The old man in the vest lit a cigarette, took a hard sip, and slowly spit it out. The smoke covered his old eyes and said, "I started vomiting yesterday or the day before yesterday. I didn't take it seriously. I thought it was a bad thing, so I gave a few oleycins to eat. As a result, it suddenly happened tonight."

Old Man Lin glanced at the old man in the vest and said in a deep voice: "Smooth cigarettes, what are you coughing like, and even less wine, this is how your stomach problems come about."

The old man in the vest smiled and said, "Okay."

Old Man Lin didn't say anything more and instead checked Xiaojie's situation.

Touching the neck, the muscles of the neck were stiff, and he dragged the back of his head forward. Xiaojie immediately showed a painful expression and showed extremely strong resistance.

This is... neck stiffness.

Very bad signals, meningitis, meningeal cancer and various cerebrovascular diseases, may cause this symptom.

Considering Xiaojie's age and the local situation, Old Man Lin looked at the old man with a little annoyed angrily and asked, "Did you cook snails for him?"

Old Man Ouyang's beard shook and said, "No, you have taught us before, saying that the snails in the field cannot be eaten, and that there are some nematodes, we have never eaten them!"

Old Man Lin emphasized: "That is called Guanyuan Nematode, which is the most common parasite in Fushou Snail."

After saying that, he looked at Xiaojie in confusion and muttered: "No, Xiaojie's situation is very similar to being infected with a tube worm... Did he cook it by himself when you are not here?"

"This is impossible. We have some food left at home. Before I go out to work, I will leave a hundred yuan at home. He will definitely not be hungry."

Speaking of this, the old man in the vest's voice became much deeper and said, "But this child never spends money randomly. Every time he comes back, he still cooks noodles himself."

"I'm very sensible." Old Man Lin felt very distressed.

He took the time and took out the thermometer again, and he suddenly felt something was wrong at first glance.

Body temperature is 37.9 degrees, low fever.

The old man in the vest glanced at it: "It's not serious. Last time, the grandson of Lao Yang, the village leader, had a fever of 41 degrees. In the end, there was no problem. He was only 37 degrees."

Is 37.9 degrees also considered 37 degrees... Old man Lin was too lazy to argue with the old man in the vest, and said with his fingers: "The neck is stiff, the temperature is low, and vomiting... If I was not wrong, he should have headaches from time to time these days, and he can't eat anything, right?"

The old man in the vest was stunned for a moment, suddenly remembered some details, and asked hurriedly: "He can usually eat two bowls of rice, but when I come back these two days, he will say he is full after stuffing a few bites, and he always holds his head... Are these counting?"

Old Man Lin's expression became a little solemn. He pointed to his frontal and temporal part and asked, "Are you pressing here?"

"Yes - he didn't say it hurts, nor did he make a fuss. If he hadn't vomited, I wouldn't know he was sick!"

Of course you don’t know... This child is so sensible that it makes people feel distressed... Old Man Lin felt a little sad and stood up to get the key.

The old man in the vest was stunned for a moment: "Brother Lin, you are..."

"Hurry up, go to the county hospital. If he is later, he will die!" Old Man Lin's voice was unquestionable urging.

Infection with cymbidium worms also causes severe meningitis.

No one knows how Xiaojie was infected and when he took Fushou Snail, but Old Man Lin was basically sure it was a parasitic disease. If he dragged it down, it would be hard for the gods to save him!

I just hope I can still control myself... Old man Lin prayed silently.

Soon, Old Man Lin locked the door and placed Xiaojie behind his little three-wheeled round.

In order to facilitate transportation, the back seat of the three-wheeled wheel was transformed into a soft cushion. This is a "rural ambulance specially created by Old Man Lin, and it is no problem to transport two or three patients.

"Let's go." Old man Lin finished speaking, and kicked the accelerator and pierced into the heavy twilight like a storm.

...

The county hospital carried out an emergency examination. Old man Lin put his waist on his back and directed the young doctor in the emergency department of the county hospital to do the examination.

He is a famous old doctor. Although he does not have a medical qualification certificate, he has a high reputation. In addition, he has come to the county hospital more often, so everyone knows that he is of good quality, so he is willing to listen to his command.

The next morning, the results of various inspections finally came out.

Xiaojie has only 67 hemoglobin left, while the standard value for normal children is around 110~150.

In addition to hemoglobin, other blood conventional indicators also have abnormalities.

The number of eosinophils increased, accounting for twelve percent;

Cytologic classification gives a more specific proportion, with eosinophils being 60%, neutrophils being 34%, lymphocytes being 4%, monocytes being 2%...

The lumbar puncture test showed that the pressure reached 340mmH20, nucleated cells 230/mm3, and CSF protein 0.81g... indicating an increase in intracranial pressure.

In addition, chaddock’ssign positive, neck resistance…

chaddock’ssign is the most important sign of pyramidal tract damage. The examination method is for the patient to lie flat, stretch his lower limbs, and use a sharp object to gently stroke the skin on the outer side of the dorsal dorsal part of the foot from behind to front. Dorsoflexion of the foot is positive.

The bad news is that the hospital has not found pathogens from the patient's cerebrospinal fluid, and the specific gravity of sugar and chloride in the cerebrospinal fluid is normal.

This also conforms to the clinical conclusion. To determine whether a patient is infected with the cystellar nematode, the gold standard is to find the larvae or adult of the cystellar nematode from cerebrospinal fluid or the eyes and other parts. However, the detection rate in reality is less than 5%, and most patients rely on other detection methods to confirm the diagnosis.

Even if there is no gold standard, with the help of symptoms such as headache, vomiting, and neck stiffness, it has been confirmed that the infection of Tube Circle Nematode after eating the undercooked Fushou Snail...

"First prescribe albendazole to kill insects, and then combine it with levamisazole?" The young doctor from the county hospital solicited opinions.

Although it is a township hospital, with the national popularization of medicine and health science, even rural children know that Fushou snails cannot be eaten. In recent years, they have rarely encountered infection with Tube worms.

They can only learn a few treatment guidelines from the textbooks:

"In the early stage of infection with the cymbidium nematode, albendazole, mebendazole and others need to be used for insecticidal treatment in time, while levamisole has a strong killing effect on larvae."

Hearing this combination therapy, Old Man Lin twitched the corners of his mouth.

Sure enough... medicine is still an empirical discipline, and optical theory knowledge is very useful. Only by experiencing different patients and encountering various situations of the same disease can we slowly grow into an excellent doctor.

"Isn't it possible?" The young doctor in the county hospital was puzzled.

"Of course not." Old man Lin shook his head firmly.

He looked at the boy on the hospital bed. At this time, Xiaojie was awake and his consciousness returned to normal. He was still having a split headache and couldn't help vomiting. This made the boy's face look extremely ugly, and his lips were as white as if he was crawling out of the morgue freezer.

"What treatment methods should be used now?" The little doctor was extremely anxious when he saw Xiao Jie's appearance, fearing that the patient would die in the hospital.

Old man Lin couldn't help but clenched his fists and said, "On the contrary, no insecticide measures can be given now..."

——
Chapter completed!