Dr. Youlai

120 ambulance charging standard

Deputy chief physician, Department of Critical Care Medicine, Liu Zhiyong

xiangya hospital centralsouth university

Sanjia

National code 14

consult

120 ambulance charges, taking home visits in provincial capital cities and surrounding areas as an example, include pre-hospital first aid fees in 70 yuan, ambulance fees in 20 yuan (including within 10 km, plus 2 yuan per km above 10 km), stretcher service fees in 20 yuan for stretcher users, and 3 yuan for those without elevators on the first floor. According to the illness, the common expenses of pre-hospital first aid include ECG monitoring 75 yuan, nasal catheter oxygen inhalation 3 yuan, peripheral blood glucose 10 yuan, bedside electrocardiogram 12 lead 35 yuan, intravenous indwelling needle infusion around 70 yuan, neck protection, waist circumference, and braces 170 yuan.

There are also medical waste disposal in 2 yuan, general preferential treatment for 9 yuan, and other treatment and rescue expenses. Call the emergency number 120 once, and the minimum expenses for dispatching ambulances and emergency personnel are pre-hospital emergency expenses in 70 yuan, plus ambulance expenses in 20 yuan, medical waste disposal expenses in 2 yuan and ***92 yuan.

Released on 202 1- 12-03

This content cannot replace face-to-face consultation. If you feel unwell, please see a doctor as soon as possible.

Expand the full text

Relevant suggestions

Chief physician Wang Yajing

Harbin communicable disease hospital

Sanjia

Is there HIV in the feces of AIDS patients?

"HIV-infected people's feces basically do not contain HIV, so AIDS generally does not spread through fecal-oral routes. Not only does feces basically contain no HIV virus, but also secretions or excretions such as saliva, tears, sweat, gastric juice and urine basically do not contain HIV virus. Even if it contains HIV virus, the content is too low to cause new individual infections. \n HIV mainly exists in blood, semen, vaginal secretions, cerebrospinal fluid, hydrothorax, amniotic fluid and other body fluids, so AIDS is mainly transmitted through blood and sexual contact, or mother-to-child transmission. In the past, blood transfusion or application of blood products was the main way to infect AIDS. At present, due to the change of screening methods, this method has been effectively controlled. At present, people who inject drugs with needles are all high-risk groups of AIDS. Other infections through blood channels include surgical instruments and dental instruments, or razors, pedicure knife, razors and toothbrushes. All the above situations may be caused by the lax disinfection of the equipment and the invasion of the human body through damaged skin and mucosa. Sexual contact is the main route of infection at present, especially homosexual contact, mainly male homosexual contact. After pregnant women are infected with HIV, they can transmit HIV to newborns through pregnancy, childbirth and breastfeeding. "

Chief physician Wang Yajing

Harbin communicable disease hospital

Sanjia

What does the combined detection of AIDS antigen and antibody mean?

"The joint detection of AIDS antigen and antibody is the application of the fourth generation detection reagent to detect AIDS antibody and P24 antigen. This shortens the window period to 14-2 1 day. Window period refers to the time when HIV enters the human body and produces enough in the blood to be detected by reagents, which is called window period. In the 40 years since the discovery of AIDS, the definition of AIDS window has undergone many changes. At first, in the 1980s and 1990s, because the research on AIDS was still in its infancy, the window period proposed at that time was three months, which was a relatively backward detection method at that time. \n At present, the third type of detection reagents are widely used in various medical institutions, mainly for detecting HIV antibodies, and the window period is 2-6 weeks. The latest reagent of the fourth generation, because it is a combined detection of antigen and antibody, has a shorter window period, which is of great significance to the investigation of high-risk groups of AIDS. After HIV infection, in addition to antigen and antibody related tests, other related tests include HIV nucleic acid test and CD4+T lymphocyte test. "

Chief physician Wang Yajing

Harbin communicable disease hospital

Sanjia

What kind of blood test does AIDS depend on?

"AIDS blood testing includes HIV antibody testing, HIV nucleic acid testing, CD4+T lymphocyte testing and HIV gene drug resistance testing. Each test has certain significance for the diagnosis and treatment of AIDS, and it is indispensable in the diagnosis and treatment of AIDS. HIV antibody detection is the basis of AIDS diagnosis, including qualitative detection and quantitative detection. If the qualitative test results are positive, it can be diagnosed as HIV infection. When the antibody test is positive, a confirmation test is needed, which can be used as the basis for clinical diagnosis. \ n When antibody detection is used for quantitative detection, the reference range of normal detection value is 0- 1S\/CO, and if it is greater than 1S\/CO, it means that HIV is infected. CD4+T lymphocyte detection is mainly used to understand the immune status of patients and the progress of diseases, determine the stages of diseases and judge the therapeutic effect. HIV nucleic acid detection is to evaluate the viral load of the body, and then evaluate the severity of the disease and judge the therapeutic effect. The detection of HIV genotype drug resistance is of reference significance for doctors to choose a treatment plan suitable for patients. "

Chief physician Zhang Yuling

the second affiliated hospital of harbin medical university

Sanjia

China 67th.

/kloc-Is it normal for 0/5 months to grow 8 teeth?

"/kloc-a child of 0/5 months has only eight teeth, and the number of teeth is lower than normal. The number of teeth in a normal child should be -(4-6) months old, so a child of 15 months should erupt at least 9- 1 1 teeth. At present, only eight teeth have erupted, and there is a delay in teething. We should actively find out the reasons for the delay. If the delay of teething is caused by the lack of vitamin D or calcium, you should pay more attention to basking in the sun. It is best to go to the hospital to check the level of calcium and vitamin D. If vitamin D and calcium deficiency do exist, you should actively supplement vitamin D and calcium. After vitamin D and calcium supplementation are sufficient, the speed of teething will gradually accelerate. \ n In addition, some children's delayed teething may be related to their eating habits, such as careful diet and less chewing, which will also affect their normal teething. If the child's teething speed has been extremely slow, even if the teeth don't erupt, it is necessary to take an X-ray of the oral teeth in time to see if the child has missing deciduous teeth. "

Deputy chief physician Meng

Union medical college hospital affiliated to Fujian medical university

Sanjia

China is 88th.

What does high type ⅲ procollagen mean?

"The high level of type ⅲ procollagen often indicates the possibility of a series of diseases, such as hepatitis, liver fibrosis and cirrhosis. However, pure type ⅲ procollagen cannot explain the problem. Generally, it is necessary to comprehensively judge the four indexes of liver fibrosis, including type ⅳ collagen, laminin and hyaluronidase. Generally speaking, if one of these four items rises alone, it can not absolutely indicate liver fibrosis. If three of the four items are on the high side, the possibility of liver fibrosis is greater. It is necessary to comprehensively judge the liver hardness by combining with the detection of color Doppler ultrasound in order to more effectively understand the severity of liver fibrosis and cirrhosis. \n Of course, the gold index for the diagnosis of liver fibrosis and cirrhosis is to obtain the corresponding histopathology through liver puncture, so as to know whether there are liver fibrosis and cirrhosis and their severity at present. Type ⅲ procollagen can also be used to observe the progress of liver fibrosis and cirrhosis in routine detection. Especially in patients with liver cirrhosis, type ⅲ procollagen eggs themselves will increase significantly. However, in the late stage of liver cirrhosis, the synthesis rate of procollagen ⅲ peptide is lower than that in the early stage. In this case, type ⅲ procollagen can be used to judge the severity of liver cirrhosis, and it is also helpful to distinguish chronic active hepatitis from chronic persistent hepatitis. Because in chronic active hepatitis, the level of type III procollagen is significantly increased, while in chronic persistent hepatitis, the level of type III procollagen is not much different from that of normal people. "

Chief physician Zhang Yuling

the second affiliated hospital of harbin medical university

Sanjia

China 67th.

Can 2 1 trisomy syndrome be inherited?

"2 1 trisomy syndrome is a genetic disease with genetic tendency. If parents suffer from 2 1 trisomy syndrome, the probability of offspring suffering from 2 1 trisomy syndrome is 50% higher than that of other healthy children. Parents of children with Down syndrome will also have a significantly higher risk of Down syndrome when they have another child. \n2 1 trisomy syndrome, also known as Down syndrome, is a chromosomal disease caused by chromosome 2 1 abnormality. Its clinical features are mental retardation, special face, growth retardation and multiple deformities. Generally speaking, the older the pregnant mother is, such as over 35 years old, the probability of 2 1 trisomy syndrome will increase significantly. 2 1 trisomy syndrome can be divided into standard type, heterotopic type and mosaic type from the genetic point of view. The special manifestations of three body 2 1 syndrome are small fissure, wide eye distance, oblique lateral canthus, flat nose, small external ear, small round head and short and wide diameter. There is no effective treatment for the disease, and it is recommended that the mother take effective preventive measures through prenatal examination. "

Attending physician in Gao Qiao

Cangzhou Hospital of Integrated Chinese and Western Medicine, Hebei Province

Sanjia

Does chronic bronchitis cough?

"Patients with chronic bronchitis will cough. Chronic bronchitis is a chronic nonspecific inflammation of trachea, bronchial mucosa and its surrounding tissues. The main clinical manifestations are cough and expectoration, which last for three months every year for two years or more. Excluding other diseases with cough, expectoration and wheezing symptoms, chronic obstructive pulmonary disease (COPD) can develop with the progress of the disease. \n The main symptoms of chronic obstructive pulmonary disease are chronic cough, expectoration and dyspnea. COPD patients may have no obvious symptoms in the early stage. With the progress of the disease, cough and expectoration usually appear in the early stage of the disease, and dyspnea is the main manifestation in the later stage. Chronic cough is a common symptom of chronic obstructive pulmonary disease. Cough symptoms appear slowly and can be delayed for many years, especially in the morning and evening. Cough is often accompanied by cough. Phlegm is often white and sticky, and you often cough violently when you get up in the morning. Symptoms can be alleviated after expectoration. Acute sputum can become mucus purulent, and it is not easy to cough up. Patients only have shortness of breath or dyspnea in the early stage of fatigue, and then gradually get worse, so that they feel dyspnea in daily activities and even at rest. Dyspnea after exercise is the symbolic symptom of COPD.

Attending physician yuan

Yunyang county traditional Chinese medicine hospital

Sanjia

How is the person reddened?

"If there are symptoms of local redness in the human body, the most common factor is getting angry. Healthy people are neat and centered, with clear and symmetrical grooves and yellow and red colors. If the patient's color is red, especially near the lips, it indicates a fever, which may be due to yin deficiency, blood invasion, blood stasis and so on. Other symptoms may include gum swelling and pain, sore mouth and tongue, short and red urine, constipation and so on. \n The first method of conditioning is the application of drugs for nourishing yin, clearing away heat and detoxifying. Secondly, acupuncture, cupping, massage or topical Chinese medicine ointment can be used. Then, we can properly choose Chinese patent medicines for clearing away heat and reducing fire, such as Yankening tablets. Patients should pay attention to the combination of work and rest, and must not stay up late. At the same time, they should eat less spicy, greasy and fried food, eat more fresh vegetables and fruits, and drink more water, which can accelerate the metabolism of the body. "

Chief physician Zhang Yuling

the second affiliated hospital of harbin medical university

Sanjia

China 67th.

How long is the best time for a kangaroo to hug?

"The time for the kangaroo to hold is generally 1-2 hours, which is the most suitable, and the time should not be too long. The newborn baby's bones are so soft that he can't move by himself or lift his head when lying in bed. Therefore, no matter what posture they hold the baby in, they should pay attention to protecting the weak and very important parts such as the head, neck and spine. Kangaroo hug can protect these fragile parts of the baby very well. \n The correct posture of kangaroo hug requires adults to find a correct posture first, lean back slightly, and then let the baby lie on the adult's chest like a kangaroo. Pay attention to the baby's head leaning to one side, so as not to hinder normal breathing. Kangaroo hug can not only keep the baby's body temperature better, but also make the baby's vital signs more stable, which is beneficial to the baby's weight gain and bone development. Kangaroo hug is generally suitable for newborns within three months. When the child grows up to three months old, the body and bones have begun to have certain support ability, and the head has been able to hold it stably. At this time, he can adopt more babies to hug. "

Deputy chief physician Zou

Ji' nan combination of Chinese traditional and western medicine hospital

Sanjia

Is sweating often kidney deficiency?

"Frequent sweating is not necessarily caused by kidney deficiency, but may also be caused by other reasons. Common reasons are as follows: \n 1. Weak body: If you lack physical exercise or get sick for a long time, you may be weak and often sweat. The treatment is mainly to supplement nutrition and strengthen physical exercise. If the patient's physical weakness symptoms are improved, the symptoms of frequent sweating will naturally be alleviated or disappeared. \n2, kidney deficiency: If you often sweat, accompanied by symptoms such as shortness of breath, laziness, soreness of waist and knees, spontaneous sweating, pale tongue with white fur and weak pulse, it is mostly caused by kidney deficiency. At this time, the principle of treatment is mainly to tonify the kidney, and commonly used Chinese medicine prescriptions include Yupingfeng Powder and Jinkui Shenqi Pill. \ nSo, if you often sweat, it may be caused by kidney deficiency or other reasons, so you should actively treat it. If patients often sweat, they should be careful not to eat too spicy food, because spicy food will aggravate the symptoms of frequent sweating, which is not conducive to the recovery of the disease. In addition, patients can usually do more outdoor sports, such as swimming, running and cycling. , to enhance their physical fitness, to achieve the role of strengthening the waist and tonifying the kidney. Patients should live regularly, and don't stay up late, drink too much, smoke, etc. Ensure adequate sleep, go to bed early and get up early. "

Website record number: Jing ICP Bei 16049935 -8 About us.

Copyright? Copyright 2023 Youlai.

License for production and operation of radio and television programs: (J) Zi No.09345.

Internet Drug Information Service Qualification Certificate: (Beijing)-Management -2020-0006

China value-added telecom business license: Jing -20 17 1437.

Network culture business license: Wen (2020)5338- 1030

Wang anbei

No.11kloc-0/0802030032

tip-off (phone) call

4006678535

Consult an intensive care doctor.

Appointment registration

In the last 3 days, the patient's appointment was successful in Kloc-0/74.