"Most tropical rain forests are located between 23.5 degrees north latitude and 23.5 degrees south latitude. In tropical rain forests, there are usually three to five layers of vegetation, and trees up to 150 feet to 180 feet are covered like tents.
The density of the lower layers of vegetation depends on the degree of sunlight penetrating the upper trees. The more sunlight shines in, the greater the density. There are quite a number of species of insects and ants, many of which will infect Plasmodium. "
Wu Mian explained to Wei Dabao.
"When Emperor Wu of the Han Dynasty conquered Fujian and Vietnam, there were many cases of malaria, and twelve or three people died before they were killed. In the Eastern Han Dynasty, Ma Yuan led 8000 Han troops to invade Jiaozhi in the south. However," military officials died of malaria in the 14th five year plan, "Wu Mian continued." at that time, because of the malaria parasite, our area has been small since ancient times... No, Vietnam is also within the scope since ancient times, which is no doubt. "
Listening to Wu''s nonsense, Wei Dabao knew that his most difficult time had passed. This should not affect my going to jianxie hospital. I was relieved.
"During the reign of Emperor Qianlong of the Qing Dynasty, several attacks on Myanmar were frustrated by the prevalence of malaria. Sometimes" before the war, seven or eight soldiers have died ". In the theory of three causes and one disease syndrome compiled by Chen Yan of the Song Dynasty, the characteristics of epidemic malaria are pointed out:" between the age of one year, the elders and children are the same, or when infected, they become cold and hot, which is called epidemic malaria. "
"Chief Wu, how can I remember that malaria is diarrhea to dehydration?" asked Wei Dabao.
"There are generally three types of malaria: brain malaria, hyperthermia and gastrointestinal type." Wu miandao said, "you mean gastrointestinal type."
"The clinical manifestations of this type are high fever, relaxation, nausea and vomiting, frequent diarrhea, watery stool or bloody stool. It can be accompanied by internal urgency, severe abdominal pain and tenderness in the colon. There is no diarrhea. It is often mistaken for acute abdomen."
"Do you know what''s in a hurry?"
"Yes," said Trinket hastily, "I just want to have diarrhea, but I can''t get it out."
"Yes," Wu Mian said, "but the most common is not gastrointestinal malaria, but brain malaria."
"..." Wei Dabao said nothing.
"The symptoms of cerebral malaria are similar to encephalitis and meningitis. It is characterized by headache, fever and varying degrees of consciousness disorder. If it is not treated in time... If the disease continues to develop, it will soon lead to brain edema, respiratory, circulatory and renal failure, and the patient will die quickly.
The mortality rate is as high as about 50%, which is particularly dangerous. You should remember that the next time you see Bixin patients, you must think of malaria, especially when you have a history of exposure to tropical forests. "Wu miandao.
"I don''t think you''ve confused cholera with malaria?" Chu Zhixi asked.
"Er... It''s possible."
"I don''t blame you. Malaria and cholera have long been under control in China. Ordinary people have only heard that various plagues were rampant in the early days of the founding of the people''s Republic of China. Not to mention ordinary people, doctors in northern China are also rare." Wu Mian smiled.
Wei Dabao agreed with him with a smile.
"Anyone who has been to a malaria endemic area during the mosquito season, or who has a history of malaria disease or blood transfusion has an unexplained fever, as well as progressive anemia and splenomegaly, should think of the possibility of malaria. Dr. Wei, do you remember?" Wu Mian asked.
"Remember, chief Wu," said Trinket hastily.
"Then repeat it."
"..." Wei Dabao almost didn''t cry.
I wanted to go back to the book and recite this paragraph, but section chief Wu asked himself to repeat it.
"No more trouble." Wu Mian said, "Dr. Wei, ask a nurse to take blood."
Wei Dabao breathed out and hurriedly asked, "what''s the test?"
"Three items of dengue antigen antibodies, Widal''s test, waifei''s test, encephalitis B antibody, epidemic hemorrhagic fever antibody, eight items of respiratory tract etiology, and blood Plasmodium examination." Wu miandao.
Wei Da took out a tube of ballpoint pen from the BMW, took out a crumpled paper and wrote down everything Wu Mian said.
"If you don''t know how much blood to collect, ask... Forget it, I''ll contact you." Wu Mian sighed.
These examinations, not to mention the nurses of bajingzi traditional Chinese medicine hospital, even the nurses of several hospitals of provincial Capital Medical University may not know how to collect blood.
"Li Qiong, are you home?"
"I''m in the hospital of traditional Chinese medicine. I want to take blood back to our laboratory for testing. You take something." Wu Mian took his mobile phone and called Li Qiong, the nurse who accompanied him and Chu Zhixi to the "free clinic" in the afternoon.
Wu Mian then said the items to be inspected and hung up the phone.
Trinket whispered, "section chief Wu, does the nurse know what tube to bring? Does she know how to collect blood?"
This is all a problem. Wei Dabao has rich clinical experience. He has never heard of these "strange" tests. How can a nurse master them skillfully? Bajingzi Hospital of traditional Chinese medicine did not say that Wei Dabao determined that the nurses of medical university did not have this level.
Wu Mian tilted his head slightly and looked at Wei Dabao with surprised eyes.
Trinket subconsciously rubbed his face with his hand.
"Ha ha." Wu Mian didn''t answer Wei Dabao''s words, but just smiled.
Wei Dabao knew the truth and didn''t continue to ask. He accompanied chief Wu back to see the patient. Less than half an hour later, a little nurse came to the ward with the emergency box on her back.
At present, except for 120 vehicles and intubation in the anesthesiology department, the emergency rescue box is very rare. Wei Dabao felt professional at first sight.
The little nurse should be Li Qiong mentioned by section chief Wu before. She looked very capable. When she came, she changed her clothes first and then came to the ward.
Opening the first aid kit, Wei Dabao glanced at a row of test tubes of various colors.
Li Qiong began to look for the median elbow vein, put a needle in it, and then took out a test tube to receive blood.
Her movements were extremely quick, especially when she tied a tourniquet with one hand.
After 5 tubes of blood were collected in less than 1 minute, Li Qiong immediately withdrew the needle, pressed it with a sterile cotton swab, let the patient''s family hold it, and she began to pack up the blood samples.
"Miss Wu, what else do you have to do?" Li Qiong asked.
"Hard work, please send blood back." Wu Mian said gently. "I stare at the patient for fear of accidents."
Li Qiong didn''t say anything. She packed up and left with the first aid kit on her back. Came to the door, turned and bowed slightly to Wu Mian, and then left.
Trinket felt like a military doctor, not an ordinary nurse. It''s so sharp and vigorous that it looks heroic and valiant.
Seeing Wu Mian observing the state of the patient, Wei Dabao sneaked out.
"Nurse Li." Wei Dabao shouted.
"Hmm? Are you?" Li Qiong asked back.
"I''m a doctor in the hospital of traditional Chinese medicine. I''ll transfer it to our jianxie hospital immediately," said Wei Dabao. "I think you can collect blood so quickly. Have you met similar patients before?"
"No, I met a patient diagnosed with malaria for the first time," said Li Qiong, walking away quickly.
"Do you know how to collect blood?"
"Shouldn''t this be?" Li Qiong was also a little surprised. "Teacher Wu asked me to take blood, so I came to take it. I can''t delay the patient''s diagnosis and treatment."