198 1 year 1 month/day, Beijing. While people are celebrating the National Day in high spirits, an ominous cloud is hanging over Beijing. A mother came to Beijing with her one-year-old child from Anhui to visit her husband. That night, the child vomited and then fell into a coma. The mother took her children to several hospitals, and the emergency room thought that she had toxic dysentery. Later, I went to the second ward of 302 Hospital. 65438+ 121at noon on October 2, Professor Jiang, then deputy director of infectious diseases department, was preparing to leave work. Dr. Lei from Ward 2 called and asked him to go to Cory to help see this little patient. He immediately put on isolation gown and hurried to ward 2.
He inquired about the medical history carefully and checked the child's vital signs. Engaged in infectious diseases for decades, Jiang is very familiar with toxic dysentery. The symptoms of toxic dysentery should be low-grade diarrhea at first due to high fever and chills in limbs, and finally death due to brain edema, convulsion, cerebral hypoxia and respiratory failure. The patient in front of him has neither fever nor diarrhea. The main symptoms are diarrhea, vomiting, severe dehydration and acidosis. Jiang thinks the child is not like toxic dysentery, but a bit like cholera. The laboratory results confirmed Jiang's diagnosis. The doctor quickly reported this class A legal infectious disease. Vibrio cholerae is mainly transmitted by water, and can survive in river water for 7 days, with the longest survival of 17 days. Every major epidemic in history is related to water-borne transmission. Food, daily necessities and flies are also important routes of transmission. Vibrio cholerae is alkali-resistant and acid-resistant, often accompanied by seafood and hidden in the depths of food. Fasting, binge drinking or abnormal gastric juice are all easy to infect people.
The most important thing now is to cut off the source of infection. Jiang asked the child's mother, "How many days did you stay in Beijing? Who have you been in contact with and what have you eaten? " The patient said, "I just arrived in Beijing yesterday and brought some boiled eggs from my hometown." Yesterday, several of my lover's fellow villagers came to see me, and I invited them to eat an egg. "Immediately asked the villagers' unit and address, informed the epidemic prevention department and immediately took them to the 302 hospital. When the patient arrived at the hospital for examination, three villagers who ate boiled eggs were infected with cholera, and one of them was already sick. They immediately isolated these patients for symptomatic treatment, so that cholera did not spread this time and opened the first pass for Beijing. So, the Beijing municipal government gave him 50 yuan money. Jiang didn't take a penny. He said it was the doctor's job to stop deadly infectious diseases. I am a military doctor, how can I ask for a bonus?
1994, another similar plague came to Beijing. It was a weekend in July 1994, and Jiang was suddenly informed that he would go to a big hospital in Beijing for consultation at once. The patient is a veteran. His wife bought a pickled chicken in the farmer's market the other day and kept it in the refrigerator for several days. The veteran took it out of the refrigerator yesterday and ate it with his son-in-law and grandson without heating it. After eating, the three of them vomited and diarrhea. Jiang carefully observed the illness. The patient developed diarrhea, vomiting, acidosis shock and heart disease. With rich epidemiological experience, he said, "I think this patient looks more like cholera than acute enteritis." Please check his stool immediately. " The test results came out, and it was indeed a new cholera disease-"O-139", which cut off the source of infection in time. If there were no rivers, cholera would be prevalent and Jinghua would be unimaginable. Jiang once again held a pass for Beijingers.
There is no face before life.
1973, 302 Hospital of the People's Liberation Army asked Jiang to join the medical team and work in Qinyuan County, Shanxi Province. Considering that rural areas often encounter surgical operations, he went to 30 1 hospital for half a month's surgical training before leaving to observe how surgeons perform operations. In Qinyuan County, Jiang became a surgeon in the medical team and performed many minor operations for patients.
A young man in his twenties named Wang Gazi asked him to have thyroid tumor surgery. Jiang said, I have no idea about this kind of operation, so you'd better go to a big hospital to do it. The young man said, I don't have the money to go to a big hospital, so I believe in the PLA, and I don't blame you if it breaks down. Jiang heard that the surgical director of Changzhi District Hospital in Shanxi happened to be in Qinyuan County, so he ran to see him and told him sincerely that I would perform thyroid surgery on a patient. If I can't get it off, you should help me.
The next morning, the patient was lying on the operating table with a knife. Jiang secretly complained: Oh, no, the tumor is not that big. Why is it so big? The blood vessels near the thyroid gland are rich, thick and short, and they rush out when they touch blood. He was worried that he had accidentally punctured a blood vessel and was a little at a loss. Colleagues of the medical team read Chairman Mao's quotations: "Make up your mind and be not afraid of sacrifice. Overcome all difficulties and strive for victory. " Someone also sent him porridge: "Don't be afraid, Dr. Jiang, have some porridge before you cook. The PLA medical team has just arrived, so it is not good to change people for surgery. We can't lose face! " Originally, the young man signed the operation sheet before the operation, and the patient was responsible for all the accidents. Even if Jiang botched the operation, there is no big responsibility. Others say that the face of our People's Liberation Army is very important, and you must bite the bullet and stick to it. But Jiang thinks: if you persist, you can do it, but you can't guarantee that the patient is foolproof. I am facing a real life, and I have no face to talk about before life. Only superb medical skills can save lives.
He put down the scalpel and made it clear: Please ask Mu instructor to send someone to take the surgical director to the operating room immediately. The surgeon went to the operating table and finished the operation in only 20 minutes. Jiang gasped: That was close. Thanks to the surgeon, otherwise Wang Gazi might have died on the operating table.
The more medicine develops, the finer the division of labor. It is normal for infectious disease doctors not to operate on patients, but Jiang can't forgive himself. Many years have passed, and he often dreams about that scene in his sleep. He was glad that he could seek truth from facts at that moment and didn't fiddle with the patient's life. He always encourages himself to learn from surgeons.
Calm Huxian hemorrhagic fever
1974 In autumn and winter, hemorrhagic fever broke out in Song Cun, Huxian County, Shaanxi Province. In just a few months, 284 people fell ill and 20 workers died in Song Cun alone. Faced with the sudden epidemic, people panicked and the epidemic was quickly reported to the central authorities, which attracted great attention from the CPC Central Committee and the State Council. The Central Committee instructed the 302 Hospital of the People's Liberation Army to organize a medical team to rush to Huxian County. Happy gongs and drums sounded in Song Cun, Huxian County, and people who were scared by hemorrhagic fever for several months were afraid to go out. Jiang is one meter tall and walks at the front of the team. The shining red star on the green military cap is particularly eye-catching. From then on, the villagers affectionately called him Captain Jiang. Epidemic hemorrhagic fever mainly causes infection through excreta, feces and urine of rats. Autumn harvest season is the peak breeding season of Apodemus agrarius, and there are many opportunities to pollute crops. When mice enter the village with crops such as rice in autumn harvest, the chances of infection due to contact with mouse excrement will increase. Apodemus agrarius and Rattus norvegicus are the main sources of infection of hemorrhagic fever.
As an infectious disease expert, I clearly realize that if we want to eradicate epidemic hemorrhagic fever, we must eliminate the source of infection-rats. He became the captain of the rodent control team, pulled up weeds, dug deep rat holes and put a lot of rodenticide. He regularly places 65,438+000 mousetraps where rats must pass. When he started putting them in one night, there were always about 30 traps. When the rats were eliminated, the source of infection was blocked. Jiang also gave full play to the role of everyone in the medical team. In cooperation with local doctors, pharmacists have developed a set of basic therapies for balanced salt solution. Intravenous injection of this drug is very effective in hemorrhagic fever patients in shock stage and has saved many dying patients. The medical team stayed in Song Cun for a year, and there were never Sundays and holidays. The local hemorrhagic fever mortality rate decreased from 25% in 1994 to zero in 1995.
1977, a small-scale hemorrhagic fever broke out in Huxian county, and Huxian people called ginger out again. At this time, he has accumulated rich experience in treating hemorrhagic fever and successfully regained countless lives from death. In order to improve people's awareness of self-prevention and health care, Professor Jiang and the medical staff in the county compiled the early symptoms of hemorrhagic fever into jingles-chills, fever, drunkenness, headache and low back pain similar to a cold, skin and mucous membrane bleeding, nausea, vomiting and proteinuria. They printed it as a leaflet, posted it door to door and recited it to the little dolls. The result is a household name. After several years of efforts, especially with the vaccine, the local epidemic has never recurred. After the epidemic subsided, Huxian people sent Jiang away with tears in their eyes. They looked at the back of Jiang and cried, "Captain Jiang, this is your home. Come back often when you are free! "
After the fight against SARS started, the villagers in Huxian saw Professor Jiang on TV. Wang Cheng said with tears in his eyes: "He has been in our county for 28 years. He is 46 years old and middle-aged. Now he is 74 years old and an old man! That year, my children had prepared a funeral for me. If captain Jiang hadn't saved me for three days and nights, I never dreamed that I would live to this day. "