Lu Li leaned in front of Wang Xiaoxiao, "I don't know if there is nutrition, but your way of eating has abandoned an important and milestone practice in the history of human evolution." ”

"Huh? How to do it? ”

"Eating cooked food, eating cooked food is an important sign that distinguishes humans from animals, and if you eat food raw, you are degrading to lower animals."

"Lu Li!" Stared at Lu Li angrily, "You're still mocking me." ”

"I don't mean to be sarcastic." Lu Li pointed to several non-conformities on the report and explained: "Look at these items, some bacteria exceed the standard and have parasite eggs, which are all the consequences of eating undercooked food." ”

Wang Xiaoxiao also knew that eating raw vegetables was easy to be infected with various parasites and pathogenic bacteria, and Lu Li's gaze softened, "Well, my habit of eating raw vegetables has to be changed, but I still have to stick to a vegetarian diet, and in the future, vegetables will not be eaten raw, but boiled." ”

"Lose weight like boiled vegetables, stick to it for a spring, and by the summer, you will be able to turn from a cotton flower into a slender lily."

"Lu Li, you try to bring cotton again!"

"Okay, okay, don't mention cotton, let's discuss the location of the lunch dinner."

……

Lu Li and Wang Xiaoxiao were talking about the lunch dinner when the office phone on Gu Yanan's desk rang.

After answering the phone, Gu Yanan frowned slightly, interrupted the discussion between Lu Li and Wang Xiaoxiao, and announced to everyone in the emergency office, "The lunch dinner has been canceled, and there is a disease control task." ”

"Another outbreak? Where? ”

"Just now the Xiushan County Center for Disease Control and Prevention called, there was a suspected collective food poisoning incident in Xiushui Village under their jurisdiction, and as of nine o'clock this morning, three people have died, 12 people have been hospitalized, and four of them have been transferred to the city's First People's Hospital."

"Xiushan County? It sounds like a familiar name. Suspected of food poisoning? Still dead? What could be the reason? Microbial factors? Physicochemical factors? Lu Li seemed to be asking others, and he seemed to be talking to himself.

"If everything is figured out, what else do we need from the CDC?" Wang Xiaoxiao habitually scolded.

Gu Yanan began to assign tasks, "Zhou Lao and Gao Fei went to Xiushan County to investigate the villagers' homes with the local CDC, and Lu Li and I went to the First People's Hospital to sample patients. ”

"What about me?" Wang Xiaoxiao asked.

"You first contact your colleagues in the laboratory and ask them to prepare the detection reagents for intestinal infectious diseases in spring, as well as various reagents for the physical and chemical detection of wild vegetable poisoning, and then sort out a document of Xiushan County."

"Information from Xiushan County? About what? ”

"Population, climate, vegetation, landforms, crops, outbreaks over the years...... Everything that would be helpful in the investigation of this incident has been organized. ”

"Understood!"

——

The First People's Hospital of Lianhai City.

The villagers of Xiushui Village who were transferred to the hospital were arranged in the gastrointestinal department.

When Gu Yanan and Lu Li arrived, the doctor had just finished examining the patient, and Gu Jiashu was also in the ward.

Seeing Gu Yanan and Lu Li, Gu Jiashu walked out of the ward.

"Brother, why are you in the gastroenterology department? How are the patients doing? ”

"The hospital dispatched experts to organize a consultation, I just participated in the consultation, the patient's condition is not optimistic, the four patients who were transferred to the hospital have serious symptoms, Xiushan County Hospital has just contacted, and there are two serious patients in their hospital, and they are planning to transfer to the hospital together."

"Diagnosis?"

"The county hospital preliminarily diagnosed food poisoning, and those with mild symptoms after gastric lavage enema stayed in the county hospital for further treatment, and those whose symptoms did not alleviate were sent to our city hospital."

Gu Yanan first looked at the case file.

Clinical manifestations of four severe cases, digestive symptoms: abdominal pain, diarrhea, nausea, vomiting.

Cardiogenic symptoms: dizziness, headache, chest tightness, fatigue.

Neurological symptoms: dry mouth, fever, numbness of the tongue.

Respiratory symptoms: shortness of breath.

Looking at the clinical laboratory results again: abnormal alanine aminotransferase and abnormal lactate dehydrogenase in liver function; abnormal uric acid in renal function; abnormal creatinase and oxybate dehydrogenase in myocardial function; abnormal white blood cell, lymphocyte, and neutrophil counts in routine blood count; All of them had serious damage to multiple organs such as liver, kidney, and myocardium.

After reading the case, Gu Yanan already had a general understanding that the hospital's treatment of the patient was symptomatic, and now the important thing was to find the cause of the poisoning.

Microbial factors? Or physicochemical factors?

"Brother, what other tests did you do in the laboratory department of your hospital? Food poisoning. ”

"The laboratory department of our hospital has limited testing items for food poisoning, and there are only a few bacteria that can be done in terms of microorganisms, and there are only a few kinds of poisons that can be done, and we have to wait for your disease control to assist in testing."

"Okay, send the patient's specimen to the disease control laboratory first, but the range of various physicochemical and microbial organisms is too wide, and it is necessary to determine a general range for the laboratory, so now we will ask the patient first to understand the relationship between the outing history, dietary history, and daily neighborhood."

Gu Jiashu: "Neighborhood? Do you suspect poisoning? ”

"This possibility cannot be ruled out, and no possibility can be let go until the results of the flow survey are out."

Lu Li also expressed his opinion, "It's spring now, there are all kinds of mountain flowers, wild vegetables and wild mushrooms, and Xiushui Village is a mountainous village, did the patients eat poisonous wild vegetables and wild mushrooms?" ”

"Well, that's the point of inquiry."

In the gastroenterology ward, Gu Yanan and Lu Li began to question.

In one of the wards, there are three grandchildren, Uncle Wang, Grandma Wang and little grandson Wang Duoduo.

Directly entering the topic, Lu Li asked Uncle Wang, "What are your recent diets?" Did you eat something different from your usual food? Like wild vegetables or something? ”

Uncle Wang vomited and diarrhea several times, and now he is weak, because his mouth and tongue are numb, and his speech is a little unfavorable, "No...... Didn't eat anything different. ”

Seeing that his wife was struggling to speak, Grandma Wang in the next bed answered: "My family usually eats rice and various vegetables, and occasionally eats some meat, rice and vegetables are home-grown, meat is bought in the market, and wild vegetables are often eaten, mainly bamboo shoots, purses, dandelions, and wormwood cakes dug from the back mountain, and we also ate wormwood cake once two days ago, which we often eat." ”

"Have you ever eaten a mushroom in the wild?" Because several wild mushroom poisoning incidents had been dealt with every spring before, Lu Li deliberately asked this time.

"No, I haven't eaten mushrooms lately."

"Anything else at the entrance?"

"Honey, wild honey." Grandma Wang suddenly remembered the huge wild beehive yesterday, "Yesterday my wife found a wild beehive from the forest in the back mountain, and there was a lot of honey in the hive, we all ate a little bit of it, and distributed a lot of it to the neighbors. ”

Gu Yanan and Lu Li glanced at each other, feeling that they had found a clue.