Qi Jing seemed to be a storyteller, and he described the hatching history of the small magnificent flies and maggots as a magnificent drama of the year.

Whether it is an worm egg pupa larvae or an adult, all forms of flies can survive the winter. However, the difference lies in the temperature in winter, and the cold tolerance ranges from strong to weak are pupa egg larvae and adult.

The winter in Danyang is not warm, and the way flies spend the winter is usually insect eggs or insect pupa.

Compared with pupae, insect eggs do not have a solid shell and must be stored in non-freezing sewage and feces to survive the winter safely. Ensure sufficient humidity can maintain the basic survival of insect eggs. When the temperature in spring warms up, they can slowly hatch.

Logically speaking, the temperature of the nasal cavity of ordinary humans is definitely lower than that of the body temperature, usually around 30 degrees. Brain surgery will use sub-hypothermia therapy when dealing with traumatic brain hemorrhage, that is, maintaining the patient's body temperature at around 3033c to improve survival rate, which further reduces the temperature in the nasal cavity.

In addition to the cold winter climate and the practice of reducing indoor temperatures in surgical wards year-round control of wound infections, Chang Wenhan may not even have 20 degrees in his nasal cavity.

From the interval of 030 degrees, the hatching speed and temperature of fly eggs are positively correlated. At 1520 degrees, the eggs will develop and hatch slowly, but the speed is not fast.

"I think larvae can hatch in about 1015 days at this temperature." Qi Jing added, "But the brain surgery department will gradually remove the sub-low temperature after the operation and restore the patient's original body temperature. This time may be shortened to less than 10 days."

"Where did you learn this kind of thing?" Qin Xuefeng asked with a smile.

" Raising maggots is an industry, and the protein in maggots is rich in quality feed."

Qin Xuefeng didn't understand why a doctor was interested in these things, "But you graduated from a medical university, not an agricultural university, Danish Medical University should not teach these things."

"My mother has been to help abroad. In fact, this disease is quite common. I heard her talk about some cases when I was a child." Qi Jing said while searching through the bookcase twice. "It turns out that there is a book here, and there is an introduction. I just read it some time ago, but now I don't know where to put it."

"Awesome." Chen Xiao sat aside and had no room for interruption.

Gao Jian held the complete microorganisms in his hand and was very interested in the myiasis mentioned by Qi Jing. He looked back and forth several pages, read the introduction all in the past and asked: "Can maggots also cause patients to have fever and septic shock? It seems that they are not written in this book."

After he mentioned this, Chen Xiao also wondered that they had spent a lot of energy and time in order to deal with infection and shock in the afternoon.

"No, fever is just a fever, it has nothing to do with infection." Qi Jing shook his head and explained, "To be strict, the microorganisms in the maggots will synthesize antibiotics and anti-resistant factors, which is very helpful in fighting infection."

"Isn't a fever an infection?"

"The bone removal cerebral hematoma removal surgery is not a minor operation. It requires long-term rest after the operation, and the patient will have some infections."

Qi Jing pulled out Chang Wenhan's examination report: "But this child is different! He touched sewage, and the blood reported that there was E. coli at the beginning, and then it was cleaned; the urine that had been inserted for more than half a month was clean; he lay in bed for more than half a month, and the bottom of the lungs was also clean. Don't you find it strange?"

"Is there any credit for maggots here?"

Qi Jing nodded.

“This is too strange.”

The end point of the diagnosis was in front of Chen Xiao, but he just didn't know how to open up the idea of ​​going to the end point: "Where is no infection, where does the fever come from? Without infection, where does the shock come from?"

"That's allergic." Qin Xuefeng interjected, "The long-standing maggots cause allergies. The allergies are not strong at the beginning, and only after they accumulate slowly will they have a big outbreak."

"Strictly speaking, allergens are fine hairs on maggots," Qi Jing explained. "Allness can cause a central disorder of the body's temperature regulation and can also cause a large number of heat-induced sources in the body. Septic shock is just a wishful diagnosis."

Chen Xiao forgot that allergies can also cause fever, and it turns out that they were wrong from the beginning.

Because the neurosurgery department in the first hospital is used to postoperative infection, it is considered an infection when it sees a postoperative fever, and even after using various powerful antibiotics, it still believes so. Danyang Hospital also naturally believes this view because of its inertial thinking.

Who would have thought that the little things would be attached to Chang Wenhan's mouth and nose, followed all the way from the sewer to the sterile operating room, and then crossed the hospital from Shenwaiicu to the inner emergency rescue room here.

Except for Qi Jing!

Chen Xiao looked at Qi Jing and didn't know how to define this person.

Is it a doctor?

It must be that he saved a lot of people in the past six months, but when you think about it carefully, it makes people feel that it is not very true.

This person is completely different from a doctor in the secular sense in China. After graduation, he did not take over the patients after entering Danyang Hospital. But he is a rare firefighter in Danyang Hospital. As long as others are helpless, he is the first person to ask for help.

When Wang Ting took over Chang Wenhan, he hinted that Ji Qing asked him to return to the emergency room.

After the man arrived, the old man actually came back to sleep with peace of mind, which shows that he believed in Qi Jing's diagnosis ability very much, so he almost stuffed his trust into his arms. Now it seems that the result is very good. The diagnosis was cleared just half a day after he was admitted to the hospital, and the treatment is also steadily progressing.

"Let's go and help that senior sister." Qi Jing said to Gao Jian, "The pathway to the nasal cavity is more than one throat. After solving the insects in the throat, she also has to get the sinuses, which is quite a workload."

"good."

After explaining the diagnosis, the doctors in the clinic left.

Qin Xuefeng is at least 50 people, and staying up late is very sad. Now he can solve the problem of Chang Wenhan's time bomb. After leaving the treatment room, he ran to the emergency room for some breathing and then gave him a cigarette to relieve his fatigue.

Chen Xiao took an intern to the observation room for a walk, and there were still patients with about 60 people there. Everything could happen in the middle of the night, so you must be vigilant.

Xia Wei was not so relaxed in the emergency room.

After she was 30 years old, she just got the attending title last month. Unexpectedly, she met such a patient at the beginning of her thirty years. I am afraid that only Xiao Yu and her who had met maggots in Quandanyang Hospital. This night became her true nirvana night.

I'm afraid that for a considerable period of time in the future, white will become the color she least wants to see. Tofu, bean sprouts, butter salad, or even rice grains with short sections of noodles, may become psychological shadows.

The two came to the emergency room, and Xia Wei was still deworming.

If someone helps her, she will definitely help her share a lot of pressure and can be easier when she does it, but Qi Jing is an exception.

In Xia Wei's eyes, this guy lied not to draft. In order to make himself do everything he could to do for emergency laryngoscopy, he has been listed on her blacklist: "I feel uncomfortable when I see you, just leave Xiao Gao, you go."

"I really want to help." Qi Jing explained with a smile.

roll!

Xia Wei didn't say this word, but her finger pointed directly at the door of the emergency room, and the expression on her face explained everything.

"Okay, you are the chief minister, listen to you." Qi Jing left there obediently.

The emergency room was very exciting. With the efforts of Xia Wei and Gao Jian, the wriggling little bugs kept pouring into the negative pressure bucket, and the world outside the emergency room was also exciting. As soon as Qi Jing stepped out, he wanted to talk about the situation in detail with Chang Zhijun and give a summary speech. Unexpectedly, Chang Wenhan's mother who had not shown her face suddenly appeared.

The key point is not the only one who came. The man standing far away outside the emergency room looked even more eye-catching.

The "husband and wife" started the quarrel as soon as they met.

Both sides have different opinions and have been engaged in the current situation of their son. They have finally sublimated from the relationship between the two over the years to the height of attacking each other's personality.

Qi Jing has long been accustomed to this kind of cold-fried farce. Chen Zhima Languzi's past is the object of their stir-frying. It doesn't matter whether they can eat it or not. It's enough to disgust the other party.

The woman was wearing high heels and wearing a white-collar suit. Whether it was dressed or the scented fragrance, she was out of place with the people in the inner emergency hall: "Is this what you did when I handed it to you?"

Chang Zhijun sat in the seat outside the emergency room and lowered his head and said, "I have said it on the phone many times, that was an accident!"

"Accident? Can the word "surprise" wake up? If you can look at him, how could an accident happen?" The woman felt a little guilty and her tone began to get worse, "How did you become a father? You know how to drink and chat every day..."

Chang Zhijun was with his son all the time during this period, and he didn't even care about his own small company. He must have accumulated a lot of pressure. After she said this, the fire broke out in her heart: "I don't deserve to be a father, so where are you, a mother? Where are you when your son has an accident?!"

The woman's attitude was obviously softened by what he said: "You said that something happened to your son two days ago, and I have to rush back from Shangjing."

"Ha, Shangjing." Chang Zhijun turned his face and looked at the middle-aged man standing at the door. A bitter smile appeared on the corner of his mouth. Suddenly he became sarcastic, "Are you doing well in Shangjing? Are you accompanying Mr. Li again?"

The woman was so angry that she glared at this sentence, she subconsciously looked at the gazes that came around, bit her lips and said, "I'm going to work. If you want to talk nonsense, don't blame me for being so polite!"

"Work? You really know how to write. Can you work until midnight?" Chang Zhijun glanced at his watch, "It's almost 2 o'clock now."

"Mr. Li is kind enough to drive me to the hospital. Don't bite Lu Dongbin!" The woman argued with reason.

"I'm a dog? Yes, in your eyes, we father and son are no different from dogs." Chang Zhijun laughed a few times and poured out all the bitterness. "My son is approaching the third year of junior high school entrance examination, but you have to move out and separate from me. During the holidays, this Mr. Li always asks you to go to the company. I really don't know if it's for work or for..."

Before the next half sentence could be said, Chang Zhijun's face was tilted to the side with a crisp "pop".

"Forget it." Seeing this, Qi Jing saw the opportunity and inserted it between the two of them, trying to separate them, "Stop quarrel."

But Chang Zhijun seemed to be resentful of the slap, pushed Qi Jing away, and then went up to fight with his nominal wife. The two of them used their hands and feet, cursing and fighting, and they had long lost the demeanor that the social elite should have.

Since he had upgraded from the verbal to the verbal action, Qi Jing knew it would be useless to persuade him, so he simply retreated and sat on the chair.

His decision was very wise, because after a while, Mr. Li stepped on the cigarette butt and rushed in. The three of them were like energetic children, fighting in a straight round.

The couple quarreled and considered a housework. Qi Jing, an outsider, couldn't help it, and was too lazy to take care of it. Qin Xuefeng, who was standing at the door, was also an old fried dough stick. The cardiology department usually had no shortage of such family members. Instead, he leaned against the door and leisurely spitting smoke rings outside the door and watching the show.

For them, how to develop and end the scene after watching this scene is also a different kind of pastime.

The quarrel attracted a lot of attention. After a while, many people stood around, and there were more people watching and less persuasion. There was no one who was willing to disturb the police at this time. The onlookers' psychology was very simple, just to improve their spiritual quality of life through comparison with others, so just take a look.

If there are people like them who are watching, there will naturally be people who want to stop them.

The quarrel is at the door of the emergency room. Even if the door has sound insulation, it can't help but scold you. Moreover, when fighting, you can't control the overall balance and leave a collision sound on the door from time to time.

Xia Wei had just solved the maggots in Chang Wenhan's mouth, nose and throat, and was about to enter the sinus with an endoscopy, but was unable to make a move by the sound outside the door: "You should go to the emergency room to make a noise, don't affect my work!"

In addition to the quarrels between Chang Zhijun and his wife, there were also those who were persuading the fight. Xia Wei's voice was like a drop of clear water falling into the vast ocean, and no one cared about it at all.

She repeated twice, and saw that there was no effect, so she could only walk towards Qi Jing who was sitting aside: "At least you can persuade me!"

"Persuad? How do I persuade me?" Qi Jing looked at the three of them fighting together, and held back a smile and said, "Don't worry, they are all in their 40s and lack exercise. This high-intensity confrontation calmed down within two minutes."

"But what if there is a problem?" Xia Wei couldn't stand it.

"That's just right to generate income for the hospital." Qi Jing looked back at the doctor who came out to watch the show, "Anyway, the doctor is quite idle now. If you see the blood, it's just right for the intern to practice."

Xia Wei looked at him incredibly: "You have such a bad personality..."

Qi Jing sighed, looked at the ceiling, and thought for a while: "In fact, it is not difficult to persuade, there is still a way."

"Why don't you go quickly?"

"I'm too lazy to persuade people, it's very tiring to persuade people."

Xia Wei stomped her feet and ran up the crowd: "Stop hitting, your son is still in the emergency room!"

“…”

"I'm still treating him. If you want to make a noise outside, don't affect my work!"

“…”

"You guys listen to your advice." Xia Wei said a few words, escaped her fists and kicks several times, and could only take out her cell phone, "I'll call the police if I do this!"

However, no matter what she said, the three of them had no intention of stopping, and even had a tendency to fight harder. Xia Wei had no choice but to dial 110 and wait for the police to solve everything.

However, just as she was about to press the "0", Qi Jing suddenly walked up and covered her flip phone with one hand: "Call the police in everything, what is it about coming? Fighting? Take everyone away? How can I talk to them and explain the condition?"

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Chapter completed!