When a doctor opened a plug-in

After Chen Bingsheng repeated the condition and treatment plan.

Chen Cang quickly summarized the patient's situation!

The child started onset 3 days ago. The main symptoms in the early stage are vomiting, the body temperature is between 38 ℃ and 39 ℃, and then diarrhea!

However, the key is to defecate about 10 times a day, and even up to 20 occasions.

At the beginning, there were stools, but after several diarrhea, the stools were watery or thin rice soup, no pus or blood and a lot of volume.

Chen Cang now understands why the children behaved like this now!

Because of a lot of water shortage!

This is a dehydration performance.

but……

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

But why is there still such a situation?

This is a bit complicated!

Chen Cang said quickly, "Give me the test form."

While Luozhou was going to get the medical record book, Chen Cang put his hand on the child's stomach and started palpating.

When the lower right abdomen was pressed, the child woke up, crying a little.

Tenderness in the right lower abdomen!

Small bowel disease?

But the details still depend on the test results.

At this time, Luozhou brought the test sheet.

Increased white blood cells.

There are a large number of red blood cells and white blood cells in the stool, and the stool culture has Campylobacter jejuni, Shigella, etc.!

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

There is no mucus, pus, or blood in the stool.

It should be... Rotavirus enteritis!

This is an acute gastrointestinal infectious disease caused by rotavirus.

In fact, this viral gastrointestinal infectious disease is likely to be epidemic or pandemic.

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

So Lao Chen told Chen Cang from the beginning about baby diarrhea in autumn.

This type of diarrhea is actually very common!

Often encountered in life!

However, common things do not mean that they are not dangerous, or that they are not simple!

This is because about 125 million infants and young children suffer from diarrhea every year due to rotavirus infection, most of which occur in developing countries.

In the same way, even today, the number of infant and child deaths caused by rotavirus infection is approximately 900,000 people every year!

In the same way, China is also a country with frequent rotavirus gastroenteritis!

In my country, the number of infants and young children under the age of 0 to 2 is about 40 million. Each year, about 10 million infants and young children suffer from rotavirus infectious gastroenteritis, accounting for 14 of the infants and young children. It is the most serious cause of severe diarrhea in infants. The main pathogen.

However, everyone does not need to worry!

Because there is a vaccine for rotavirus now, many children are also vaccinated.

Rotavirus vaccine is an attenuated recombinant live vaccine.

Vaccination targets are mainly infants and young children under 2 months to 5 years old.

The symptoms can basically be matched, the only uncertainty is that the child has been hospitalized for a week, why hasn't it been relieved?

Moreover, this child is obviously seriously ill.

Chen Cang hurriedly asked: "Have you ever received a rotavirus vaccine?"

The young mother nodded quickly: "Hit!"

"That's it, right?"

Chen Cang nodded.

Rotavirus vaccine is to suck the vaccine through a straw and feed it directly to infants and young children.

Chen Cang frowned slightly!

Shouldn't it?

Generally speaking, even after four doses of vaccines, there is still a chance of infection, but even if you are infected after vaccination, there is an 80 to 90% chance of avoiding severe illness!

suddenly!

Chen Cang asked: "Did you use hot water to deliver the clothes?"

The woman nodded!

Chen Cang suddenly felt his heart!

Seems to find the reason.

High temperature can reduce vaccine activity.

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

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

Chen Bingsheng on the side gave an active explanation.

After speaking, the woman was shocked.

But now it is not a matter of who is held accountable.

It should solve the problem!

"Don't blame yourself, there are actually many types of rotavirus, even if you take the vaccine, there is a possibility of infection."

In fact, there is no special medicine for killing rotavirus!

Various antibacterial drugs currently in use are ineffective against viruses.

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 persantin by mouth."

After finishing speaking, he said to the woman: "You should 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 milliliters of water. Let the child drink it as water.”

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

but……

Where would she configure, Chen Cang simply asked the nurse to help configure some.

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

After all, rotavirus mainly invades duodenum and proximal jejunum mucosal epithelial cells, that is, diarrhea or something.

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 fine, which can also lead to dehydration and acidosis.

After leaving the ward, Chen Cang couldn't help but fall into contemplation looking at an abnormal signal on the test sheet.

Why are the lymph cells in the stool so high?

It stands to reason...

A mere rotavirus...Isn't it?

Chen Cang didn't care too much.

After all, it is normal for a virus infection to increase lymphocytes in stool.

but!

Just when the Mid-Autumn Festival is approaching.

Chen Bingsheng did not invite Chen Cang to eat crabs.

When Chen Cang was about to question, the phone rang.

No one else, but the director of the Dongyang Provincial Health and Health Commission, that is, the old man Qin Xiaoyuan.

Qin Xiaoyuan said hurriedly: "Chen Cang, two children from the Tongci Township Health Center in Jichuan County died of diarrhea."

"I will let Chen Bingsheng and Zhang Shu go to see the situation together, your side...stand by anytime!"

In a word, Chen Cang had to get serious!

"How old is the patient?"

"One and a half years old, one two and a half years old, both died from diarrhea. The specific cause is still unclear. Chen Bingsheng suspects that it is caused by coronavirus infection!"

As soon as these words came out, Chen Cang suddenly remembered the patient he met a few days ago.

Coronavirus gastroenteritis?

Is it really that simple?

After Qin Xiaoyuan finished speaking, he said to Chen Cang, "Don't think about it, the situation may not be that serious, but...make a coping strategy."

"You also pay attention to Yang Yang, don't hold it out recently, take it at home, mainly for hygiene."

Chen Cang nodded: "I see, Dad!"

Chen Cang hung up the phone, always feeling that things are not that simple!

...

ps: Coronavirus enteritis is not a rare thing, but it is definitely not a trivial thing. If you have children at home, be careful.

This disease usually develops for 10-12 months. Everyone should pay attention to hygiene and let the children do the same.