Sister-in-law Qiu's face was pale, her limbs were cold, and her pulse was weak, and she was not in a good condition at first glance.

Qiaolian took out the thermometer and put it on the clip, and then took out the blood pressure from the medicine box to measure it, and the blood pressure was very low.

Listening with a stethoscope, the heart sounds are relatively weak, especially the first heart sound is severely weakened.

There is a gallop rhythm during diastole, a slight windy murmur during systole, a chaotic heart rate, and typical signs of heart failure.

The thermometer was taken out and found that the body temperature was low, and with what Brother Qiu said, Qiu's sister-in-law said that she was dizzy and flustered when she got up early, and she vomited yellow water, which can basically be judged that this is Keshan disease.

Keshan disease, one of the typical endemic diseases in Northeast China, is also known as endemic cardiomyopathy.

The cause of Keshan disease has not been accurately stated until later generations.

Some experts believe that it is mainly caused by selenium deficiency in the affected area, because the selenium content is low in the patient's hair and blood.

However, this is only a way of saying it, because selenium deficiency is common in the affected areas, but only a small percentage of the affected people are affected.

Moreover, this disease has a typical year-on-year nature and will suddenly break out in special years, so selenium deficiency is not the main reason.

At present, most people believe that the onset of Keshan disease is related to carbon monoxide poisoning, natural epidemic infection and other factors.

Generally speaking, patients with onset of illness are prone to acute attacks when they are cold, damp, smoked, mentally stimulated, etc.

When Qiao Lian was a women's director before, her superiors once issued a document mentioning Keshan disease.

In the Fusong area, there have been three outbreaks of Keshan disease in the past.

From 1935 to 1936, more than 50 people died in the city and Wanliang Town in the north of the city.

The second outbreak in the winter of 1941 lasted until the spring of 1943, with more than 150 deaths in the urban area and more than 400 deaths in Wanliang Village.

The third time was in the winter of 1947, which lasted until the spring of 1949, and more than 300 people died in the city and Wanliang village.

Since forty-nine years, Keshan disease has not broken out, but I didn't expect to let Qiaolian meet it today.

Sister-in-law Qiu: This is a typical acute attack of Keshan disease, which is very dangerous, and if the treatment is not timely within two or three hours of the onset of the disease, the mortality rate is very high.

There is no exact cause of Keshan disease, and there is no specific drug in treatment, so it can only be treated symptomatically.

Qiu's sister-in-law is in hypotensive shock, so she must be injected with a large amount of vitamin C and hypertonic glucose to maintain blood volume.

At the same time, drugs to improve myocardial metabolism, such as coenzyme A or coenzyme Q10, adenosine triphosphate and other drugs are added. At the same time, it is necessary to give cardiac drugs and anti-arrhythmic drugs.

Qiao Lian quickly recalled the drugs needed for various symptoms in her mind, and then immediately opened the medicine box and took out all kinds of medicines in an orderly manner.

"Brother Qiu, hurry up and go to the production team to borrow a car, Sister-in-law Qiu's current condition is not very good, and she needs to be sent to the county hospital.

All I can do is first aid to stabilize the situation and take it to the hospital for treatment. ”

The condition of Keshan disease is very complicated, and it is best to inhale oxygen if there are conditions, but the commune health center does not have the conditions for oxygen inhalation, and the medical level of the county hospital is definitely better than that of her small health center.

For the safety of Qiu's sister-in-law, hospitalization is for the sake of insurance.

"What hospital to go to? I said that she just collided, just send it away, just pretend to be a ghost to scare people.

How much does it cost to see how much it costs to give so many injections and hang such a thing?

I think you are cheating people out of money, my daughter-in-law is nothing serious, so you have to be sent to the hospital as soon as you say it.

What's the matter, my family has money to burn buns? How much does it cost to go to the hospital? Can't get by? ”

Before Qiu Weimin could speak, the old lady of the Qiu family was not happy, chattering there with a calm face.

"Aunt Qiu, do you know what kind of illness Sister-in-law Qiu is? Keshan disease.

It's not like you've never heard of it when you're so old, what's this disease called? Quickly become sick, yellow water disease, wozi disease.

How many times has it happened to us in Fusong, how many people have died? If you are still so tough, then I can't control it, and you will be responsible for what happens. ”

Qiao Lian was a little angry, why is this old woman of the Qiu family like this, it's not his daughter-in-law lying on the kang, right?

"I have done everything I can, and you can also see that Sister-in-law Qiu is breathing a lot more smoothly now, her face is looking better, and her hands and feet are not so cold.

But let me tell you, this disease is very serious, and the condition is very complicated.

I can't stay at your house all the time, and I can't be at the health center all the time.

If there is a change in your condition, you don't have time to come to me, and if anything happens, you will be responsible for yourself, and it has nothing to do with me. ”

The most annoying thing about these ignorant and ignorant old women, none of them know what to think, I really don't understand, is money important, or people are important?

As soon as Qiao Lian said that it was Keshan disease, the old woman of the Qiu family looked ugly, how could she not have heard of her at such an old age?

"What? Is this really the problem? Doesn't it mean that there is no cure for this disease? If you get it, you die, but it's almost over.

Oops, what's that going on? How can you get this problem? At this time, the mother-in-law of the Qiu family had no idea and messed up.

"What to do? Hurry up and send it to the hospital, there was a lack of medical treatment and medicine in the past, and naturally there was no rule of law.

Nowadays, in a new society, the state pays attention to the treatment of endemic diseases, and the county health department also has a special policy.

There are many drugs in the hospital, and the doctors have enough experience, so as long as they are treated in time, there is still hope. ”

Qiaolian sighed when she saw the Qiu family's mother-in-law, ignorance has created ignorance, and the popularization of rural health and medical knowledge is really not easy.

"What are you doing? Hurry up and borrow a car, you think I'm playing around with you? ”

Qiao Lian glared at Qiu Weimin, not understanding what this man was doing standing there stupidly.

"Dr. Chen, look, can you be treated in your health center?

The child's mother's disease has never been cured before.

If this is not sent to the hospital for treatment, the family is hollowed out, and there are no more people, how do you say our family will live? ”

Where Qiu Weimin stood, rubbed his hands, and said in a whisper.

As soon as Qiao Lian heard this, she stood up angrily, "You can do whatever you like, just mess around."

This is your daughter-in-law, your son's daughter's mother, you don't care about her life, what do I care about?

I still say that it is best to go to the county hospital for good treatment of her problem, and if it is delayed, I can't afford to be responsible for other situations. ”

This is really everyone's place, his daughter-in-law's life is not distressed, but she is distressed about money.

Qiao Lian felt that she couldn't say anything to such a person, so she simply packed up her things, put them in the medicine box, and walked out with the box on her back.

She didn't plan to ask for money, such a family loved money and didn't even care about human life, she didn't expect any money.

Anyway, she has tried her best to save Sister-in-law Qiu, and she has fulfilled her intentions, and it is their family who has done this, and they can't complain about her.

"Don't, Dr. Chen, don't go, if you go, what can I do with my child?" Qiu Weimin saw that Qiaolian was leaving, and hurriedly said.

"Get started, do whatever you like.

I've already told you, send it to the hospital, you don't send it yourself, what does it have to do with me?

I'm a hygienist at a health center, and you treat me as a god? Qiao Lian was furious.