Gu Yanan also felt very strange, "A sneeze can cause a broken rib, how brittle Li Jinhua's bones are!" Does she have any underlying medical conditions? ”

Gu Jiashu shook his head and sighed slightly, "Tumors, as well as various metabolic diseases, have all been checked, but no." ”

Gu Yanan read the medical records, "Li Jinhua is only 42 years old, it is too abnormal for her to have such a serious osteoporosis at her age, there must be some reason for the massive loss of calcium in her body, and her kidney function is also damaged." ”

"Not only bone loss and kidney damage, but she also had symptoms such as loss of smell, atrophy of the nasal mucosa and anemia."

"Are you sure it's not myeloma?"

"Since Li Jinhua was transferred to the hospital, she has been complaining of pain, pain all over her body, and my first reaction at that time was also that it was myeloma, but after various examinations, it was determined that it was not."

"Shout out that it hurts! Or is it painful? Gu Yanan asked.

"Well, Li Jinhua looks very painful and keeps crying out for pain, which usually occurs in patients with advanced myeloma."

"It hurts, I keep shouting that it hurts, it hurts, it ......hurts," Gu Yanan seemed to be talking to himself, "It hurts...... Pain...... Painful disease? ”

"Painful? Cadmium poisoning! Gu Jiashu repeated in shock.

"Osteoporosis, kidney dysfunction, these are all consistent with the symptoms of pain disease, chronic cadmium poisoning can lead to pain ......"

Before Gu Yanan's words were finished, Gu Jiashu suddenly stood up and was about to leave.

"Brother, I haven't finished my meal yet, where are you going?"

"Go back to the hospital and check Li Jinhua's cadmium and urine cadmium levels."

Gu Jiashu quickly disappeared at the door of the restaurant.

Gu Yanan ate the sauerkraut fish on the table without hurry, and said to himself, "You have to call me later." ”

Sure enough, more than 20 minutes later, Gu Jiashu called Gu Yanan again.

"Little sister, the laboratory department of our hospital can't do blood cadmium and urine cadmium tests for the time being, can you do it there?"

"Of course, send the samples to our CDC laboratory, and I will give you the results as soon as possible."

——

Lianhai Center for Disease Control and Prevention, Laboratory.

Lu Li used mass spectrometry to measure Li Jinhua's blood and urine samples, and the cadmium content in them had been measured.

10 micrograms per liter of cadmium in blood and 15 micrograms per liter of cadmium in urine.

Both cadmium levels in blood and urine were seriously exceeded.

Lu Li took the experimental test report to the emergency office and handed it to Gu Yanan.

Gu Yanan looked at the report sheet and frowned slightly.

Lu Li said on the side, "Did this person eat the battery as a meal?" The cadmium content in the body is also too high! ”

Hearing Lu Li's voice, Wang Xiaoxiao also came over.

"Cadmium poisoning patients?" Wang Xiaoxiao asked.

"Urine cadmium and blood cadmium are so high, it must be cadmium poisoning."

"Acute cadmium poisoning? Occupational disease? Wang Xiaoxiao asked.

Lu Li shook his head, "There are only urine and blood samples from the patient, and I haven't seen the patient's medical records yet, Sister Yanan should have seen it." ”

Gu Yanan took an electronic photo of the test report with his mobile phone, immediately sent it to Gu Jiashu, and called Gu Jiashu at the same time, saying: "Brother, Li Jinhua's test report has come out, and the electronic version has been sent to your mailbox, and you can send me an electronic version of Li Jinhua's medical record." ”

Lu Li and Wang Xiaoxiao both looked at Gu Yanan.

Gu Yanan explained, "I have already seen Li Jinhua's medical records at noon, and from the symptoms, it is chronic cadmium poisoning. ”

Lu Li: "If it was chronic cadmium poisoning, her blood cadmium concentration should not be so high." ”

Gu Yanan analyzed: "Li Jinhua should have ingested substances containing cadmium for a long time, so the blood cadmium and urine cadmium content are very high, and her symptoms are very similar to the pain disease, one of the eight major public pollution diseases that was famous before." ”

"Painful?!" Lu Li and Wang Xiaoxiao exclaimed at the same time.

Wang Xiaoxiao: "We have also done cadmium poisoning tests before, but they are all acute cadmium poisoning, such as smelter workers inhaling exhaust gas containing heavy metal cadmium to cause acute cadmium poisoning, or eating acidic food in chromium cadmium containers, resulting in acute food cadmium poisoning, chronic cadmium poisoning patients are really rare." ”

Lu Li: "Sister Yanan, can I take a look at Li Jinhua's medical records?" I have only seen the pain caused by chronic cadmium poisoning, and I have not seen a real case, which opened my eyes. ”

Gu Yanan also sent Lu Li a copy of the electronic medical record of Li Jinhua sent by Gu Jiashu.

Wang Xiaoxiao stood in front of Lu Li's desk, and the two looked at Li Jinhua's medical records together.

From the beginning to the end, Wang Xiaoxiao couldn't help but sigh: "Kidney damage, pulmonary fibrosis, osteoporosis fractures, nasal mucosal atrophy and ulcers, loss of smell, this Li Jinhua also accounted for all the symptoms of pain." ”

Lu Li: "I don't know what the source of Li Jinhua's cadmium poisoning is?" ”

Wang Xiaoxiao turned his head and asked Gu Yanan on the desk next to him, "Sister Yanan, do we need to conduct an epidemiological investigation on this case?" ”

Without waiting for Gu Yanan to answer, Zhou Jie interjected: "According to the past practice, for patients with heavy metal poisoning, the hospital should report to our CDC in a timely manner while treating them, and our CDC should conduct epidemiological investigations on the patients. ”

Gu Yanan: "Indeed, as Zhou Lao said, according to the regulations, for heavy metal poisoning, for example, for the diagnosis of cadmium poisoning this time, there must be an examination report of cadmium in blood and cadmium in the urine, and those who have the qualification for this inspection are generally the CDC."

After it is confirmed that it is heavy metal poisoning, we will conduct an epidemiological investigation of the patient, find out the cause of the poisoning, and prevent similar incidents from happening again. ”

Wang smiled: "It seems that we are going to be busy again, what to do next." ”

Zhou Jie: "As before, it is the normal epidemiological investigation, first go to the hospital to ask about Li Jinhua's relevant medical history, and then go to the place where Li Jinhua lives and works to check. ”

Gu Yanan: "There are no more than two cases of cadmium poisoning in humans, one is inhaled through the respiratory tract, and the other is ingested through the digestive tract, respiratory inhalation generally leads to acute cadmium poisoning, Li Jinhua's situation is chronic cadmium poisoning, so it is more likely to be ingested through the digestive tract. ”

Lu Li was already eager to try, "When will the epidemiological investigation of Li Jinhua's cadmium poisoning begin?" ”

Gu Yanan glanced at the sky outside the emergency office.

It's already early evening, and it's almost time to get off work in the afternoon.

Dark clouds obscured the setting sun, and the sky became darker.

Gu Yanan: "The weather forecast says that there will be a heavy rain tonight, and we will go to Li Jinhua's house after the rain stops tomorrow, and today I will go to the hospital to find Li Jinhua to ask her about her epidemiological history, and the others can go home from work." ”

——

Lianhai First People's Hospital, Department of Infectious Diseases.

After getting off work that evening, Gu Yanan came to the infectious disease department and found his brother Gu Jiashu first.

"Brother, where is Li Jinhua's ward? I'm going to ask her something. ”

"Your CDC has begun to investigate the cause of Li Jinhua's poisoning?"

"As soon as we received the report from your hospital, we began to investigate, and today we only inquired about Li Jinhua's epidemiological history, and we will only go to the scene tomorrow."

In Li Jinhua's hospital room, Li Jinhua's husband Li Yuanshan is accompanying him at the bedside.

After Gu Jiashu and Gu Yanan entered the ward, Gu Jiashu first introduced Li Yuanshan, "This is Director Gu of the CDC, if you want to investigate this cadmium poisoning incident, she will ask you some questions, and I hope you will cooperate as much as possible." ”

。 The fastest website for mobile version update: m.