Master Doctor in the City
Chapter 542: :septicemia
Yu Shaohua was naturally surprised when he heard what Ye Chen said. From Liao Wenen, when the same was confirmed, Yu Shaohua looked at Ye Chen and naturally didn't know what to say.
"Then look at the situation of the mother and daughter. Is it typhoid fever or febrile disease symptoms?" Yu Shaohua asked hurriedly.
Ye Chen walked to the old woman Su Guiying first. Now Su Guiying is wearing a sick gown and holding a bottle. However, judging from her look, it is indeed a serious one.
Judging from the situation in the plague zone, the elderly and children are relatively poor in physique and are easily infected with plague diseases. The mortality rate of the elderly and children after infection is also higher than that of the young and middle-aged.
Ye Chen came to Su Guiying, except to get her pulse first, and after seeing the pulse, he gently pinched her mouth and saw her tongue.
After Liao Wenen and Yu Shaohua found him, they saw him meditating there.
"Professor Yu, where are the medical records of these two people?" Ye Chen asked.
The female nurse in the tent hurriedly took the previous medical records of the mother and daughter. Ye Chen first read Su Guiying’s medical records. Judging from the symptoms recorded by the Chinese and Western medicine that Su Guiying had previously treated, the old woman Su Guiying appeared after contracting the plague. The symptoms are the same. However, judging from the records of the two doctors, the effects of the prescriptions they prescribed were not obvious, but worsened.
After reading the medical records, Ye Chen handed them back to the female nurse, and then looked at Luo Yuehua, a woman who was lying on the hospital bed next door, who seemed to be in her thirties. After checking Luo Yuehua's pulse and tongue conditions, her heart was a little different from what she had just thought.
"Ye Chen, how are these two people?" Yu Shaohua asked.
"Lao Liao, Professor Yu, this syndrome of mother-daughter infection is indeed febrile disease. But, more specifically, it should be sepsis."
"Sepsis?" When the two heard this word, they were naturally clear.
According to the research of modern medicine, sepsis is a serious disease caused by bacterial infection. It means that pathogenic bacteria invade the blood, multiply in it, produce toxins, and cause serious systemic symptoms and infectious diseases.
Its clinical features are fever and toxic symptoms, hepatosplenomegaly and positive blood culture, severe cases of septic shock.
Sepsis is different from bacteremia, toxemia, and sepsis. Bacteremia means that bacteria only live in the blood, but do not produce toxins; Toxemia means that the blood contains toxins but no bacteria exist; if on the basis of sepsis, pathogenic bacteria gather and locate in certain tissues and organs to form abscesses, called Sepsis.
Now Ye Chen sees the symptoms of Su Guiying and Luo Yuehua, both of which belong to sepsis. In Chinese medicine, they also belong to the categories of febrile disease, febrile toxin, and plague.
Therefore, if ordinary Chinese doctors treat such diseases as typhoid fever, they will definitely not be able to cure them, but they will be more serious. This is also why, the symptoms of febrile disease are generally found to be more difficult to treat by Chinese doctors, and it is also difficult to cure.
"Lao Liao, Professor Yu, what do you think?" Ye Chen said after looking at the two of them.
These two people, when Ye Chen finished talking, they checked and naturally thought it was typhoid fever. Of course, now that Ye Chen said the word sepsis, when the two examined the two people based on the symptoms of sepsis, the two found that Ye Chen's dialectic of Chinese medicine was more accurate.
"Ye Chen, you are right!" Old Liao said with a sigh.
Yu Shaohua also sighed. He thought that when Ye Chen was on the military plane, he felt that Ye Chen's TCM examination was relatively solid. As for his medical experience, Yu Shaohua felt that Ye Chen was definitely not as good as his own. However, compared with Ye Chen, the female nurse next to him can see who is taller and lower.
"Professor Yu, how about you?" Ye Chen asked.
"I just judged that these two people should have symptoms of typhoid fever. It seems that I was wrong. It seems that sometimes, if the medical skills are not good, it will really kill people!" Yu Shaohua said.
He did not join the typhoid sect. His medical skills are basically in the typhoid range. As for the medical skills of febrile diseases, he also wanted to learn in his early years. However, he felt that it was too deep, and he rarely touched it.
"Perhaps my dialectic of Chinese medicine is not necessarily very accurate!" Ye Chen looked at the two people and said.
On the military plane, according to the information from Vice President Wu Haiping, Ye Chen based on the four types of symptoms previously classified as influenza, plague, typhoid fever, and these three types of syndromes. The symptoms that appeared here in the plague area , Is very complicated.
Right now, Ye Chen is only treating six patients. It has been seen that three of them are obviously symptomatic of febrile disease, one is symptomatic of typhoid fever, and now the two in front of him are blood diseases, belonging to the scope of febrile disease.
It can now be guessed that the symptoms of the two old women before them are actually similar to those of the plague.
If the wounds bitten by a mouse can be found on the two of them, Ye Chen can be sure that this is because the plague was bitten by a rat infected with the plague.
However, there is another case of plague. In addition to the initial infection, the person may have been in contact with a rat and was bitten by a rat, and it will be infected with the plague. For example, through physical contact, food contact, and the flow of air containing bacteria may be infected.
Now Ye Chen feels that the situation of the plague in Xiaowang Village is more complicated. However, saving lives is important now. As for general prescriptions, or where the source of the disease is, it is impossible to find out so quickly for the time being. After all, the original local doctors spent nearly a month without any effect.
"Ye Chen, if the symptoms of the mother and daughter belong to sepsis, what kind of syndrome does it belong to?" Liao asked.
Now they are asking about more specific symptoms. First of all, these two people have also agreed with Ye Chen's statement and can confirm that the mother and daughter are suffering from sepsis.
However, in sepsis, what is the specific disease syndrome after TCM dialectics? Under such circumstances, different doctors may appear, and the dialectical results of Chinese medicine may be different.
"Lao Liao, Professor Yu, from the specific symptoms of these two people, I think that the old woman Su Guiying belongs to the syndrome of fever entering the camp. The woman Luo Yuehua belongs to the syndrome of severe fever." Ye Chen said to the two people.
The specific symptoms of the old woman Su Guiying now are fever, confusion, faint macula, and even blood in the stool, delirium.
The specific symptoms of woman Luo Yuehua are acute onset, chills, persistent high fever, restlessness, redness, swelling, and pain.
After Ye Chen finished speaking, Liao Wenen and Yu Shaohua glanced at each other. From the expressions in their eyes, they could already see what they thought.
"Ye Chen, you are right, we also think so!" Now Ye Chen has already said what the specific disease belongs to. This is equivalent to having a general direction, when the two of them carefully dialected. Naturally, there will be no more errors.
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