Gu Jiashu shook his head.

"No?" Gu Yanan asked.

"No, I haven't asked, why did our doctor ask so carefully? That's why I asked you disease control people to investigate. ”

Gu Jiashu gently pushed open the door, tried to avoid making a sound, and beckoned to Wang Juan, who was accompanying her at the bedside, and motioned for her to come out.

Wang Juan saw Gu Jiashu's gesture and walked out of the ward very cooperatively.

Gu Jiashu introduced Wang Juan, "This is Director Gu of the Emergency Office of our Municipal Center for Disease Control and Prevention, she wants to investigate Xu Feng's epidemiological history, and I hope you can answer a few questions." ”

Wang Juan nodded.

Gu Yanan began to ask, "Are you Xu Feng's girlfriend?" ”

"Hmm."

"How long have you known each other?"

"Xu Feng and I are neighbors and have known each other since childhood."

"When Xu Feng was a child, did he have the experience of being bitten by cats and dogs?"

"Nope."

"Are you sure?"

"Sure. Xu Feng's mother is allergic to dog hair, so she never has a dog at home, and Xu Feng's family is forbidden to come into contact with cats and dogs. ”

"Has Xu Feng ever eaten dog meat?"

"No, Xu Feng is usually very picky about eating, except for chicken, duck and fish, pork, beef and mutton are rarely eaten, even if he eats a few times occasionally, he eats lean meat, never eats offal and the like, dog meat, and wild animals and the like, and never eats it."

"Then did Xu Feng have any experience of being bitten by a bat?"

Wang Juan paused slightly, shook her head and said, "It should be...... No. ”

"Should?! Has Xu Feng been in contact with bats recently? ”

"Well, Xu Feng and I recently went camping in the Yuntai Mountains with a few travelers, and found a bat cave, and we stayed in the cave for one night, but I'm sure Xu Feng hasn't been bitten by bats."

Is there a bat cave on Yuntai Mountain? Gu Yanan wondered in her heart, she herself had been to Yuntai Mountain several times, but she had never found a bat cave.

Gu Yanan asked: "Do you remember where the bat cave is located in Yuntai Mountain?" ”

"Yuntai Mountain Range, Wild Monkey Ridge."

The Wild Monkey Ridge in the Yuntai Mountains is famous for the wild monkey infestation, although the scenery is good, but because of the dangerous terrain, it is inaccessible.

Gu Yanan once wanted to go, but as soon as he thought that there had been a news report that someone had lost his foot in the Wild Monkey Ridge, Gu Yanan dispelled the idea of going to the Wild Monkey Ridge.

Gu Yanan analyzed Wang Juan's words in his heart, Xu Zheng ruled out the experience of cat and dog bites and scratches, and the only possible contact with rabies virus was to go to a bat cave, but he had never been bitten by a bat.

Gu Yanan remembered a previous document about the introduction of the rabies virus through the air.

If the aerosols formed by the rabies virus in the air reach a certain concentration, the rabies virus can infect the mucous membranes of the human respiratory tract through breathing, further causing rabies.

Could it be that Xu Feng's situation is rabies transmitted through the air?

In order to draw specific conclusions, it is necessary to have a corresponding on-site investigation basis.

Gu Yanan decided to go to the bat cave in Wang Juan's mouth located in the Wild Monkey Ridge in the Yuntai Mountains to check a few bats in the bat cave to check whether those bats carry the rabies virus, especially to check the air and surrounding environment in the bat cave.

Before going to the bat cave for examination, Gu Yanan decided to examine Xu Feng carefully first, after all, compared with the on-site investigation, the patient is the most basic.

Gu Yanan said to Gu Jiashu, "Doctor Gu, I want to see Xu Feng in person, is it okay?" ”

"Yes, but although Xu Feng has entered the paralysis period, you still have to be careful when you check him."

Gu Jiashu took out a pair of latex examination gloves from the pocket of his white coat and handed them to Gu Yanan.

Gu Yanan put on gloves and entered the isolation ward.

Standing beside the hospital bed, Gu Yanan looked at Xu Feng on the hospital bed.

Gu Yanan examined Xu Feng and found that Xu Feng had limp paralysis, eye muscles, facial muscles, and masticatory muscles were involved, eye strabismus, irregular tremor of the eyeball, jaw dropping, mouth half open, lack of facial expression, and obvious consciousness disorder.

When inspecting the arm, Gu Yanan opened Xu Feng's palm and found that there was an obvious wound in the palm of his left hand, the wound had obviously healed not long ago, and the scar on the wound was still pink and red.

Gu Yanan pointed to the wound on the palm of Xu Feng's hand and asked Wang Juan, who was standing next to him, "When did you get this wound?" How? ”

Wang Juan explained, "This injury is the last time we went to the Wild Monkey Ridge in the Yuntai Mountains together, we were scratched by the stones in the cave when we were camping in the bat cave, not by a bat. ”

Gu Yanan frowned slightly, and Gu Jiashu, who was standing on the side, asked, "Is there anything wrong with this wound?" At that time, when Xu Feng first entered the hospital for examination, I found a wound on his palm, because this wound was an obvious scratch, and I also asked the family to confirm that it was not scratched by a cat or dog, so I ruled out the possibility of rabies infection through the wound on the palm. ”

Gu Yanan didn't answer Gu Jiashu, but asked Wang Juan, "Did Xu Feng touch a bat with this injured hand?" Like catching a bat with your bare hands? Or touch a bat? ”

Wang Juan shook her head, "No, Xu Feng and I both thought that bats were dirty and scary, and after seeing bats in the depths of the bat cave, we retreated, only stayed at the entrance of the bat cave for one night, and left early the next morning." ”

Gu Yanan thought to himself that the possibility of spreading rabies through the air could not be ruled out, and coupled with the wound on Xu Feng's hand, the possibility that he had inadvertently come into contact with other substances with rabies virus also existed.

Just as Gu Yanan was about to end the questioning, Wang Juan suddenly added, "Oh, I remember, when I was in the bat cave that night, Xu Feng's palm wound was put with a band-aid, because we were startled by the bat on the cave wall and almost fell, Xu Feng's palm touched bat feces, but when we returned to the tent, I used alcohol to detoxify his wound and put a new band-aid on it." ”

Human wounds come into contact with bat secretions, which may also be a route of rabies transmission.

But no matter what the specific way Xu Feng was infected with the rabies virus, Gu Yanan's on-site epidemiological investigation trip had to go to the bat cave on the Wild Monkey Ridge in the Yuntai Mountains to check it out.

Before leaving the infectious disease department, Gu Yanan instructed Wang Juan, who accompanied Xu Feng, "You also have to go to the CDC for rabies vaccination, the sooner the better." ”

Wang Juan was puzzled, "I wasn't bitten by Xu Feng, why do I have to get a rabies vaccine?" ”

"You went to the bat cave with Xu Feng, and although Xu Feng was not bitten by a bat, he was still infected with the rabies virus.

Now that the route of infection is not clear, and you have the same contact history, rabies vaccination is currently the best way to prevent you from developing rabies. ”

After instructing Wang Juan, Gu Yanan said to Gu Jiashu again, "The person who was bitten by Chen Feng on the subway also needs to be vaccinated against rabies, and if the injury is serious, he will also be given immunoglobulin." ”

Gu Jiashu: "I know, that person has been notified to go to the CDC for rabies vaccination, and as for Wang Juan, I will also let her go as soon as possible." ”

。 m.