Article 131 Daily

When Zhang Fan entered the pediatric department, it was not the time when there were the most pediatric patients, and winter was the season of large-scale pediatric outbreaks, but even if it was not the outbreak season, there were many children who saw a doctor.

He Fang, graduated from medical school in Stone Town, and entered pediatrics with tears and tears, but after a few years, she was really impressed by Tang Liuhong's medical technology and dealing with people.

I was going to let her go to further study, but she was pregnant, which dragged it on, and the summer pediatrics was mainly diarrhea-based.

Children have poor resistance and don't know how to defend themselves, and if parents don't pay attention to delicious food, they will often eat up. And now they are all one-child families, and they take too much care of their children, for fear that they will not eat well and develop worse than other children, and they will keep feeding all kinds of food, and their stomach motility is poor, and they are sorry for the added nutrients if they don't get sick!

Zhang Fan and He Fang are on duty, He Fang is a good person, because she has to breastfeed the child, her husband sends her meals from home. In the past few days, because Shao Hua's father is going to see the decoration, Jingshu goes to practice driving, Shao Hua has to go to work every day, Zhang Fan doesn't let him deliver food anymore, and 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 he can't eat it, but He Fang knows that Zhang Fan is not a local, everyone is from the transfer department, no matter what Zhang Fan says on duty, he will bring an extra meal.

Breastfeeding rice is rich in nutrition! Zhang Fan was very embarrassed to eat, and He Fang's husband sat on the side and watched the two of them eat with satisfaction.

In the afternoon, a sick number from a prefecture and county came. Boy, half a year old, diarrhea without obvious cause 1 week ago, yellow loose stools, generally 6~7 times/day, up to more than 10 times/day, often accompanied by mucus, blood, no egg-splashed watery stools, no pus and blood, no obvious fishy odor, no abnormal crying, no vomiting, no fever, no abdominal distention.

After a week of treatment in the local hospital, the parents took the child to the maternal and children's hospital, and the maternal and children's doctors saw that the drugs that should be used in the county hospital were used, and they had no good way, and they did not even open the hospitalization, so they directly asked the parents to take the child to the pediatric department of the city hospital.

All tests are basically normal, that is, the fecal 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!

The drugs in the county hospital are also suitable, and there is no special abnormality, what is the problem, Zhang Fan thought hard in his mind, although the textbook of pediatrics has been turned many times, but the textbook is only the foundation, and Zhang Fan still lacks real clinical experience.

"Admit to the hospital first, you don't breastfeed anymore. Then he said to Zhang Fan: "Prescribe some liquid to the child to replenish the lost body fluids, and other drugs are not used for the time being, and then open a bottle of amino acid milk powder." ”

The child's parents are very anxious, and the child has diarrhea again after a week, and the county hospital can't help it, and the women's and children's hospital can't do it. When I arrived at the city hospital, the doctor didn't even give me the medicine, and his tone was a little angry: "Doctor! The child has been pulling for a week, can you ask your expert to take a look, I can't delay any longer." ”

The child's mother was red-eyed, and the child's father was blushing. Hurry to get on fire. He Fang, who has become a mother, especially understands their feelings, and doesn't care about their tone, "Don't worry, the child is not a big problem, this is infantile allergic proctitis, weaning the child and eating amino acid milk powder will be cured, and it is estimated that you will not be able to drink milk in the future." ”

"My baby grew up eating my milk since he was a child, and he is half a year old, why didn't this happen before, did you diagnose it wrong!"

"Please believe me, I am more professional than you, and I am also a mother, go to the hospital, observe for two days, and the child should stop diarrhea." "Speaking slowly and without urgency, it makes people feel a kind of strength, the power of knowledge or experience, and a few words let parents calm their anxiety.

Zhang Fan nodded secretly when he heard this, He Fang's tone, demeanor, and actions all gave parents a potential comfort and reassurance, although they didn't make any verbal guarantees, but it was this tone and demeanor that made the anxious parents of the children settle down.

Zhang Fan's mind kept repeating He Fang's speaking rhythm, tone, and demeanor just now, and it was also technical, and the doctor-patient relationship was becoming more and more tense, sometimes it was not because of treatment factors, but most of the time it was because of talking.

When a child comes to see a doctor, it is usually two family members, a little more three, and the exaggeration is that the whole family is dispatched. At one o'clock in the morning, Zhang Fan finished writing the medical record and was reading He Fang's pediatric disease encyclopedia.

The knowledge in the textbook can no longer satisfy Zhang Fan. Moreover, there are too many critically ill children in a general hospital in a region, and Zhang Fan has been in a hurry and has no clue for a week. There's so much to learn.

Although it is a general pediatrics, it can be seen from three-month-old infants to thirteen-year-old children to pediatrics, and the children have not eaten well recently, and they also hold and grind their teeth while sleeping, which is too cumbersome.

In the dead of night, He Fang had already rested, and Zhang Fan was ready to read a book for an hour before resting. The nurses are still coming and going in the corridor, taking body temperature and changing drips, the front-line nurses of pediatrics, who are a little older, can't do it, it's too hard, a night shift, a flower-like girl, can be five years old~!

"Bang!" The door was pushed open, and Zhang Fan turned his head to see that five or six adults had entered the department with a child in their arms. "Doctor, quick, the child has a high fever and has started to smoke. Hurry!"

He Fang also got up and went out, and on duty was to sleep for a while, and wanted to sleep, which was delusional.

Zhang Fan touched the child's head and burned his hands. And the child smoked and smoked. "Kid, how long have you been having convulsions. He Fang asked.

"For about ten minutes, I had a high fever in the afternoon, took antipyretics, and then started to have a fever again in the evening. Think of a way, doctor. The child's mother cried.

"Phenobarbital sodium intramuscular injection, blood draw rapid test. Anal plug acetaminophen, physical cooling, low-flow oxygen. He Fang gave a verbal order. He said to the parents: "Go to the hospital, the child is a little short of breath and must be hospitalized." As he spoke, Zhang Fan had already opened a hospitalization order.

Half an hour later, the blood routine reported that the white blood cells and neutrophils were elevated, "I am infected! I'll go and explain the condition to the parents, and you will give the doctor's advice. ”

An hour later, the child's body temperature was under control and he was lying on the hospital bed for an infusion. Children don't pretend to be sick, uncomfortable is uncomfortable, and comfortable is comfortable. After a while, the body temperature dropped, and the spirit came, and the parents were worried that they would be a little tired from staying up late.

As a result, a needle that did not pay attention to the infusion set was run by the needle, and the child began to cry. The pediatric night shift is usually one old nurse with two younger nurses, and the old nurse goes to treat the child in the other bed.

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