PD :: Volume #4

#367: Doubtful weird disease

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Looked in the evening had 100 emergency medical treatments, Liu Guolin is tired the chest to paste the back, returned to the dormitory to tidy up, lay down quickly toward the bed on goes off blurry. 一个晚上看了有100个急诊,刘国林早已累得前胸贴后背了,一回到宿舍收拾完,往床上一躺很快就迷糊睡去。 His cell phone has supposed the vibration, he has the nurse girlfriend, is this hospital, now the value is the class, no celebrating a holiday. 他的手机已经设了震动,他有个护士女朋友,也是这家医院的,现在值着班呢,没什么过不过节的。 Matter really so, Liu Guolin this thinks when rests to does not know, bang bang was sounded until the door, some people more called to be louder: „old Liu, old Liu!” 事情果然如此,刘国林这一觉就睡到不知道什么时候,直到房门被砰砰地敲响,有人越叫越大声:“老刘,老刘！” Who......, late at night calling the soul...... 谁啊……什么时候啊,三更半夜的叫魂呢…… Liu Guolin opens the eye very much grudgingly, took the cell phone of nightstand to look at the eye, actually saw is 6 : 00 am, 15 have not met the electricity...... he to be startled immediately, opened looked, all was not the girlfriend hits, many were Director Li hit, in these a half hour of much time. 刘国林很不情愿地睁开眼睛,拿过床头柜的手机看了眼,却见已经是早上 6 点了,15个未接来电……他顿时惊了惊,打开一看,倒不全是女朋友打来的,多数是李主任打来,就在这半个小时多的时间内。 Spiritual this quickly grasps the meaning of something, he also listened to be clear what outside knocked at the door was female colleague Zhang Wenjun of administrative offices, this fellow do not meet the day shift...... 精神这一个激灵,他也听清楚了外面叫门的是科室的女同事张文君,这家伙不是要接日班吗…… Had an accident? Liu Guolin heart startled suddenly, looks that these have not met the electricity, had an accident...... 出事了？刘国林心头惊突,看着这些未接来电,出什么事了…… „Came, came.” He sets out hastily, wears pants, draws a shirt to put on, hurries to open the door. “来了,来了。”他连忙起身,穿上条裤子,拉过一件衬衣披上,就赶紧去开门。 Sees only Zhang Wenjun to stand outside the entrance anxiously, sees him, she complained immediately: „How not to answer the telephone, but also thinks that you were missing, falls asleep, you may really rest really sink...... the secret bureau to come the person quickly, hurries to tidy up, that side the director was flustered, the chief they all came, oh quick you!” 只见张文君焦急地站在门口外面,一见到他,她顿时抱怨道:“怎么不接电话,还以为你失踪了,啊睡着吧,你可睡得真沉实……天机局快来人了,赶紧收拾一下,主任那边都急坏了,院长他们全来了,哎哟快啊你！” Liu Guolin heard to really be ignorant/veiled, what......? Did the secret bureau come the person? 刘国林听得真是蒙了,什么……？天机局来人了？ How many that last night in he remembers looked at finally to examine immediately that little girl, the winking eye, makes the strange sound...... this and this to be really related with the supernatural force? 他随即想起昨晚最后看的几个诊里的那个小女孩,眨眼睛,发出怪异的声音……这、这真的跟超自然力量有关？ How can, the patient look obviously anything does not have, life symptom all are normal...... that are what sickness, has the infection, should not have, now otherwise knocks on a door should be puts on the illness/quick controlling personnel of exposure suit...... 怎么会,患者明明看着什么事情都没有,生命体征一切都正常……那是什么病吗,有传染性吗,应该没有,否则现在来敲门的应该是穿着防护服的疾控人员吧…… In the chaotic idea, Liu Guolin quickly went to the bathroom to wash, put on a white coat, with Zhang Wenjun going outpatient service building that side. 在纷乱的想法中,刘国林急忙去卫生间洗漱了一下,披上件白大褂,就跟着张文君前去门诊大楼那边。 Although the Nanxiang third People's Hospital is Sanjia Hospital, but even in the city still is never any big hospital, but on this day very early in the morning, as a neighboring Dongzhou Secret Bureau telephone hits, the hospital quickly controls the blockade by the police and illness/quick, here had another scene. 南乡市第三人民医院虽然是三甲医院,但即使在市里也从来不算是什么大医院,不过这天一大清晨,随着邻近的东州市天机局一个电话打下来,医院很快就被警察和疾控封锁,这里有了另一番景象。 Chief, vice-president and other high levels catch up, ER director Nicholas Teo, pediatrics director Zhou Guihong and the others, well up toward the isolation ward area hall. Rushed to changes the light exposure suit again the time to Liu Guolin, here is a group of great person, his young doctor pours that arrived late very much. 院长、副院长等高层都纷纷赶来,急诊科主任张栋梁、儿科主任周贵红等人,都往隔离病房区大厅涌去。到了刘国林赶到再换上轻型防护服的时候,这里已是一大群大人物,他这个小医生倒成了很晚到来的那个。 „little Liu, you are really!” Director stretch/open sees Liu Guolin, is anxious almost must curse at people, „you may hold a big basket.” “小刘,你真的是！”张主任一看到刘国林,急得几乎就要骂人,“你可捅了个大篓子了。” „Director, I......” Liu Guolin start to speak but hesitate, finally has not said anything, conducts the back this pot silently. “主任,我……”刘国林欲言又止,最后还是没说什么,默默地背上这个锅。 The side not far chief they also cast the vision, is a little quite severe, Liu Guolin is a scapegoat at the same time really somewhat is at heart disturbed, felt that must have bad luck. 旁边不远的院长他们也都投来目光呢,颇有点严厉,刘国林背锅的同时心里还真有些忐忑,感觉要倒霉了。 „Have not really been convinced, your oneself have a look.” Director stretch/open air/Qi sighs one, „three patients, the symptom is the same, the epidemiology characteristics are the same.” “你还真别不服气,你自己去看看。”张主任气叹一声,“三位患者,症状相同,流行病学特征相同。” Liu Guolin is startled, walked several steps toward the corridor, looked toward three isolation wards, the inside respective pass/test a child, is being accompanied by his parents anxiously, three patients are the 5-7-year-old ages, is the girls, last night he looked at Guo Qinying who examined is. 刘国林一怔,往走廊走了几步,往三间隔离病房看了看,里面各自关着一个小孩,都由其父母焦虑地陪同着,三位患者都是5-7岁的年纪,都是女孩,昨晚他看诊的郭沁颖是其中一个。 „Any situation......” Liu Guolin asked the sound to nearby Zhang Wenjun gently, how this seems like the infectious disease...... “什么情况啊……”刘国林向旁边的张文君轻轻问了声,这怎么像是传染病…… Such obvious community characteristics, have conformed to the epidemiology the epidemic situation to explode. 这么明显的群体特征,已经符合流行病学的疫情暴发。 „Has not known.” Zhang Wenjun also said low voice, the look after round frame eyeglasses very has doubts, „Director stretch/open and Director Zhou they have the conventional judgment, seems like Tourette Syndrome, but Tourette Syndrome before study the disease incidence rate of child is approximately 1, a patient also has nothing, an evening our these three patients, this is not normal......” “还不知道。”张文君也是小声说,圆框眼镜后的眼神挺疑惑的,“张主任、周主任他们有常规判断,很像是妥瑞氏症,但妥瑞氏症在学前儿童的发病率是约一,一个患者还没什么,一个晚上我们这三个患者,这不正常啊……” Tourette Syndrome? Liu Guolin one startled, is actually a word awakens the dreamboat, was, how oneself last night not to have remembered this to get sick rarely...... 妥瑞氏症？刘国林一惊,却是一言惊醒梦中人,是了,自己昨晚怎么没想起这个罕见病来…… At this time Zhang Wenjun gave him one pack of materials, „hurried to look, the people of Dongzhou Secret Bureau came.” 这时张文君把一叠资料递给他,“赶紧看,东州天机局的人就来了。” Liu Guolin received the material to read immediately, even more looks at the forehead to be in a cold sweat, was bad, was really bad. 刘国林接过资料立即翻看起来,看得额头越发地冒出冷汗,糟了,真的糟了。 Tourette Syndrome, called the young child the twitch foul language syndrome. 妥瑞氏症,又叫小儿抽动秽语综合征。 Its cause of disease and pathology have not been clear, is good to send in the child, generally is since 5-8 years old gets sick, comprised of two cardinal symptoms, twitch sickness and eschromythesis. 它的病因、病理都尚未明确,好发于儿童,一般是5-8岁起病,由两种主要症状组成,抽动症、秽语症。 The twitch refers to twitching in movement, the patient will feel that the impulsion that one type does not want the muscle has actually unable to bear, usually starts from the winking eye , clears throat, face to wrinkle to the cough, often by others will be mistaken is making faces, if serious when will spread the whole body, the twitch outbreak has similar epilepsy symptom. 抽动是指动作上的抽搐,患者会感到肌肉有一种不想要的却忍不住的冲动,通常是从眨眼睛开始,到咳嗽、清嗓子、面部皱动等,往往会被别人误以为是在做鬼脸,严重的话会蔓延全身,抽动发作时出现类似癫痫的症状。 The foul language is twitching in sound, the patient makes the strange sound suddenly, listens to seem like cursing at people and studying the yelp to call and other strange strange sounds. But foul language symptom only appears in a small number of twitch sickness patients. Late three patients, have two symptoms completely, this naturally not normal...... 秽语则是声音上的抽搐,患者突然发出古怪的声音,听着像是在骂人、学狗吠叫等各种诡异的怪声。但秽语这种症状仅在少数抽动症患者中出现。一晚三个患者,全部有着两种症状,这当然不正常…… Normal Tourette Syndrome does not have the infection, not to the intelligence and life expectancy of patient will have the adverse impact. Some celebrities have contracted this disease, some history scholars suspected that Mozart contracts the eschromythesis. 正常的妥瑞氏症没有传染性,不会对患者的智力与预期寿命产生不利影响。有些名人就患有过这种疾病,一些历史学者怀疑莫扎特就患有秽语症。 In most situations, the twitch and foul language do not need to treat, currently does not have the good medicine method of treatment. 大多数情况下,抽动和秽语是不需要治疗的,目前也没有好的药物治疗方法。 What patient need is the psychological treatment and behavior management, how the learned by the world of this unusual stance participation normal person. However the patient will have the complications of higher disease incidence rate, for example the AS syndrome and high function illness and attention flaw move the barrier much, must treat often instead is these complications. 患者需要的是心理治疗和行为管理,学会怎么以这种非正常的姿态参与正常人的世界。不过患者会有更高发病率的合并症,比如阿斯伯格综合症、高功能自闭症、注意力缺陷多动障碍等,要进行治疗的往往反而是这些合并症。 The issue lies in just like Director stretch/open their doubts...... 问题在于正如张主任他们的疑惑…… The Tourette Syndrome disease incidence rate is not so high, moreover after patient outbreak, will not twitch and send the strange sound every time, but is intermittently the outbreak, one day of many times, or several days of many times, in some even one year have 1-2 months not to manifest suddenly completely, but can from now on such. 妥瑞氏症发病率没这么高,而且患者发病后,不是每时每刻都会抽动和发怪声,而是间歇性地发作,一天多少次,或者几天多少次,有的甚至一年中有1-2月是完全不发作的,但过后又会那样。 And when most sickness children arrived at the puberty, the symptom order of severity will reduce, after many patients are grown , the symptom will completely vanish. Therefore should the sickness patient not be distinguished easily correctly, many condition light patients are even life-long do not know oneself have had this sickness, but by the guardian, teacher, friend and others is thought this fellow is since childhood mischievous, strange and active, does not have the politeness, to make faces and curse at people for no reason and so on. 并且大多数病患儿童到了青春期时,症状的严重程度会降低,许多患者成年后症状会完全消失。所以该病的患者不容易被正确识别,许多病情轻的患者甚至终生不知道自己有过这个病,只是被家长、老师、朋友等认为这家伙从小就调皮、古怪、好动、没有礼貌、无端端就做鬼脸和骂人之类。 Especially the domestic this/should knowledge is not popular, the guardian of older generation will not basically pay attention, the young guardian understands are not many. 尤其是国内该知识还不普及,老一辈的家长基本上是不会注意的,年轻家长懂得的也不多。 Therefore their doctors were very long unable to diagnose a Tourette Syndrome patient, now all of a sudden three...... 因此他们医生很久都确诊不了一个妥瑞氏症患者,现在一下子三个…… This what's the matter? Liu Guolin somewhat at a loss and has a look at that three patients in different isolation ward. 这怎么回事？刘国林有些茫然地又看看不同隔离病房里的那三位患者。 This sickness is the peak in masculine, the disease incidence rate is female 3-4 times, this also makes some guardians be misled by the culture, thinks that a boy bear point is the normal matter. 这种病是高发于男性的,发病率是女性的3-4倍,这也使一些家长受文化误导,以为男孩熊一点是正常事。 But now...... is completely the little girl...... 可是现在……全部是小女孩…… Has not needed in Liu Guolin's to read hand complete material, just 6 : 30 am, the people of Dongzhou Secret Bureau arrived. 还不待刘国林把手上的全部资料看完,才刚刚早上 6 点半,东州天机局的人到来了。 One team is a doctor, a middle-aged man leads several young people, another team of people, wear the exposure suit. Sees them to arrive, the chief, vice-president and stretch/open Director and the others, greet hastily, Liu Guolin and Zhang Wenjun also follow on the heels. 一队是医生,一个中年男人带着几个年轻人,还有另外一队人,都穿上防护服。看到他们到来,院长、副院长、张主任等人,都连忙迎接上去,刘国林和张文君也跟在后面。
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