The route of typhoid infection is fecal-oral transmission.
In short, infection occurs after livestock or human carriers excrete the bacteria and then come into contact with unclean food and drink.
The length of the latent outbreak and epidemic period of the disease is related to the nature of the infection. Most outbreaks of food-borne infections occur within 48 hours, while water-borne outbreaks can be latent for up to 30 days.
After Tong Han's description, it can be determined that Tang Yi's infection route is the former. Drinking raw milk led to the invasion of bacteria.
Isn’t raw milk a source of water?
Water-borne means that excrement spreads in the water source. After the amount of pathogenic bacteria is diluted, the number of bacteria infected in the human body is naturally not high. During the incubation period, the number of bacteria in the body multiplies. When the number of bacteria multiplies to a certain number, the disease will break out.
Tang Yi directly drank the raw milk containing bacteria, which was equivalent to directly allowing the bacteria to enter the human body.
As for why other people have no problems...
actually.
It's really hard to say about this situation. The time when the disease breaks out varies from person to person. Maybe after Tang Yi and Tong Han left, some people among the herdsmen became infected, but for now, no one will pay attention to those things.
It sounds very cold-blooded, but as far as what Tong Han experienced was concerned, the local conditions were like this. If Zhang Zhongjian had not contacted China Railway Emergency Department, it is not certain whether the two people would have been treated. In the local area, human life is really worthless.
In addition, Tong Han’s infection is of an involved nature.
Tang Yi suffered from vomiting and diarrhea. The local sanitary environment was poor and infection would inevitably occur during contact.
Therefore, Tong Han's condition was mild and the number of bacteria was low.
After typhoid bacteria enter the body, they directly destroy the function of the digestive system, and the body's own antigens will also start to fight back against the bacteria. The interaction between the two is like treating the stomach and intestines as a battlefield.
Who is affected? It can only be that the digestive system, which is a battlefield, is riddled with holes, resulting in perforations and bleeding.
If Tang Yi could have taken antibacterial treatment as soon as he felt unwell, the current situation would never have occurred. The problem was that if the time went on for too long, the number of bacteria would not be suppressed and would skyrocket, and the digestive tract would be invaded and eaten away crazily.
During surgery...
The perforated intestines were marked everywhere, and the people in front of the stage looked increasingly solemn.
The more marks there are, the more time they need to deal with, and the greater the challenge they face.
The location of the angiography is only part of the result, and more needs to be confirmed by examination after laparotomy, and now
"The number of piercings has exceeded our expectations..."
"There is blood in the ascites, Professor Scott, could it be..."
Before Slan finished speaking, Jack said in a deep voice: "There should be a serious perforation, which exceeds the normal amount of bleeding. I will continue to mark, and you can find the bleeding location... Philip, prepare to debridement and cooperate with me to repair it."
Stitch.”
Compared to Slan, Jack has always remained methodical.
Although the situation was much worse than they imagined, as the leader of the team, he had to grasp the rhythm.
aside.
Zhou Sheng clenched his fists. He had already used the system to find the bleeding point, which was located in the jejunum at the front of the small intestine. But he didn't dare to speak at this time. Director Wang was on one side. Even in English, he couldn't hide it.
As long as Fan Zhousheng didn't lie and said that he had something to do, he could have gone in with Director Wang now, but now...
A lie always needs countless ways to make up for it.
Hate it.
Unknowingly, the operation had already lasted five minutes.
Thirty minutes is still early before the optimal completion time, but based on the current situation, it is definitely impossible to stop in thirty minutes. Abdominal examination is only the first step. Later disinfection and suturing are the troubles, which test a doctor's skills the most.
Literacy.
Director Wang watched and listened intently. Although he had medical knowledge that was incomparable to ordinary people, the dialectical thinking of Chinese and Western medicine was completely different. He could not accurately know whether the current surgical process was good or bad.
I can only make up my mind, there may be bleeding points...
That must be bad.
The old man was sweating and watching quietly, with a feeling of regret lingering in his heart...
If you don't come in, you shouldn't have to worry so much, right?
Why bother with this before?
If you leave now, I'm afraid you will disturb them again.
Director Wang can't sit still.
The operation time is fifteen minutes.
"Debridement, prepare to suture." Jack started, and the instrument nurse immediately handed the equipment to his hand. Philip was the second assistant. Cleaning and flushing were carried out at the same time. The three of them worked on the small abdominal cavity opening.
Before preparing to suture, Jack paused and looked at Slan: "The bleeding point has not been found yet?"
When questioned, Silan was obviously a little anxious: "No, no, I will do it as soon as possible..."
"It's been ten minutes. Have you followed the order of abdominal examination?"
"I, I... I didn't. I thought the bleeding point should be in the chyme accumulation channel, so I checked carefully..."
However.
Before Slan could finish speaking, Jack became furious and yelled: "Fuck, damn it, what do you think, what do you think, are you kidding me? Are you risking your life by playing Russian roulette with me at this time?
?”
"You can't do the simplest troubleshooting well, what on earth are you doing!"
With an angry shout, the atmosphere in the operating room instantly dropped to freezing point, and the already serious air seemed to be completely frozen...
But even though Jack was angry, the movements of his hands did not stop.
Silan swallowed, resisted the fear and said: "Give me another five minutes, it's almost over."
The nurse saw the cold sweat on his forehead and quickly wiped it for him.
In front of the operating table, Zhou Sheng could no longer bear it, but he had to continue to remain silent.
…
Perhaps because of Jack's anger, everyone was already extremely stressed, and now they couldn't control the rhythm even more.
While Jack was suturing, Philip's pinching forceps stabilizing the intestinal tissue vibrated slightly, which directly caused the hook needle in Jack's hand to puncture ectopically.
"Be more stable, please be more stable?"
Compared to the rant just now, Jack has obviously restrained himself a lot.
Because he seemed to realize that the combination in front of him did not seem to be able to adapt to his rhythm well. The greater the pressure, the more mistakes would be made. He did not dare to destroy the opponent's self-confidence again, which would directly lead to a total loss.
Phillip apologized nervously: "Sorry, I will pay attention."
But what about Slan?
Time was getting tighter, but he still couldn't find the bleeding point.
The location of the jejunum is very special. It is located at the front end of the small intestine. It is the first passage for chyme to enter the small intestine. It is connected to the upper part of the abdominal cavity. Due to the special nature of the tissue, there are many blood vessels attached to the surface of the jejunum and it appears reddish.
The bleeding point caused by the perforation is bound to be small, and the blood in the ascites is also a long-term accumulation process, so it is easy to be ignored.
Even though Jack didn't ask, just looking at Slan's increasingly panicked look, he knew that there was no progress.
At this moment.
This situation.
Jack really has an autistic urge. He usually performs very stably, so why does he have diarrhea at the critical moment? He has a strong urge to let Zhou Yisheng come on stage.
But he didn't dare to raise his eyes and meet Zhou's eyes, because he was still in the stage of inner struggle and was afraid of an impulse, so he spoke out.
ancient times.
The ancients divided career advancement into seven levels
The first is a person who is involuntary or under supervision.
The second person is the apprentice, a person who lacks ability and is willing to learn.
The third one is a person who works neatly and follows the rules.
Needless to say, the craftsman is very skilled.
A teacher, a master, a master, has mastered the rules and can impart skills.
Masters are great masters, and saints are naturally sages. They are rare throughout the ages. For example, Lu Ban is a sage in the case of strange skills. In terms of traditional Chinese medicine, Hua Tuo, Bian Que, and Sun Simao can also be sages.
Jack belongs to the division, not to the family, but his ability is definitely in the upper class.
Silan should be a worker, but in terms of the quality he currently exhibits, he has a mentality that is inferior to that of a worker. He cannot act according to the rules and can only be reduced to a disciple with insufficient ability.
The status is subject to fluctuation, and many factors can cause the level to drop.
As far as the current situation is concerned, it is already very bad.
Can you bear it on Monday?
No more!
He stepped forward and immediately attracted everyone's attention, but he had to remain calm and could not go on stage without Jack's approval.
"Jejunum!" Zhou Sheng whispered.
Everyone was stunned, even Jack didn't react for a while...
"Bleeding point, look at the jejunum!"
The words fell.
Slan was stunned, but Jack came to his senses first, handed the hook needle to the nurse, picked up the forceps and clamped the jejunum segment. The jejunum was thick and wrinkled, and had numerous attached blood vessels that were reddish.
But look carefully...
Philip exclaimed: "There is blood oozing from the perforation!"
hiss!!
Everyone gasped. The authorities were confused by the onlookers, and they were suddenly awakened from the confusion. It was precisely because they didn't know how the other party did it. The inexplicable shock made the pores all over the body open and close.
Jack knew that he could not delay any longer. He raised his head and looked at Zhou Sheng for the second time since entering the operating room.