Chapter 49: A Virus That Transforms
Stop the bleeding immediately...
Oral Yunnan Baiyao...
Nitroglycerin is taken sublingually, one tablet at a time, once every 30 minutes...
250ug of syltamine, intravenous...
Li Xiyang carried out various treatment work very quickly, and the patient's blood pressure gradually rose, and he slowly regained consciousness.
Under Nie Rou's questioning, the patient said that he did have a history of peptic ulcer and had been taking anti-inflammatory drugs recently.
"What anti-inflammatory?"
"Ibuprofen!"
Li Xiyang frowned, knowing what the problem was.
Ibuprofen is a non-steroidal anti-inflammatory drug.
That is, the chemical structure of the drug lacks the steroidal ring of glucocorticoids, and at the same time has antipyretic, analgesic, anti-inflammatory and other effects similar to glucocorticoids, so it is called non-steroidal anti-inflammatory drugs.
Such drugs also include aspirin, indomethacin, nimesulide, etc.
The pharmacological mechanism of action is mainly through the inhibition of cyclooxygenase, reducing the production of inflammatory mediator prostaglandins, and producing anti-inflammatory, analgesic, and antipyretic effects.
Because of its remarkable effects, it is currently one of the most used types of drugs in the world.
However, like any other drug, NSAIDs can produce some harmful reactions that are not related to the purpose of the drug, that is, adverse drug reactions.
For example, there is a potential risk of cardiovascular and gastrointestinal bleeding.
Especially for patients with peptic ulcer, it is a forbidden drug!
Recently, the domestic Food and Drug Administration has required such drug manufacturers to issue warnings in their instructions, and this incident has become a hot issue in the global medical industry.
"Who prescribed the medicine for you?"
It is impossible for a hospital to prescribe medication without checking the patient's medical history.
The patient said weakly, "I didn't go to the hospital, I got it at the pharmacy at the end of the street!" ”
Li Xiyang was stunned, and suddenly had nothing to say.
In reality, many people will not go to the hospital for headaches and fevers, and the cost is very high for themselves and the hospital.
But even if you take the medicine yourself, at least read the instructions clearly.
Sighing helplessly, Li Xiyang said quickly,
"Nie Rou, immediately notify the emergency center, the patient with gastrointestinal bleeding will be sent in 10 minutes, and endoscopic embolization is required!"
"Liu Guodong, bulldoze the car!"
"Sun Xin come and help me!"
Soon, the patient was placed on a flat car.
When the onlookers saw that they were really awake, they immediately applauded one by one.
[Harvest the gratitude of patients, medical ethics points +2]
[Gain the recognition of peers, medical ethics +2]
[Harvest the praise of the masses, medical ethics points +1, +1, +1, +1......]
The more onlookers, the more medical ethics Li Xiyang will gain.
The middle-aged man in a suit wanted to walk over and say something, but was squeezed outside by the sudden agitation of the crowd.
At this time, the phone rang,
"Well, it's already there!"
"No, you don't have to."
"First Hospital, I know!"
"Let's talk first!"
By the time I hung up the phone, the ambulance had already left.
There are some regrets in the middle age of the suit!
……
When the patient is sent to the hospital, the second emergency task is sent.
The ambulance rushed to the scene and found that it was a late-stage bladder cancer patient.
Patients are bedridden for a long time and need to change the catheter every four weeks.
Because there is no elevator in the old community, and the wife's legs and feet are not convenient, the patient has to call 120 for help.
Going to the hospital just to change the urinary catheter, and there are many inconveniences going up and down the stairs.
Li Xiyang immediately asked Sun Xin to buy a catheterization kit and replace it for the patient on the spot.
After that, I took over the task of transferring two more patients.
It wasn't until noon that he stopped a little and took a breath.
During the break, Li Xiyang opened his mobile phone and took a look.
An unread message from the teacher.
Open it and take a look: Little guy, you know that you can do it, Dean Chen has already contacted the Chinese medicine doctor, saying that your prescription is wonderful, and Dean Chen has ordered to change the medicine for the patient.
Li Xiyang smiled slightly, it was good news.
However, traditional Chinese medicine only tries to slow down the spread of the virus, and if you want to completely solve it, you still need to figure out what the virus is.
It's a pity that the system is still analyzing, and there is still no answer.
I can only wait for the results from the laboratory department.
Hopefully it's not too late!
……
However, Li Xiyang never expected that this wait would be five days.
On Sunday night, Li Xiyang had just finished his mission,
As soon as he received a call from Mo Kai, he immediately rushed to the first hospital.
"Teacher, the results are out, aren't they?"
Mo Kai smiled and said, "I'm waiting for you!" ”
"Let's go, follow me to the laboratory department!"
The Department of Clinical Medicine is a bridge between clinical medicine and basic medicine.
Every day, it undertakes the testing of various human specimens including wards, outpatient and emergency patients, various physical examinations, and scientific research.
According to the different directions of the laboratory, the laboratory department is divided into biochemical examination group, liver function examination group, renal function examination group, blood lipid examination group, diabetes detection group, etc.
Xiaoyue's pathological section was sent to the biochemical examination team.
As soon as they entered the office, the two of them were startled by the appearance of Xu Bing, the leader of the biochemical inspection team.
The latter's hair was unkempt, as if it hadn't been washed in days.
Both eyes were severely congested and even swollen in large circles.
"Lao Xu, what are you?"
Xu Bing glared at Mo Kai angrily, "It's not a good fucking errand you found for me, do you know how Lao Tzu spent the past five days??" ”
Since getting the pathology slides sent by Mo Kai, Xu Bing has stayed up all night in the examination room for several consecutive nights.
Staring at the microscope for more than ten hours a day, can the eyes not be like this?
Mo Kai hurriedly smiled and said, "Lao Xu, you really did my brother a great favor this time, and I will give you the bottle of good wine at my house!" ”
"Really?"
Xu Bing immediately became energetic.
He hadn't been eyeing Mo Kai's bottle of wine for a day or two.
"What is really fake, when did I lie to you?"
"Heh~"
"Hey, you guy!"
The way the two joked with each other made Li Xiyang laugh.
He had heard that Mo Kai and Xu Bing were in the same class before, but he didn't expect the two to have such a good personal relationship.
"Okay, let's get down to business, what the hell is that virus?"
Xu Bing smiled, his face was a little serious, "Let's see for yourselves!" ”
As he spoke, he turned the computer screen on his desk.
On the screen, there are at least a million images of the virus that have been magnified, and only next-generation sequencing technology can do it.
Li Xiyang noticed that the virus was a small yellow particle, called like a caramel shape.
Then Xu Bing switched another picture.
This time, Li Xiyang found that the shape of the virus had changed, irregular, like a fluid.
When Xu Bing switched pictures for the third time.
The virus has taken on another form.
Li Xiyang was taken aback, "What's the situation, this virus will still deform?" ”
Mo Kai shook his head, "It's not that the virus will exist in different forms at different temperatures, which shows that the virus is evolving and extremely adaptable." ”
Xu Bing nodded, "What Lao Mo said is right. ”
Otherwise, this virus wouldn't have consumed him a few all-nighters, it's too rare.
"But I still captured his original form in an environment of minus 38 degrees."
"Look at this picture!"
The screen switches again, and the shape of the virus changes again.
This time, the virus resembles a silk thread, mostly the same diameter, and is a typical filamentous virus.
What's even more strange is that these silk viruses actually wriggle slowly like nematodes, making people's scalps tingle.
Is this the thing that is torturing Xiao Yue...
"Team Leader Xu, what kind of virus is this?"
Xu Bing said with a slight sigh, "After the analysis of third-generation sequencing technology, it was found that the viral genome is a single-strand negative-strand RNA, about 19kb long, encoding 7 kinds of viral proteins.
These include N protein, viral protein 35, viral protein 30, viral protein 24, glycoprotein 4, glycoprotein 7, the main component of RNA-dependent RNA polymerase, and viral protein40, a minor component. ”
Li Xiyang was confused when he heard it, "What kind of virus is that?" ”
Without waiting for Xu Bing to speak, he heard Mo Kai say in a deep voice, "It's the Marburg virus!" ”
"Marburg virus?"
What a strange name!
"In 1967, the virus first appeared in a laboratory in the German city of Marburg, hence the name.
In August of that year, there was a simultaneous outbreak of Marburg haemorrhagic fever among the staff of several medical laboratories in Marburg, Frankfurt and Belgrade.
The investigation found that most of these patients had been exposed to a group of African long-tailed green monkeys transported from Uganda.
Scientists cultured blood and tissue cells from patients and isolated a virus that had not been seen before.
Hence Marburg hemorrhagic fever, also known as green monkey disease.
The green monkey virus, a filament-shaped particle that sometimes coils into strange shapes, was the first filovirus discovered by humans. ”
"Since it was discovered in 1967, the vaccine should have been developed a long time ago, right?"
Li Xiyang looked at Xu Bing and Mo Kai
But the two were silent.
Li Xiyang's heart tightened, "Isn't it?" ”
Mo Kai sighed, "Marburg virus, so far no one has been able to code the correct nucleotide sequence, once hit, you can only rely on intravenous injection and other therapies to improve the symptoms, relying on your own immunity and resistance to carry on, basically there is no cure." ”
"How so?!"
Li Xiyang looked pained.
He promised Xiao Yue that everything would be fine,
But now...
Wait a minute
The system voice rings in my ears.
[Hint: This virus is not Marburg virus]
[The system has traced the source of the virus, and the analysis process is 99.9%]
[Analysis completed]
[The host can be exchanged for 300 medical virtues]