Chapter 1907

After Chen Bingsheng repeated his illness and treatment plan.

Chen Cang quickly summarized the patient's situation!

The child began to get sick 3 days ago. The main symptoms in the early stage were vomiting, body temperature between 38 ℃ and 39 ℃, and then diarrhea!

However, the key is to defecate about 10 times a day, or even 20 times occasionally.

At the beginning, there was stool, but after several diarrhea, the stool was water like or thin rice soup, without pus and blood, and the amount was large.

Chen Cang now also understands why children have such performance!

Because of a lot of water shortage!

This is a sign of dehydration.

But

Chen Bingsheng and Luo Zhou, the doctor in charge, have completed rehydration. Should they still have these basic common sense?

But why is there such a situation?

This is a little complicated!

Chen Cang hurriedly said, "give me the test sheet."

While Luo Zhou went to get the medical record book, Chen Cang put his hand on the child's stomach and began palpation.

When he pressed the right lower abdomen, the child woke up and cried.

Right lower abdomen tenderness!

Small bowel disease?

But the details still depend on the test results.

At this time, Luo Zhou brought the test sheet.

White blood cells increased.

There are a large number of red blood cells and white blood cells in stool. Stool culture includes Campylobacter jejuni, dysentery bacilli, etc!

But obviously, the patient should not be a bacterial dysentery.

No mucus, pus, bloody stool.

It should be... Rotavirus enteritis!

This is an acute gastrointestinal infectious disease caused by rotavirus.

In fact, this viral gastrointestinal infectious disease may be epidemic or pandemic.

However, because the disease mainly occurs in infants and young children, often caused by group A rotavirus, and the peak incidence is in autumn, it is called "infant autumn diarrhea".

So Lao Chen told Chen Cang that babies have diarrhea in autumn from the beginning.

This kind of diarrhea is actually very common!

Often encountered in life!

However, common things don't mean they are not dangerous, or they don't mean they are simple!

Because rotavirus infection causes about 125 million infantile diarrhea every year in the world, most of which occurs in developing countries.

Similarly, even today, the number of infant deaths caused by rotavirus infection is about 900000 every year!

Similarly, China is also a country with frequent rotavirus gastroenteritis!

In China, the number of infants under the age of 0 ~ 2 is about 40 million, and about 10 million infants suffer from rotavirus infected gastroenteritis every year, accounting for 14 of the number of infants. It is the main pathogen causing severe diarrhea in infants.

However, we do not need to worry!

Because there is a vaccine for rotavirus, many children will be vaccinated now.

Rotavirus vaccine is a live attenuated recombinant vaccine.

The vaccination objects are mainly infants and young children under 2 months to 5 years old.

The symptoms are basically right. The only uncertainty is that the child has been hospitalized for a week. Why hasn't he been relieved?

Moreover, the child is obviously seriously ill.

Chen Cang hurriedly asked, "have you ever been vaccinated against rotavirus?"

The young mother quickly nodded, "yes!"

"Is that the one who drinks well?"

Chen Cang nodded.

Rotavirus vaccine is absorbed by straw and directly fed to infants and young children.

Chen Cang frowned slightly!

Shouldn't it?

Generally speaking, even after four dozen vaccines, there is still a chance of infection, but even after vaccination, there is an 80-90% chance to avoid severe infection!

Suddenly!

Chen Cang asked, "did you use hot water to deliver the service?"

The woman nodded!

Chen Cang suddenly felt a thump in his heart!

Seems to have found the reason.

High temperature can reduce vaccine activity.

Thinking of this, Chen Cang looked at the woman and sighed: "your... Vaccine is useless!"

The woman's face changed: "what do you mean?"

Chen Bingsheng took the initiative to explain it again.

After that, the woman was shocked.

But now it's not about who's responsible.

But should solve the problem!

"Don't blame yourself. There are many kinds of rotavirus. Even if you take the vaccine, you may be infected."

In fact, there is no specific drug to kill rotavirus!

All kinds of antibiotics currently used are ineffective against the virus.

The correct treatment is to correct the child's dehydration and acidosis as soon as possible.

"Continue intravenous infusion to correct dehydration and acidosis, and take dipyridamole orally."

Then he said to the woman, "go and use 3.5 grams of sodium chloride, 2.5 grams of sodium bicarbonate, 1.5 grams of potassium hydride, 20 grams of glucose and 1000 ml of water for the child to drink."

Hearing Chen Cang's words, the woman quickly wrote it down.

But

Where can she configure it? Chen Cang simply asked the nurse to help configure some.

In fact, many people do not know about rotavirus because the disease may not be life-threatening.

After all, rotavirus mainly invades the proximal mucosal epithelial cells of duodenum and jejunum, that is, diarrhea and so on.

But!

Once spread, it is also very dangerous.

Especially for some countries with average medical level, they do not have the ability to distinguish, and rehydration is rarely used, which leads to the critical illness of patients.

Many parents also feel that diarrhea is OK, which can also lead to dehydration and acidosis.

After leaving the ward, Chen Cang looked at an abnormal signal on the test sheet and couldn't help falling into meditation.

How can the lymphatic cells in the stool be so high?

Logically

Just a rotavirus... Not?

Chen Cang didn't care much.

After all, virus infection leads to the increase of stool lymphocytes, which is also normal.

But!

Just when the Mid Autumn Festival is coming.

Chen Bingsheng did not invite Chen Cang to eat crabs.

Chen Cang was about to question when the phone rang.

It's no one else. It's the director of Dongyang Provincial Health Commission, Qin Xiaoyuan, the father-in-law.

Qin Xiaoyuan said in a hasty voice, "Chen Cang, two children died of diarrhea in the township health center of tongci Town, Jichuan county."

"I'll ask Chen Bingsheng and Zhang Shu to go over and see the situation. Your side... Stand by at any time!"

In a word, Chen Cang had to be serious!

"How old is the patient?"

"One and a half years old and one and a half years old are all deaths caused by diarrhea. The specific cause is not clear. Chen Bingsheng suspects that it is caused by coronavirus infection!"

As soon as he said this, Chen Cang suddenly remembered the patient he met a few days ago.

Coronavirus gastroenteritis?

Is it really that simple?

After Qin Xiaoyuan finished, he said to Chen Cang, "don't think about it. The situation may not be so serious, but... Make good coping strategies."

"Pay attention to Yang Yang on your side. Don't go out with it recently. Take it at home. The main health conditions."

Chen Cang nodded: "I see, Dad!"

Chen Cang hung up the phone and always felt that things were not so simple!

……

PS: coronavirus enteritis is actually not a rare thing, but it is definitely not a small thing. Pay attention to children at home.

This disease usually develops from October to December. Everyone should pay attention to hygiene and let the children do the same.