Chen Cang is not very busy these days.
The feeling of shaking hands with the shopkeeper made him very comfortable.
Zhang Mu, who has many years of experience as the Dean, has taken the lead in reaching ammonium Yang and met Kong Xiangmin.
The next work will also start slowly.
During this time, ammonium Yang high tech Development Zone is also busy with various treatment of "Chencang new drug research institute".
Everything is going on in an orderly manner.
After Chen Cang came home, he took the initiative to cook for Qin Yue. Qin Yue has been very busy recently, not because of his work.
But because we need to deal with some things to return to ammonium Yang with Chen Cang in the next period of time.
In order to let Qin Yue go home in good faith, Chen Cang found sun Guangyu and gave him a clinical cooperation project.
When sun Guangyu saw it, his eyes brightened. He smiled knowingly and asked Qin Yue to follow Chen Cang and do a good job in this clinical study.
Chen Cang is naturally grateful for this.
Sometimes, in fact, there are more ways than problems.
After Qin Yue came back, he looked at the food on the table and was very happy.
They are still looking forward to moving to Anyang.
After all, their house has been completed, and they can live separately when they go back. The house over there must have more space and better decoration than the house in the capital.
After all, this is someone else's house. At the beginning, Chen Cang and Qin Yue didn't want to invest too much in decoration.
But this house is not cheap. After all, it is surrounded by hospitals, primary schools, business districts and parks.
House prices here have always belonged to the high price area of the capital.
The only disadvantage is that the children upstairs and downstairs are noisy.
They are all children in this primary school. They often run around when they are noisy. Sometimes it does affect their rest.
At dinner, Qin Yue couldn't help saying, "Yi? Why aren't the children upstairs noisy today?"
Chen Cang turned his eyes: "you said that after we go back, you can't hear the noise and can't sleep?"
Qin Yue smiled: "no, I just think it's lively to have a child."
Chen Cang nodded and smiled: "OK, when you go back, we'll have a baby!"
Qin Yue immediately giggled: "you think giving birth to a child is playing games. You can get pregnant if you say you are pregnant!"
Chen Cang was also happy, pulled Qin Yue over and snuggled together, pointed to her stomach and said:
"Hear me, boy, you must be pregnant. Your mother misses you!"
Qin Yue rolled her eyes: "naive!"
After they washed, they were about to go to bed when they heard the noise upstairs.
Chen Cang immediately smiled: "you see? What do you say? Your mouth has been opened!"
However, Qin Yue frowned slightly and stood up: "no, it seems that there is something wrong!"
Hearing Qin Yue's words, Chen Cang listened carefully.
Indeed, today's steps are a little messy. What happened?
Then, before they could react, they remembered the sound of banging on the door.
As soon as Chen Cang's face changed, he got up quickly, approved a dress and went out.
After opening the door, I saw a man standing at the door. He looked nervous and anxious and said, "Dr. Chen, please help me see what happened to my child!"
In a building, Chen Cang knows his neighbors upstairs and downstairs. He often gets on and off the elevator and occasionally takes a conversation.
And Chen Cang himself is a little famous. Many people know him and take the initiative to say hello.
Chen Cang immediately frowned and asked, "what's the matter?"
The man's face was a little frightened: "diarrhea, what comes out is blood!"
Hearing this, Chen Cang was dignified.
Did you call 120?
The man nodded: "just hit! I thought you were too close. Come and ask you."
Seeing that the man was really pale with fear, Chen Cang nodded and said, "I'll go up with you."
The man is a New Oriental teacher who teaches English. His wife is engaged in it. They are very busy every day.
Chen Cang was about to get up. Qin Yue dressed and hurried over: "I'll go with you."
While talking, they followed the man upstairs.
When he opened the door and came in, Chen Cang saw two children lying on the sofa, dressed in down jackets and covered with thick quilts. They were obviously shivering there.
The other is nausea and vomiting in the trash can!
Their mother was worried, sweating, holding the things in the fridge to cool the child's forehead.
But it was obvious that she was a little flustered, except that she was standing there at a loss.
Seeing Chen Cang and Qin Yue coming in, he hurriedly said, "Dr. Chen, please help to see what's wrong with these two children!"
Chen Cang nodded and walked over.
The young mother's face was obvious. She had just cried.
The two children are four years away.
They are all boys. The older ones are 11 years old and the younger ones are 7 years old. They like to make trouble at home on weekdays.
Parents also care, but little boys, especially two, are really easy to make trouble together.
The two children are already very sensible.
See Chen Cang and Qin Yue will also call uncle and aunt.
The 11-year-old boy lay on the garbage can and couldn't vomit. He shouted, "I'm so uncomfortable. Mom, help me, vomit..."
The little boy was already feverish and dizzy and speechless.
Chen Cang couldn't help asking, "is there a thermometer at home?"
The man shook his head: "no, there are antipyretic drugs at home. I dare not give them to him."
Chen Cang put his hand directly on it and felt his temperature.
By sensing the gloves, Chen Cang estimated that the temperature was above 38, so he couldn't feel it.
Obviously, although the situation of the two children is different, when they are ill at the same time, they should first consider a disease.
Thinking of this, Chen Cang asked, "did I go to have a look at my stool?"
The little boy's mother hurriedly said, "no, keep it. I'll wait for you to come up and have a look."
Chen Cang nodded and followed him into the bathroom.
Chen Cang has a strong ability to identify secretions.
After seeing it, I almost didn't hesitate, so I can firmly affirm: "mucus purulent bloody stool!"
Hearing what Chen Cang said, Qin Yue immediately frowned.
You know, usually mucus, pus and blood are rare.
Especially for two young children in this grade.
Generally speaking, there is mucus, pus and blood in the stool, or pus and blood without mucus. Most of them consider inflammatory bowel disease, that is, ulcerative colitis, or Crohn's disease.
Chen Cang can't be diagnosed with this stool alone.
Thinking of this, Chen Cang simply said, "go and collect some of these and take them to the hospital for examination."
The man nodded quickly and got up to collect.
Here, Chen Cang came out, went to the child and asked:
"Xiao Nan, how do you feel uncomfortable?"
The little boy's name is Xiao Nan and the smaller one is Xiao Bei.
Xiao Nan painfully touched his tears: "Uncle Chen, my stomach hurts and disgusts. I want to vomit, but I can't vomit. Then I feel dizzy and my stomach hurts."
Chen Cang nodded and said to Xiao Nan, "come on, lie down and touch your stomach."
With that, Xiao Nan's mother told him to lie down on the sofa, and then Chen Cang carefully put his hand on his stomach and slide gently.
After some inspection, Chen Cang frowned.
"Did you eat anything today?"
Xiao Nan shook his head: "we all eat at home and don't eat indiscriminately..."
Chen Cang is also a little confused about the reason.
Now the little boy's gastrointestinal performance is more obvious.
In contrast, Xiaobei is dominated by fever.
Chen Cang constantly shrinks his conjecture and infers what he thinks as much as possible.
The little boy's mother also said, "I rarely let them go out to eat. They usually eat at home."
"Because the school is in the community, they come back together after school. I put the cooked rice in the refrigerator at home. Xiao Nan is also sensible. He can eat it by heating it in the microwave."
Before long, Chen Cang said, "first go to the hospital, take a blood sample to see the blood routine, and then test the stool. I suspect it may be acute gastroenteritis... Or bacterial dysentery. Of course, we can't rule out the possibility of food poisoning."
"What did you eat today?" Chen Cang suddenly asked.
The little boy's mother hurriedly said, "I cooked rice in the electric rice cooker, and then I fried it in the refrigerator this morning. We had porridge and steamed stuffed buns for dinner. We're all fine..."
Xiaonan suddenly said, "Mom, I had egg bibimbap at noon."
After hearing this, Chen Cang immediately shrunk his eyes: "egg rice?"
The little boy's mother was also curious and asked, "egg bibimbap? Who made it?"
Xiaonan said, "I made it myself... I also ate egg bibimbap yesterday. Many students in our class had eaten it, so I went home and made it myself!"
The little boy's parents were obviously puzzled: "what kind of egg bibimbap, how to do it? Who taught you?"
Xiaonan endured a stomachache and said, "Mom... I can do it myself. It's very simple. It's egg bibimbap in Japanese animation."
Chen Cang knew what was going on.
He couldn't help sighing.
This kind of thing has been encountered more than once in the emergency department.
Especially this year!
In recent years, with the promotion of Japanese drama and Japanese animation, many people began to learn and contact the diet and living habits in Japanese animation.
Egg bibimbap is a kind of!
The production method is very simple!
In a bowl of steaming rice, pour a raw egg, add some soy sauce and eat it together.
It also looks good in taste and appetite.
Children always have a herd mentality.
For them, this kind of thing with temptation and curiosity wants to try.
As a result, there is such a scene!
Xiaonan wants to imitate, it must be because people around him have something to do.
But
In fact, there may be nothing wrong with egg rice. What is wrong is that they chose the wrong egg.
Chen Cang couldn't help asking, "where did you get your eggs?"
Xiao Nan answered honestly, "it's in the fridge."
Chen Cang said to the child's mother, "take me to see the refrigerator."
It seems that the boy's mother also found a clue, quickly got up, opened the refrigerator and saw that there were indeed a lot of eggs missing.
Chen Cang asked, "are these eggs ordinary? Are they not sterile?"
The boy's mother nodded, "well, they are all ordinary eggs."
At this time, the knock sounded, and the middle-aged man hurried to open the door.
When the two emergency centers came in, they asked anxiously:
"How's the child now?"
Just after that, I looked up and saw Chen Cang: "Professor Chen, you are here too!"
Chen Cang found that it was Zhang Yuan and nodded, "well, take the child in the car first and go back and say."
When Zhang Yuan saw Chen Cang, he suddenly had a backbone!
After all, Chen Cang represents strength.
While walking, Zhang Yuan said, "Professor Chen, what's the matter with them?"
Chen Cang said: "I suspect it is Salmonella infection. Salmonella is food poisoning!"
The parents of the little boy behind him were worried and hurriedly asked:
"Dr. Chen, what food poisoning?"
Chen Cang explained:
"In fact, there are many germs in raw eggs.
For example, if Salmonella is cooked without high-temperature processing, its bacteria will continue to exist in eggs and enter the human body.
It may cause acute gastroenteritis and even food poisoning caused by Salmonella infection.
Then there are abdominal pain, vomiting and diarrhea, chills and fever. "
"Moreover, the children's intestinal flora is not perfect and their resistance is insufficient. When facing these things, they can't carry out effective defense, resulting in fever!"
Hearing Chen Cang's words, Xiao Nan's parents suddenly became nervous!
"Is it serious, Dr. Chen?"
Chen Cang shook his head helplessly when he heard the sound: "it's really hard to say. Don't think it's just a simple food poisoning."
"It has not been determined whether there is parasitic infection, because raw eggs may increase the infection rate of hookworm!"
"Hookworm is easy to invade eggs through eggshells. If the eggs are not completely cooked, pregnant women and children with weak resistance will have vomiting, diarrhea, nausea and fever after eating eggs contaminated by pathogens."
"Now it seems that Xiaonan's situation may not be very serious."
"But Xiaobei, not necessarily. Purulent blood should be Xiaobei's. When purulent blood appears, there must be intestinal bleeding."
"If Salmonella enters the blood, it is easy to aggravate the infection and induce a series of serious conditions, such as sepsis!"
you bet!
Chen Cang is now looking at the hot Xiaobei, a little worried!
As soon as the words came out, the little boy's parents suddenly changed their faces.
After all, sepsis is deadly. Who isn't afraid?
"Don't worry, I'm just going to tell you the dangerous situation, and I'll have to wait for the inspection results!" Chen Cang comforted.
……
……
PS: Recently, I read the review and found that many parents regard this book as a reading material for their children. They are old hands and think that they should have more popular science articles to enhance their medical awareness.
Potential safety hazards of raw eggs:
There are fewer today and more tomorrow, because there are too many things to prepare before changing the map.