Chapter 1908 There Must Be Something Wrong with This Matter?

After Chen Bingsheng recounted his condition and treatment plan.

Chen Cang quickly summed up the patient's condition!

The child started to get sick 3 days ago. The main early symptoms were vomiting, body temperature between 38°C and 39°C, and then diarrhea!

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

At the beginning, there was still stool, but after several times of diarrhea, the stool was watery or thin rice soup, without pus and blood, and the amount was large.

Chen Cang now understands why the child is behaving like this!

Because of the massive lack of water!

This is a sign of dehydration.

but……

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

But why is this still the case?

This is a bit complicated!

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

While Luozhou was going to get the medical records, Chen Cang put his hands on the child's stomach and began to palpate.

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

Right lower quadrant tenderness!

Small bowel disease?

But it still depends on the test results.

At this time, Luozhou brought the test sheet.

Increased white blood cells.

There are a lot of red blood cells and white blood cells in the stool, and there are Campylobacter jejuni and Shigella in the stool culture!

But obviously, the patient should not have bacillary dysentery.

No mucus pus and blood in the stool.

It should be... rotavirus enteritis!

This is an acute digestive tract infection caused by rotavirus.

In fact, this viral digestive tract infectious disease is likely to become popular or a 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, hence the name "autumn diarrhea in infants".

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

This kind of diarrhea is actually very common!

Often encountered in life!

But common doesn't mean it's not dangerous, or it doesn't mean it's easy!

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

And likewise, even today, the number of infant deaths due to rotavirus infection is approximately 900,000 per year!

And similarly, our China is also a country with high incidence of rotavirus gastroenteritis!

In my country, the number of infants under the age of 2 is about 40 million, and about 10 million infants suffer from rotavirus-infected gastroenteritis every year, accounting for 1/4 of the number of infants. It is the cause of severe diarrhea in infants. most important pathogen.

However, you don't need to worry!

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

Rotavirus vaccine is an attenuated recombinant live vaccine.

The vaccination targets are mainly infants and young children under the age of 2 months to 5 years.

The symptoms are basically comparable. The only thing that is uncertain is that the child has been hospitalized for a week. Why is there no relief?

Moreover, this child is obviously seriously ill.

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

The young mother nodded quickly: "Beat it!"

"Is that the one you drink?"

Chen Cang nodded.

The rotavirus vaccine is sucked with a straw and fed directly to infants and young children.

Chen Cang frowned slightly!

Shouldn't it?

Generally speaking, even after vaccination, there is still a chance of infection, but even if infected after vaccination, there is an 80 to 90 percent chance of avoiding severe illness!

suddenly!

Chen Cang asked, "Did you take it with hot water?"

The woman nods!

Chen Cang's heart skipped a beat!

It seems to have found the reason.

High temperatures 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, who was on the side, took the initiative to explain it.

After finishing speaking, the woman turned pale with shock.

But it's not a matter of holding anyone accountable now.

Instead it should solve the problem!

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

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

All 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 dipyridamole orally."

After finishing speaking, 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 chloride, 20 grams of glucose and 1000 ml of water, and let the child drink it as water."

Hearing what Chen Cang said, the woman quickly wrote it down.

but……

Where does she know how to configure, 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 epithelial cells of the proximal mucosa of the duodenum and jejunum, 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 critical illness of patients.

Many parents also think that diarrhea is nothing to worry about, and it 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 but fell into deep thought.

Why are there so many lymphocytes in the stool?

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 cause an increase in stool lymphocytes.

but!

Just when the Mid-Autumn Festival is coming.

Chen Bingsheng did not invite Chen Cang to eat crabs.

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

It was none other than the director of the Dongyang Provincial Health Committee, that is, the father-in-law Qin Xiaoyuan.

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

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

In a word, Chen Cang had to get serious!

"How old is the patient?"

"One was one and a half years old, and the other was two and a half years old. Both died of diarrhea. The specific cause is still unclear. Chen Bingsheng suspected that it was caused by rotavirus infection!"

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

Rotavirus gastroenteritis?

Is it really that simple?

After Qin Xiaoyuan finished speaking, he turned to Chen Cang: "Don't think too much, the situation may not be that serious, but... Prepare a coping strategy."

"You should also pay attention to Yangyang, don't carry her out recently, keep it at home, the main hygiene situation."

Chen Cang nodded: "Understood, Dad!"

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

...

ps Rotavirus enteritis is actually not a rare thing, but it is definitely not a trivial matter. If there are children in the family, pay attention.

This disease develops for 10-12 months, everyone pays attention to hygiene, let the children do the same.