After 100 Days Of Sign-In, The First Operation Shocked The World

but,

Rabies is also an idea.

At this time, the patient's wife was happy that it was not a stroke.

Lin Feng: "I want to ask, have you been bitten by a dog in the past few months, or the last year?"

The wife shook her head: "No..."

Lin Feng continued to ask: "Have you ever been bitten by wolves, foxes, cats, leopards, lions, bats... etc.?"

Rabies is not necessarily the result of a dog's bite, but it may also be bitten by other animals.

What Lin Feng said is possible.

The wife continued to shake her head: "No..."

Lin Feng nodded.

I asked Zhang Youfu himself.

"No...have... been bitten..."

The patient said that, it is really gone.

but,

At this time, Lin Feng also noticed a characteristic of the patient:

When the patient was speaking, he tried hard to open his mouth, but it was difficult to open it.

"Can you open your mouth a little bit?"

Zhang Youfu opened his mouth desperately, but it was difficult to open his mouth anyway, and then the saliva fell to the ground again at this time.

Zhang Youfu almost cried out of his own "useless".

"It should not be rabies...Although rabies has throat and respiratory muscle spasms, it won't be difficult to open the mouth..."

Let the patient do other limbs and neck movements.

"His limbs are cramping and his muscles are tight. These are not symptoms of rabies."

"So, rule out rabies..."

The live broadcast room was immediately cleared, and rabies was no longer discussed.

"I will give him a personality check..."

Lin Feng felt that something should have been overlooked.

soon,

Lin Feng saw the side of the left foot of the patient Zhang Youfu.

There is a scab, about 2cm long.

Lin Feng had an idea: "When was the injury and how was it?"

The wife said to the side: "15 days ago, I stepped on an iron nail and injured..."

Checked the whole body again.

There are no other wounds.

Only this wound.

"Did you go to the hospital for debridement and disinfection of this wound?"

"No, we simply clean and disinfect..."

"Have a bandage?"

"Yes, I used cotton tape to wrap it tightly..."

Now Lin Feng is probably sure.

"tetanus"!

·First of all, the patient's face is exactly the same as the "smiling face" typical of tetanus. Because of facial muscle spasms, the brows are furrowed and the corners of the mouth are shrinking, which looks like a wry smile.

·Secondly, the cause of tetanus is Clostridium tetani. This kind of bacteria is foreign and sticks to the wound because of the'weapon'. In an aerobic environment, it dies quickly (anaerobic bacteria), but if it is bandaged and the wound is hypoxic, it becomes clostridium tetani. environment.

·Although the scar in front of you has been'healed' and scabs, if there is still Clostridium tetani inside, it happens to be in an anaerobic environment and multiplies in large numbers, and then uses the nerves inside as a springboard to go straight into the spinal cord motor neurons and spread throughout the body , Which leads to muscle tension and cramps in many parts of the body.

·According to the patient’s course: first yesterday’s masticatory muscles were tense and the patient could not swallow, then today’s facial muscles and neck muscles were tense, and a bitter smile appeared.

all of these,

The inference fits perfectly! !

The probability of "tetanus" suddenly increased to 90%!

"Injured to scab, didn't you go to the hospital?"

"No...Doctor, is there a new discovery?"

Lin Feng nodded: "The current consideration is "tetanus"..."

Then Lin Feng briefly explained to the patient what tetanus is.

Studio:

"Huh? Tetanus?"

"I'll go, it's really possible!"

"I only read a book about tetanus yesterday. The patient may really be "tetanus." "

"The patient didn't pay attention to it when the patient was injured. If the wound is deep, try to go to the hospital for debridement and disinfection, and a tetanus to fight poison..."

Other viewers who didn't understand tetanus were attracted to it.

Although Lin Feng thinks, 90% probability is tetanus.

but!

There is no laboratory test for tetanus.

·Tetanus wound: The tissue in the wound can be cultured or polymerase chain reaction (PCR) test for Clostridium tetani, but the positive rate is not high, and a positive result can only indicate that the wound is contaminated with Clostridium tetani and cannot be diagnosed. Tetanus, negative does not rule out the diagnosis of tetanus.

Serum tetanus IgG antibody: If in vivo neutralization test or modified enzyme-linked immunosorbent test is used, it is generally believed that when the antibody level exceeds 0.01IU/ml, it has a protective effect on the body and the possibility of suffering from tetanus is small, such as standard enzyme-linked In the immunosorbent test, an antibody level of 137 at least 0.1IU/ml is defined as a protective effect, but the tetanus antibody reaches the protective level and the diagnosis of tetanus cannot be ruled out.

·and! The above-mentioned inspection items cannot be implemented in most domestic hospitals at present.

so!

The significance of laboratory testing for tetanus is not great!

No need!

waste money!

"First treat according to "tetanus"...but rabies is not ruled out..."

Lin Feng transferred the patient to icu.

Because the condition is really serious.

Then there is the treatment plan:

· Give patients larger doses of sedatives, analgesics, and muscle relaxants.

·High-dose immunoglobulin, the purpose is to neutralize the tetanus toxin that has not been combined with the nerve, and reduce the damage as much as possible. (There is no way to separate the toxins that have been bound to the nerves.)

· Treat the wound and restore the aerobic environment.

The next step is to wait.

As long as five days have passed and the patient has not died, it is definitely not "rabies."

If Lin Feng's treatment plan for "tetanus" works and the patient's condition improves, it means it is indeed "tetanus".

...

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