Just because I ate the ice watermelon overnight, the 68 -year -old man had diarrhea more than 10 times a day, and his life was in danger.

There is a place, except for the patient's breathing sound, machine Didi, and medical communication sounds, there are almost no other sounds;

In one place, the temperature will remain at 24 degrees Celsius throughout the year;

There is a place, despair and hope are fighting against time;

The Department of Critical Medicine (also known as ICU) is a mysterious and cold place for the people.

Yiyang Central Hospital's intensive medical medical team launched a series of popular science stories with the theme of "intensive decoding", and share with you the thrilling and warm moments in the ICU to unveil the mystery of the severe medical department.

Although it has gradually entered the late autumn, Qiu Tiger Yu Wei is still there. In hot weather, people usually like to put watermelon such as watermelon and food in the refrigerator.

In this case, not only can fruit, food, etc. be preserved for a longer time, but people can enjoy more coolness.

But as everyone knows, the danger has quietly followed.

Grandma Wang is 68 years old. He lives with his wife and granddaughter. Life is simple but also exquisite. It was the joy of God, but did not want to come unexpectedly.

On September 18, 2022, the ancestors and grandsons ate overnight ice watermelon in the refrigerator in the home.

Because Grandma Wang had two chronic diseases in the past, the dysfunction syndrome and thyroid dysfunction, the long -term oral hormone and thyroxine tablets were treated with poor body immunity.

On September 19, Grandma Wang had severe vomiting and diarrhea symptoms. She had diarrhea more than 10 times a day. With fever, chills, chest tightness, fatigue, etc., she soon entered a shock state and her life was dying.

The family quickly sent Grandma Wang to the emergency department of Yiyang Central Hospital, and then transferred to the intensive medical ward for rescue treatment.

After entering the Department of Severe Medicine, Li Guofeng, the director of the department, attached great importance to it, and immediately organized medical staff of the department to discuss the condition. Combining the characteristics of medical history, clinical manifestations, blood tests, severe cardiopulmonary ultrasound and other examination results, the "acute intestine tract was quickly given an intestinal tract. Preliminary diagnosis of infection, purulent, purulent shock, multi -organ failure ".

After preliminary active drug treatment, Grandma Wang's condition was not stable, and the failure of shock and organ function, especially cardiopulmonary function, aggravated.

On the morning of September 20th, Grandma Wang had a sudden breathing and cardiac arrest. After rescue such as cardiopulmonary rescue, he resumed autonomous breathing and heart rate, but the consciousness had been coma.

At this time, Grandma Wang's cardiopulmonary function can no longer meet the needs of organizational organs.

Under the instructions of Director Li Guofeng, Zhuang Shuilong, the deputy director, repeatedly communicated with his family members. After the family members signed and agreed, the team of Life Support (ECMO) team in the early September 20th of September 20th Blood purification therapy (continuous kidney replacement treatment CRRT and artificial liver treatment DPMAS) is used to escort the function of grandma's organic functions, and it also strives for the restoration of cardiopulmonary function.

Grandma Wang, who is in danger of life, what causes her so serious infection? Two days later, the real murderer finally surfaced.

Grandma Wang's blood culture and stool culture have returned to the infection of the diagnosis of the diagnosis.

Through the analysis of the pathogenic case, the culprit is likely to start overnight ice watermelon contaminated by the three people to be taunched by the rats.

What is Rat Typhoon Sand Gate?

Rat Typho -Salmonella is a Gram -negative slender bacteria. It is an important raw bacteria of human and animals. The incidence of infection is the first of the infection of Shamen bacteria, accounting for about 40%to 80%of the infection of Salon bacteria.

It is more common in infants and children with low immunity, which can lead to outbreak food poisoning and hospital infection, and the mortality rate is higher.

The bacteria have a strong survivability in the external environment, and it can quickly reproduce, resist low temperature, and dry at room temperature. It is not heat -resistant (55 ° C and 1 hour, 60 ° C for 25 minutes). The acidic environment can be killed 99%, which is sensitive to ultraviolet rays and various chemical disinfection agents.

The epidemiological characteristics of Rat Typhoons Chan Shamen bacteria

People and bacteria are the main source of infection of this disease. Poultry, domestic animals, rats and other wild animals infected with bacterial infections are also important sources of infection. The disease can be developed throughout the year, and it is mostly in summer and autumn.

The incidence of regions with poor sanitary conditions is high. Popularity is more common in hospital infection, mainly through pollution of food or water.

The principle of pathogenesis of Rat Typhoons Cold Shamen bacteria

Rat Typho -Sand Gate bacteria through the stomach into the intestine, proliferate in the intestine, adhere to the intestinal mucosal epithelial cells, and then invade the inherent layer, release toxins, and cause acute inflammation such as congestion, edema, and dot -shaped bleeding.

The pathological characteristics are mainly congestion, edema, bleeding, and stove necrosis of the digestive tract, and even a wider and extensive superficial ulcer, inflammatory cell infiltration.

The clinical manifestations of Rat Typho -Salmonella

Most of the incubation period is 12 to 72 hours, the shortest 2 hours, up to 4 weeks. Various clinical manifestations, most immune function is mostly manifested as gastrointestinalitis type, and immune function is more common in sewage type and mixed type.

According to the clinical characteristics, it can be divided into the following types:

1. The most common type of gastroenteritis. Most of the onset of the onset, chills, fever, accompanied by nausea, vomiting, fatigue, and whole body soreness. Abdominal pain and diarrhea occur after a few hours or after several days.

2. Defense type is more common in children and weakness. Most of the types of gastrointestinal symptoms occur in this type. Some patients may have mild gastrointestinal symptoms.

The main manifestations of irregular heat, relaxation of heat, or high fever, have severe poisoning symptoms, and infants and young children have high fever, abdominal pain, diarrhea, and pus and blood stools. Essence 3. Internal organs are rare in this type, mainly secondary to sepsis.

Generally, after gastroenteritis, the symptoms of chills, high fever, and severe whole body may occur. Patients may cause the following tissue organs damage: ① digestive system: ② exercise system: osteomyelitis, osteoarthritis, etc.; ③ cycle system: ④ breathing system: ④ breathing System: ⑥ Urology system: ⑦ Other: Limited purulent infections of each organs.

Treatment and prevention

Patients with mouse typhus infection generally need hospitalization.

For gastroenteritis types, liquid therapy is the key to treatment and strengthen symptomatic support treatment.

Patients with frequent vomiting and diarrhea should give fasting, and timely vein supplements to correct dehydration, acid poisoning and electrolyte disorders. The intestinal micro -ecological preparations can be tried to regulate the normal intestinal flora. Generally, antibacterial treatment is not required.

However, patients with severe symptoms of general poisoning and patients with high fever and mucus blood can be given antibacterial drugs as appropriate.

Patients with blood loss and internal organs should strengthen anti -infection treatment on the basis of symptomatic treatment.

Good eating habits are the main ways to prevent this bacterial infection or even all digestive tract infections.

Secondly, the patient or pathogen carrier is made early, early isolation and early treatment is the main means to improve the survival rate of patients.

(Edit Rainbow. Some pictures source networks, invading deletions)

Special Author of Hunan Medical Chat: Xia Zhengcai, the Central Hospital of Yiyang City

Follow@关 关 关 关@@关 关 关 关 关!

- END -