After taking cold medicine twice, the fever not only did not go away, but became more serious.

"Kid's father, I'll go get the fever reducer, you take it again."

His wife, Li Xiaoju, brought hot water from the kitchen, took out the fever-reducing medicine she had just bought in the afternoon from the drawer, and sent it to her husband next to the bed.

Her husband Xia Youfa sat up with difficulty, and began to cough violently before he could take the water cup and medicine.

Li Xiaoju hurriedly put down the water cup and medicine, patted her husband's back, and comforted him.

Accompanied by a violent cough, Xia Youfa had a grunting sound in his throat, and after a violent cough, he vomited a pool of blood.

Hematemesis is not a symptom of a common cold.

His wife Li Xiaoju panicked.

Looking at her husband's face under the light, I found that there was still a bloody face in the afternoon, but it was already sallow at this time.

His wife Li Xiaoju cried, "Child, dad, don't scare me, you definitely don't have a cold, let's call 120 to call an ambulance." ”

3 a.m.

The whistle of the ambulance pierced the night sky and entered Xiajia Village.

Soon, I went all the way to the nearest county hospital.

——

County Hospital, Emergency Department.

The drowsy emergency doctor looked at the middle-aged man who had just been lifted off the ambulance and began to check his condition.

Take your temperature and listen to your heart and lungs......

After checking it out, I started to ask, "What is wrong with you?" ”

Li Xiaoju, who was guarding her husband's side, hurriedly replied, "My husband has been a little unwell since yesterday, he has a fever and pain all over his body, at first he thought it was a cold, and he didn't get better after taking cold medicine. ”

"What kind of cold medicine are you taking?"

Li Xiaoju poured the cold medicine she had brought from home on the doctor's desk.

The emergency doctor frowned and glanced at the medicine on the table, shaking his head, "He's not a cold, it's useless to take these medicines." ”

"And what's wrong with my husband?"

Instead of answering directly, the emergency doctor asked, "Do you have pigs at home?" ”

Li Xiaoju was asked inexplicably, but she still answered truthfully, "I raised two heads." ”

"Are there mosquitoes in your house?"

"My family lives in the countryside, and there must be mosquitoes."

"Have you ever been bitten by a mosquito before you got sick?"

Xia Youfa scratched his elbow, and there was a red envelope on it that had been scratched, "I was bitten by a mosquito a few days ago, and I bit several bags, and this one on my elbow is the most serious." ”

His wife, Li Xiaoju, followed and muttered in a low voice, "I live in the countryside, and it's summer, how many people haven't been bitten by mosquitoes?" But does my husband's illness have anything to do with my pigs and mosquitoes? ”

"Of course it has a relationship, according to the examination I just had, I think your husband has Japanese encephalitis, an epidemic transmitted by mosquitoes, recently our county hospital has found several cases, all reported to the infectious disease system, you are fortunate to find it early, come to the hospital in time, rest assured, you go through the hospitalization procedures first, I will prescribe you some antiviral drugs, it will be fine soon."

When the emergency doctor said this, his wife Li Xiaoju felt that the doctor in the county was reliable, and she knew what the disease was after only checking it, but after thinking about it carefully, she felt that there was a problem, and asked, "Doctor, doesn't my husband need to do other examinations in this case?" I see that all the patients who are hospitalized have to have their blood checked. ”

"Of course, you have to check, not only blood, but also cerebrospinal fluid, after you are hospitalized, there will be a special bed doctor and nurse to check you, but the results of the examination can only be done after the doctor in the laboratory department goes to work during the day.

Don't worry, I won't give you less checkups, and I won't charge more. ”

Li Xiaoju completed the hospitalization procedures for her husband according to the doctor's instructions, and soon, the doctor in charge brought the medicine and put a drip on Xia Youfa.

——

8:30 a.m.

Xia Youfa has been admitted to the county hospital for more than 4 hours.

The day shift doctor and the night shift doctor start the shift.

The bedside doctor begins to make rounds one by one.

Li Xiaoju stayed by her husband's side and didn't sleep all night.

Four hours after the injection, her husband's symptoms did not improve, but instead of improving, he had a groggy fever.

Li Xiaoju was anxious, and without waiting for the doctor in charge of the bed to find out, she hurriedly ran over to find the doctor, "Doctor, it's not good, my husband's condition is not right, you go and take a look." ”

The doctor came to Xia You's bedside, looked through the cases, and checked the signs.

After the examination, the doctor instructed the nurse on the side, "The results of the laboratory have not come out yet, call to urge, but the antiviral drugs used before are not effective, and adrenal corticosteroids are added." ”

10:30 a.m.

Two hours after the addition of adrenocorticosteroids and another antiviral drug, Xia Youfa's condition continued to worsen.

After coughing up blood and vomiting blood several times, he fell into a coma.

At the same time, the results of Xia Youfa's blood test and cerebrospinal fluid test from the laboratory department of the county hospital also came out.

JE virus was not found in blood and cerebrospinal fluid.

Doctors at the county hospital urgently consulted and suspected that it might be acute jaundice viral hepatitis.

The hospital's laboratory department urgently tested for the pathogen of viral hepatitis and found that it was also negative.

It's not Japanese encephalitis, it's not viral hepatitis, then the diagnosis and treatment made by the doctor before were completely wrong, and now the patient has fallen into a coma, and the doctor at the county hospital has no choice but to recommend transferring.

——

2 p.m.

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

Xia Youfa, who was transferred to the hospital, was arranged in the infectious disease ward.

Gu Jiashu is his attending doctor.

I did a basic admission examination and looked at the medical records sent by the county hospital.

Gu Jiashu suspected that Xia Youfa had hemorrhagic fever, although the symptoms were not very typical, but based on the symptoms of systemic bleeding, coughing up blood and vomiting blood, the possibility of infection with hantavirus was very high.

After being hospitalized, Gu Jiashu immediately treated him according to the treatment principles of viral hemorrhagic fever, and at the same time drew blood and cerebrospinal fluid, and sent him to the hospital laboratory department for serological testing of hantavirus virus-related antibodies.

An hour later.

The results of the hospital laboratory came out and the hantavirus antibody was negative.

Excludes the possibility of haemorrhagic fever caused by hantavirus.

Gu Jiashu looked at the results fed back by the hospital's laboratory department, and analyzed in his heart that judging from Xia Youfa's symptoms, it was likely to be hemorrhagic fever.

Hemorrhagic fever is a group of syndromes, and there are many pathogens that can cause hemorrhagic fever, but the most common in China is hantavirus. Or maybe it's dengue fever?

In short, no matter which one it is, the current capacity of the hospital laboratory department cannot make a diagnosis.

In this case, the CDC can help.

——

4:30 p.m.

Lianhai Center for Disease Control and Prevention, Emergency Office.

The emergency response team consists of 6 people in the office.

Zhou Lao and Gao Fei have just returned from the county to guide the monitoring of the density of dangling rodents.