Chapter 134

When Zhang Fan entered Pediatrics, he didn't have the most pediatric patients. Winter is the season of large-scale outbreak of diseases in pediatrics, but even if it's not the outbreak season, there are many children seeing doctors.

He Fang, who graduated from the medical school of stone city, entered pediatrics in a tearful way. However, after a few years, she was really impressed by Tang Liuhong's medical technology and life style. She studied and worked hard, and has become the leader of the younger generation of Pediatrics in a few years.

She was ready to go to study, but she was pregnant, which dragged her down. Pediatrics in summer mainly focuses on diarrhea. Villains pull yellow and thin, which makes people heartache.

Children have poor resistance and don't know how to defend. If they don't pay attention to delicious parents, they often eat and support. And now they are all one child families. They take too much care of their children. They are afraid that they can't eat well. They are less developed than other children. They keep feeding all kinds of food. They have poor gastric motility and don't get sick. I'm sorry for the added nutrition!

Zhang Fan and He Fang are on duty. He Fang is a good person. Because she wants to breastfeed her child, her husband sends her meals from home. These days, because Shao Hua's father is going to see the decoration and Jing Shu is going to practice the car, Shao Hua has to go to work every day. Zhang Fan doesn't let him deliver meals anymore. The old lady can't be busy alone!

As long as he is on duty, He Fang will ask her husband to bring an extra meal to Zhang Fan. Zhang Fan is embarrassed to eat and can't eat it. But He Fang knows that Zhang Fan is not a local and everyone has transferred from another department. No matter what Zhang Fan says, he will bring an extra meal.

Breastfeeding rice is nutritious! Zhang Fan was very embarrassed to eat. He Fang's husband sat aside and watched them eat. Only milk can be eaten! The fat son of the family can eat!

In the afternoon, a patient from a prefecture or county came. Boy, half a year old, had no obvious inducement to diarrhea and loose yellow stool one week ago, usually 6 ~ 7 times a day, up to more than 10 times a day, often accompanied by mucus and blood, no egg flower watery stool, no pus and blood, no obvious fishy smell, no abnormal crying, no vomiting, no fever, no abdominal distension.

After seeing a doctor in the local hospital for a week, there was no improvement. Parents took their children to the maternal and child hospital. When the maternal and child doctors saw that the drugs that should be used in the county hospital were used, they had no good way. They didn't even open the hospital. They directly asked parents to take their children to the pediatrics of the municipal hospital.

The tests are basically normal, that is, the stool occult blood test is positive. Zhang Fan looked at the child. The child had no strength to cry. His lips were slightly dry and his little hands were dancing to find his mother! Smart eyes also lost their due brilliance.

The drugs in the county hospital are also suitable, and there are no special abnormalities. What's the problem? Zhang Fan thinks hard in his mind. Although the pediatrics textbook has been turned over many times, the textbook is only the basis, and Zhang Fan still lacks real clinical experience.

"Take it to the hospital first. You don't breastfeed anymore." Then he said to Zhang Fan, "give the child some liquid to supplement the lost body fluid. Don't use other drugs for the time being. Open another bottle of amino acid milk powder."

The parents of the children are particularly worried. After a week, the children still have diarrhea. The county hospital can't help it, and the women's and children's hospital can't help it. When I arrived at the municipal hospital, the doctor didn't even use drugs. His voice was loud: "doctor! The child has been waiting for a week. Can you ask your experts to see it? We can't delay any more. "

The child's mother red eyes and the child's father red face. Get angry in a hurry. He Fang, who is already a mother, especially understands their mood and doesn't care about their tone. "Don't worry, the child has no problem. This is infant allergic proctitis. Weaning the child and eating amino acid milk powder will heal, and it is estimated that he can't drink milk in the future."

"My baby grew up eating my milk and is half a year old. Why didn't it happen before? Did you make a wrong diagnosis!" The child's mother doesn't understand. She thinks the doctor's diagnosis should be wrong.

"Please believe me, I'm more professional than you, and I'm also a mother. Go to the hospital and observe for two days. The child should stop diarrhea." Speak slowly and in no hurry, which makes people feel a power, the power of knowledge or experience. A few words let parents calm down their anxiety.

Zhang Fan nodded secretly. He Fang's tone, look and action gave parents a potential comfort and guarantee. Although he didn't make any oral guarantee, it was this tone and look that calmed the anxious children's parents.

Zhang Fan's mind kept repeating the rhythm, tone and look of He Fang's just speech, which was also technology. The doctor-patient relationship became more and more tense. Sometimes there were disputes not because of treatment factors, but because of speech most of the time.

When a child comes to see a doctor, there are usually two family members, a little more than three. The exaggeration is that the whole family goes out. At one o'clock in the morning, Zhang Fan finished writing the medical record and looked at He Fang's collection of pediatric diseases.

The knowledge in the textbook can no longer satisfy Zhang Fan. Moreover, there are too many critically ill children in a regional general hospital. Zhang Fan has been in a hurry for a week. There is too much knowledge to master.

Although it is general pediatrics, children from three months old to 13 years old can come to pediatrics to see. Recently, children don't eat well, they also hold it, and they sleep and grind their teeth. It's too cumbersome.

In the dead of night, He Fang has rested. Zhang Fan is ready to read an hour's book and rest. The nurses are still coming and going in the corridor. They measure their temperature and change their drops. The front-line nurses in pediatrics can't work when they are a little older. It's too hard. A girl with flowers can be five years old after a night shift ~!

"Bang!" The gate was pushed open. Zhang Fan turned his head and saw that five or six adults entered the Department with a child in their arms“ Doctor, come on, the child has a high fever and is starting to smoke. Come on! "

He Fang also got up and went out. He Fang was on duty, that is, pretending to sleep for a while. It was delusion.

Zhang Fan touched the child's head and it was hot. And the children smoke one by one“ Child, how long have you been twitching? " He Fang asked.

"I had a high fever in the afternoon for more than ten minutes. I took antipyretic medicine. As a result, I began to have a fever in the evening. Come on, doctor. " The child's mother cried.

"Intramuscular injection of phenobarbital sodium, rapid blood test. Anal plug, acetaminophen, physical cooling, low flow oxygen inhalation. " He Fang gave oral medical advice. He also said to his parents, "go to the hospital. The child has a little shortness of breath and must be hospitalized." With these words, Zhang Fan has already opened the hospitalization form.

Half an hour later, the blood routine results showed that leukocytes and neutrophils increased, "infected! Antibiotics are needed. I'll explain my condition to my parents and you'll give the doctor's advice. "

An hour later, the child's temperature was controlled and the infusion was lying on the hospital bed. Children don't pretend to be ill, uncomfortable is uncomfortable, comfortable is comfortable. After a while, the body temperature drops and the spirit comes. Parents are worried that they are a little tired of staying up late.

As a result, a needle that didn't pay attention to the infusion set ran away, and the child began to cry. Pediatric night shift is usually an old nurse with two young nurses. The old nurse goes to treat the children in other beds.

Xiao Li, the new nurse, was called to the ward by his parents.