sinovels Chapter 728 Rabies
Chapter 728 Rabies
The sudden voice made Xia Tian shiver in fright, and hurriedly asked.
"What high-energy warning?"
[High-energy warning ahead. 】
[The system reminds the host that your assessment is about to start, and unexpected pictures may appear in front of you, please prepare yourself mentally. 】
"Is this going to be a test?"
"But I have to get off work."
[Assessment time is not divided into commute time. 】
[Please keep the host in a good state of mind, no matter what picture you see, please don't panic. 】
"Little baby, what's the situation in this assessment?"
"I'm starting to get nervous because of what you said."
[Sorry, host, the system is currently unable to know the specific assessment situation, please be careful at all times. 】
Although it is a mechanical sound, Xia Xia can still feel the lowness in the system sound, it seems that something terrible will happen.
What the hell is going on?
"Doctor Xia."
At this time, Wang Xiaoxia's voice came from outside the door, instantly bringing Summer back to reality.
"coming."
Summer hurried out.
I see.
On the 120-meter car, a female patient came down. She looked very young, about 20 years old. She was lying on the flat car with three fixing straps tied to her body, but her body was still twitching and her mouth was spitting out white foam.
120 emergency doctor, said quickly.
"Patient 20 suddenly fell to the ground and twitched. The family said that they had not had a head blow recently. A small dose of sedative was given in the car, and the patient twitched again after calming down for a few seconds."
"In addition, the patient has flaccid paralysis and some skewness of the facial muscles."
Summer immediately went over to pick up the patient.
And immediately said to Wang Xiaoxia.
"Send the patient to the emergency room, order a head CT, and once the patient is stabilized, immediately do a CT to check for brain problems."
Wang Xiaoxia nodded and quickly pushed the patient into the emergency room.
at the same time.
The patient's family also followed.
A mighty family.
Xia Xia glanced at everyone, and his eyes fell on the girl's father. At present, the father's mood is the most calm.
Xia Xia asked, "Does she have any underlying disease?"
The girl's father shook his head: "No, she has been very healthy since she was a child. My daughter is a short track skier. Her physical fitness is very high. Ordinary boys are not as good as her."
"She has annual checkups and every time she is very healthy."
"I haven't fallen recently."
"but……"
The girl's father suddenly fell into deep thought, obviously something happened.
Xia Tian asked, "But what?"
"What did you think of?"
The girl's father frowned: "When my daughter went out to play three months ago, she was bitten by a stray dog. The wound was not very big, and she immediately went for a rabies vaccine. Shouldn't it have anything to do with it?"
Summer's heart sank.
He turned his head and rushed into the emergency room.
now.
In the rescue room, Wang Xiaoxia was about to give the girl an infusion when Xia Xia shouted.
"Don't touch her!"
Wang Xiaoxia was startled.
"What, what's the matter, Doctor Xia?"
Summer: "She might have rabies."
ah?
Wang Xiaoxia exclaimed, and subconsciously took two steps back, the needle for the infusion was still in her hand, and she panicked.
"What now?"
Rabies is a contagious disease. After the patient is admitted to the hospital, it needs to be isolated in a single room, and the secretions and excrement need to be strictly disinfected. The medical staff must also prevent it in a standard way.
Disposable masks, hats, protective clothing, and gloves.
In the rescue room, only gloves and masks are required.
There is a risk of infection if you are not careful.
Xia Xia pointed to the phone on the wall of the emergency room and said to Wang Xiaoxia: "Notify the director of the situation here. At present, other patients are not allowed to enter the emergency room, and they are asked to come and disinfect."
"Also, come in with a protective suit."
For the first time encountering such a situation, Wang Xiaoxia's mind went blank, and her whole body was stunned.
Listening to Xia Xia's command, I contacted the director and informed the hospital.
hang up the phone.
Wang Xiaoxia looked at Xia Xia cautiously, and asked weakly, "Doctor Xia...what should I do now?"
"Can this patient... be saved?"
Summer: "Yes."
There is no red exclamation mark on the top of the patient's head, indicating that there is no life-threatening danger.
Wang Xiaoxia: "But... the mortality rate of rabies is very high, as high as 99%?"
Summer: "Almost."
Once rabies is infected, the mortality rate is very high, and even if the body is vaccinated, it cannot resist the virus flowing into the body.
Summer: "She hasn't reached the final stage yet."
"Come on, help me, and turn the patient's body over."
Wang Xiaoxia wanted to reach out, but when she thought of rabies, she hesitated. It wasn't until Xia Xia's eyes floated over that her cheeks turned red. She hurried over to help the patient turn over, and with Xia Xia's help, gave the patient an infusion.
Immediately after.
Summer gave the patient a shot of super double dopamine.
As soon as the double dopamine entered the body, the patient immediately stabilized, and his blood pressure and heart rate stabilized.
Since the disinfection personnel have not come yet, the two cannot leave the emergency room.
The three patients were trapped in the emergency room.
After the initial panic, Wang Xiaoxia calmed down.
Started chatting with summer.
"When I was young, I thought that when people were infected with rabies, they would bite people everywhere like dogs."
"I didn't know that rabies can't bite people until I studied medicine."
Rabies is divided into four stages.
1: Incubation period, the incubation period of rabies is very long, some even as long as ten years. During the incubation period, the human body does not have any symptoms.
2: Prodromal period, in this matter, the human body will have some symptoms, such as anorexia, fatigue, headache, fever, unprovoked fear, anxiety, irritability, nervousness, insomnia and so on.
3: Excited period.
The excited period is also divided into two types: manic and paralytic.
Manic type: prominently manifested as fear of jealousy, fear of wind, difficulty swallowing, difficulty breathing, abnormal mania to light, noise, and other sounds. Generally, during this period, the patient is conscious and can communicate.
When a dog is sick, it does not want to bite, but enters the excited and manic stage. Once approached, it will cause the dog to become manic, so it shows the situation of barking and biting.
Paralytic type: Contrary to the manic type, patients with paralytic type tend to be quieter and do not have excessive excitement and anxiety, mainly manifested as high fever, headache, vomiting, incontinence, and even cerebral palsy central nervous system necrosis.
4: Paralysis, this is the final stage.
No matter how excited the patient is, once the virus flows into the body, the muscle spasm will stop, the whole body will enter flaccid paralysis, the limbs will be weak, the muscle tension will weaken or disappear, and the state will enter a coma from quiet.
Usually 6-18 hours, will die.
Generally, after the paralysis stage is reached, there is no cure.
This patient's symptoms are clearly in the third stage of paralysis.
"Is there scopolamine in the emergency room?"
Wang Xiaoxia: "Yes."
Xia Tian: "Inject the patient. In addition, prepare a quick infusion of 20% mannitol. Do you have furosemide?"
Wang Xiaoxia's face was ugly: "I have to look for it. Generally, the nurse is responsible for drug injection. I don't know if there is any..."
Xia Tian: "It's alright, the patient is currently stable, you can take your time."
Wang Xiaoxia hurriedly found the medicine and injected it into the patient.
After the injection, the patient fell into a deep sleep.
Wang Xiaoxia complained.
"Why haven't those R&D personnel developed a specific drug for rabies?"
Xia Tian shrugged his shoulders, expressing helplessness: "There are also special medicines, but there are currently no domestic ones."
tips:
1: At present, no rabies drugs and immunomodulators have been proved to be effective against rabies in China.
2: No neuroprotective agent effective for rabies.
3: Once rabies is diagnosed, there is basically no possibility of survival. During the whole process from onset to death, the patient has a clear feeling, and the process is very painful!
4: Cherish life, after all, we don't have Dr. Xia.