Chapter 992: Examination
Xiao Lu has been a military doctor for many years, and he has a certain immunity to these filthy things, so he put the wooden barrel on the ground in front of Yuan Fang and said: "Brother-in-law, these are excrements, and no blood in the stool was found. ”
Yuan Fang nodded: "Xiaolu, what do you think it should be?" ”
Xiao Lu thought for a while and said, "Judging from the various symptoms, nine times out of ten it is tiger dysentery. ”
As soon as Xiao Lu's words came out, everyone's faces changed greatly, tiger and wolf dysentery, it was the plague fifty years ago that Shu Ming just said, of course, their definition of plague and cholera is not accurate, according to this world, cholera is also within the scope of the plague, and tiger wolf dysentery is one of the most terrible, because from infection to concurrency, to the final death, the shortest only takes a few hours, even the best decoction will not help, which is why so many people died back then, Often, before the decoction has taken effect, the person is already dead.
Yuan Fang then asked: "If it is tiger dysentery, is there any way?" ”
Xiao Lu shook her head regretfully and said: "Since the last time tiger dysentery was raging, many doctors have been studying treatment methods, but with little effect, now we only have the ability to prevent the spread as much as possible, and there is nothing we can do about infected patients for the time being." ”
Yuan Fang instructed a military doctor to boil water, and then asked Xiao Lu, also to the others: "Xiao Lu, what do you think is the real cause of death of tiger dysentery?" ”
Xiao Lu pondered for a moment, uncertain and said, "Is it dehydration?" ”
Yuan Fang nodded approvingly: "Yes, that's right, it's dehydration." ”
Lu Ling asked eagerly: "Doctor Yuan, do you have a way?" What kind of medicine should I use? Is penicillin OK? ”
Yuan Fang frowned and said, "There is a way, but it is not medicine." ”
Shu Ming asked suspiciously: "Don't want it?" Shall we treat it? ”
Yuan Fang looked around at everyone and explained: "Xiao Lu said just now that the real cause of death from tiger dysentery is dehydration, so can we replenish the missing water in the human body?" It is the patient's body that has sufficient water to keep the body organs functioning properly. ”
Seeing that Yuan Fang had no follow-up, Xiao Lu questioned: "But brother-in-law, don't say that there is no way to replenish water, even if you can replenish water, this is only a symptom, and dysentery still exists in the patient's body." ”
Yuan Fang was very pleased with Xiaolu's questioning, what he wanted was not flattery, but a truly rigorous attitude, and explained with a smile: "Tiger dysentery, in fact, is cholera, cholera, is an infectious disease caused by Vibrio cholerae, due to a large amount of dehydration caused by vomiting and diarrhea in a short period of time, the patient is in a state of prostration, the whole body is weak, the skin loses elasticity, muscle spasms, the eyes are sunken, the pulse is weak, and finally death due to dehydration." The cholera virus is actually not terrible, the human body can remove it by itself, but it takes time, and the most terrible thing about cholera is that it causes the human body to be quickly dehydrated, there is not enough water, and various organs will have such and such problems, which is the most real reason, so hydration is the only way to solve cholera in this period. ”
Shu Ming humbly asked: "Teacher, you have repeatedly emphasized hydration, is it okay to keep drinking water?" ”
Lu Ling shook his head and said, "No, the patient keeps vomiting and diarrhea, and I am afraid it will be difficult to replenish the water when drinking, Doctor Yuan, do you want to use injections to replenish water?" ”
Lu Ling has been in contact with the modern medicine spread by Yuan Fang for a while, and both her vision and thinking have made great progress compared to the past.
Yuan Fang nodded and said: "Almost, dehydration is divided into three stages: light, medium and heavy, mild dehydration, it can be seen that the skin mucosa is dry, and the skin elasticity is poor; Moderate dehydration, with poor skin elasticity, sunken eye sockets, mild hoarseness, decreased blood pressure and decreased urine output, and severe dehydration, dry and wrinkled skin, no elasticity, hoarseness, and a "cholera facie" with sunken eyes, sunken cheeks, and apathy or confusion are seen. There are also patients with circulatory collapse and acidosis, which are the most serious and life-threatening if not resuscitated. This patient is at its most severe, so it is important to rehydrate quickly and substantially. ”
Xiao Lu frowned and said: "I remember my brother-in-law said that the water in the human body is different from ordinary drinking water, and it takes the body to digest and convert for a period of time. ”
Yuan Fang nodded and said with great certainty: "Yes, absolutely." ”
Looking around at everyone's puzzled eyes, Yuan Fang explained: "So what we supplement the patient with is not ordinary water, but a solution that is very close to the water in the human body. It dawned on everyone.
Xiao Lu's eyes lit up: "Brother-in-law, is it possible that as long as you supplement enough of the solution you said, the patient can recover by his own immunity?" ”
Yuan Fang nodded: "This is my plan, of course, now I have to determine whether it is cholera or not, if not, I have to find another way." ”
Lu Ling was surprised and said: "As long as you replenish water, you can save the patients with tiger dysentery?" ”
Yuan Fang shook his head and said: "It's not 100% successful, people's immunity is different, and whether they can survive depends on their own will." ”
After everyone whispered, Yuan Fang said loudly: "Do you have any other questions?" If there is a better way to put it forward for discussion, the situation is urgent and urgent. Everyone shook their heads after looking at each other, Yuan Fang's analysis was reasonable, and the solution was ingenious, and no one questioned it anymore.
At this time, the water in the pot had already boiled, Yuan Fang took out salt and sugar from the medicine box he brought and began to mix it, while instructing Shu Ming to boil some antidiarrheal decoction to cooperate with the treatment.
Yuan Fang added a small amount of salt and sugar to the boiling water, stirred well to make it fully melted, then tasted it with a spoon, frowned slightly, and poured some salt and sugar into it, just like that, under the gaze of everyone, Yuan Fang debugged for a long time, and finally achieved an effect that made him feel similar, and then Sang Rou and Yuyue counted the weight of salt and sugar used, and calculated the proportion.
Yuan Fang asked the middle-aged man for a small teapot, filled some prepared physiological glucose water for him to pour into the patient, and repeatedly instructed her to drink it no matter what, and then took out the hanging bottle and filled it with some physiological glucose water, and instructed Xiaolu to give the patient intravenous injection.
In addition, Yuan Fang also asked people to get a door panel, dig a hole in the appropriate position, use chairs on both sides, and put a wooden bucket under the hole to carry the excrement as a hospital bed for the patient.