Chapter 88: Wounds or Wounds
The older Zhou Jie also came up to talk, "I think it's okay, Director Gu didn't shout to stop, she should be able to stand it." ”
Wang smiled: "Old Zhou, you are from the past and have love experience, what do you think is the situation in front of you?" ”
Zhou Jie looked at Nan Hanfei and Gu Yanan, who were still training on the field, "One is willing to fight, the other is willing to suffer!" ”
"Can you do this?!" Wang Xiaoxiao looked at Nan Hanfei and Gu Yanan on the field in disbelief.
Gao Fei seemed to have realized, "This should be a little love between lovers, but we outsiders can't understand it." ”
Just as everyone was staring at Nan Hanfei and Gu Yanan training on the field, a mobile phone suddenly rang in the pile of clothes placed in the corner of the training ground.
Wang Xiaoxiao ran over and found the ringing mobile phone from the pile of clothes.
Seeing the incoming call from the mobile phone, Wang Xiaoxiao seemed to have picked up a life-saving straw, and hurriedly shouted at the field, "Sister Yanan, your phone, caller ID is Gu Jiashu." ”
Today is Saturday morning, and my brother Gu Jiashu should be working in the hospital at this time, why did he suddenly call?
Gu Yanan, who was thrown on the mat, made a stop gesture towards Nan Hanfei, then stood up with great difficulty, walked in front of Wang Xiaoxiao, and took the mobile phone.
The mobile phone was connected, and the voice of my brother Gu Jiashu came, "Little sister, a rabies patient came to our hospital, asked about his epidemiological history, and found that he had not been bitten by cats and dogs before. ”
Gu Yanan asked, "Are you sure it's rabies?" Could it be rabies hysteria? ”
Gu Jiashu: "It was determined that it was rabies, and the laboratory department of our hospital detected the rabies virus from his saliva. ”
"When will the laboratory department of your hospital be able to do a rabies confirmation test?" In the past, there were suspected cases of rabies, and the patient's specimens were sent to our disease control. ”
Gu Jiashu explained, "Last month, an in vitro diagnostic reagent manufacturer sent a batch of colloidal gold kits to the laboratory department of our hospital to detect rabies virus pathogens for trial, and the laboratory department used this batch of kits to detect rabies virus antigens from the patient's saliva samples, so the diagnosis was confirmed. ”
Gu Yanan: "Colloidal gold kit for detecting rabies virus pathogens? There are several on the market, but the general false positive rate is very high, and to confirm the diagnosis, it is better to have a higher accuracy rate of nucleic acid testing. ”
"Hmm...... Okay, that's the same as before, the patient's saliva, cerebrospinal fluid and other specimens, I will send them to your CDC laboratory, but from the patient's clinical symptoms, it is indeed rabies, we preliminarily determined that it is rabies according to the patient's clinical symptoms and the laboratory diagnosis of the laboratory, just ask about the medical history, the patient has no experience of being bitten and scratched by cats and dogs, which is very strange. ”
"Okay, I see, I'll go to your hospital right away."
After hanging up the phone, Gu Yanan rubbed his arm that was hurt by the fall, took his clothes and prepared to go to the hospital.
Wang smiled: "Sister Yanan, there is a new epidemic again?" ”
"Well, there is a suspected rabies patient in the People's Hospital, and I am going to do an on-site investigation. The patient's specimen will be sent to our CDC laboratory, and you and Lu Li will see who goes back to do the rabies test for the pathogen and the others can stay here. ”
Wang Xiaoxiao was tired of exercising for a long time, and immediately volunteered, "I! I'll go back! ”
Lu Li: "Xiaoxiao, why don't you stay and I'll go back?" ”
"No, the nucleic acid test of the rabies virus is very fast, and the results can be obtained in two hours, I used to do it often, you stay and exercise well, and when you go out of the scene in the future, I will still point to you for protection."
Wang Xiaoxiao immediately got dressed and prepared to go back with Gu Yanan.
Before leaving, Gu Yanan said goodbye to Nan Hanfei, "I left halfway through today's workout, and I will make up for it later." ”
Nan Hanfei smiled and made an OK gesture towards Gu Yanan, "As long as you want, I'll be on call." ”
——
Lianhai First People's Hospital, Department of Infectious Diseases.
In the isolation ward, a young male patient is lying on a hospital bed with restraint bands tied by a nurse, and a young girl is accompanying him.
Gu Yanan stood outside the ward, looking in through the glass of the ward door.
The man's forehead was sweating, and the girl who was accompanying him was sobbing as she wiped him.
Gu Yanan asked Gu Jiashu beside him, "Brother, what is the patient's situation now?" ”
"The patient's name is Xu Feng, and he was sent to the hospital yesterday morning.
When it was delivered, the person had convulsions all over his body, sweating and salivating, and his consciousness was impaired.
The ambulance came with Xu Feng's girlfriend Wang Juan.
Wang Juan introduced that when Xu Feng took the subway to work that morning, he suddenly went crazy and bit the passengers who were also sitting on the subway, and then fell to the ground in pain all over his body.
After Xu Feng was brought here, our hospital conducted a routine blood and urine test and cerebrospinal fluid examination on him.
The proportion of white blood cells in the blood is increased, the urine test shows mild proteinuria, and the cerebrospinal fluid pressure is increased.
After arranging for Xu Feng to be hospitalized, it was found that he had the typical hydrophobia symptoms of rabies, hearing the sound of water and wind would cause severe throat muscle spasms, and he was very sensitive to light, sound, and touch, and was very manic.
According to the clinical symptoms, we notified the laboratory to examine Xu Feng's saliva, and rabies virus antigen was detected in the saliva, so rabies was diagnosed.
Xu Feng's course of the disease progressed rapidly, and now he has entered the paralysis stage, and it can be seen that his spasms have stopped now, the patient is very quiet, and he has developed flaccid paralysis. ”
Gu Yanan saw through the glass on the door of the ward that Xu Feng was paralyzed on the hospital bed weakly, his eyes were squinting, his gaze was divergent, his mouth was half open, his chin was tilted to the side, and saliva was constantly flowing from the corners of his mouth.
Gu Jiashu sighed with sentimentality, "At present, rabies is still an incurable disease in China, although there have been several reports of curing rabies abroad, but there is no precedent for curing it in China. ”
Gu Yanan: "The rabies cases that have been cured abroad you mentioned are all infected with the rabies virus strain transmitted by vampire bats, which is a low-virulence street strain, which is different from the rabies virus strain that is prevalent in dogs in China, so they have the possibility of being cured, and there are no examples of cures in China."
However, despite this, the hospital will do its best, and this may be the first case to be cured in Japan. ”
Gu Jiashu nodded, "We are treating the symptoms, but the patient has entered the paralysis stage, and there is little hope of cure." ”
Gu Yanan: "You have asked about Xu Feng's epidemiological history?" ”
"After Xu Feng was sent to the hospital, he has been in a state of consciousness disorder and can't ask questions, we asked Wang Juan, who accompanied Xu Feng, and she said some.
Wang Juan said that Xu Feng hates cats and dogs, so he does not have pets such as cats and dogs at home, and he never approaches, so he is very sure that Xu Feng has not been bitten or scratched by cats and dogs. ”
Gu Yanan: "Have you ever eaten dog meat?" Or have you been bitten by wolves, rats, etc., on a safari? ”
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