands of yuan are still a lot for ordinary families.
Guo Xiang: This is a private hospital, she wants to make it clear, and it is impossible to treat it without money.
And she can't guarantee that it will be cured, now she is only relieving the symptoms, but if you want to say that the old man can't be cured, it is not necessarily.
After discussing it with the old man's children, they decided to continue to govern it, and there was still hope for it.
Now that everyone is still alive, can't you just pull out the tube and watch him die?
They can't.
The old couple originally had a little savings, and the children scraped together some money to pay off the previous medical expenses first, and then continue the treatment.
It took almost a month for the old man to get better, and the whole person was skinny.
But it's a blessing that people are still alive.
When he was discharged from the hospital, his children came to pick him up, and everyone cried excitedly.
"It's good that several children are filial, otherwise where would the old man be good?" Xing Ming sighed, it is also their family background is okay, if it is their own family, they don't have the ability at all.
"Yes, so the education of children is very important." Guo Xiang nodded.
Some people's families, whether it is one child or several children, the first thing they think of when they encounter this kind of thing is themselves, and they feel that it is a waste to use it for the elderly, and they will not live for a few years anyway, so why spend that money.
Taking it home is actually a dead end, and they all know in their hearts that there are still people who do it.
However, everyone has their own choice, which is understandable, Guo Xiang does not want to teach people how to be a person, it is all in their own decision.
What she wants to tell them is the truth, and let them choose.
It's December again, and the weather is getting colder and colder, and the temperature is already below zero.
After an operation that day, Guo Xiang saw that it was snowing outside the window, and he didn't know if the two little balls were dressed enough.
The kindergarten is close to home, so the children are walking to school, Ye Qian has never given birth, and may not think of bringing clothes to the child, Guo Xiang decided to get off work earlier to pick up the child.
She drove the car and took the child to the car, and she was not afraid of the cold if she had a warm wind in the car.
I told Xu Wei to get off work first and drive to pick up the child.
When she arrived at the kindergarten, Ye Qian was already waiting outside, and she stood outside and stomped her feet in the cold.
"Ye Qian, come up!" Guo Xiang shouted, this kid is too sincere, he doesn't know how to go indoors and sit indoors and wait for the kid to come out before coming over.
Ye Qian saw that it was Guo Xiang who came and hurriedly got into the car, "Sister Guo! ”
"Why don't you wear gloves?" Guo Xiang asked, turning on the warm air a little wider.
"I didn't think it was cold when I came out, but now I realize it's quite cold." Ye Qian sighed on her hand and rubbed it.
"Then you go to the shop next to you and sit down, and then come out later, it's so cold." Guo Xiang said.
"It's okay, school will be out soon, I'm afraid that the children won't see me when they come out." Ye Qian said.
Guo Xiang looked at her, this child has a strong sense of responsibility, so she can rest assured that the child will be handed over to her.
"You'll be twenty-two years old after the New Year, it's time to find a partner, right?" Guo Xiang looked at Ye Qian with a smile, "As old as you, the sisters in my hometown have babies." ”
Ye Qian's face flushed, "I'm not in a hurry!" ”