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When Wu Gang saw the state of the child for the first time, it confirmed the thoughts in his heart. The little girl was lying very quietly on the bed in the health room, her breathing was not smooth, and the vomit on her body had been carefully cleaned by the teachers, but the slightest marks on her clothes could still be seen.

Wu Gang put his hand on her carotid artery, took out a stethoscope and planned to listen to the heartbeat and breathing, then he felt that the child's position was wrong, and turned his head to Bai Nan and said. "The body temperature, the blood pressure, the speed is a little faster, I always feel that the child's condition is not right. ”

Wang Ge knew that this child's condition was menacing, and Wu Gang definitely didn't want to waste any second.

"The temperature of the ear canal is thirty-nine .five, and the blood pressure is one hundred and fifty, one hundred and twenty millimeters of mercury. Bai Nan said in a deep voice, this sign is already very bad for a child who is only five or six years old and is in the middle class of kindergarten.

"Did you eat anything in the kindergarten in the morning?" Wu Gang raised his head and asked, in fact, his first reaction was food poisoning. What serious diseases can such a child have? Nowadays, parents take care of their children in every possible way, and there are a series of examinations at birth, and congenital diseases are still relatively easy to detect. Even if it is a congenital disease that occurs later, it can be detected by the annual physical examination, and the examination items for children are sometimes more detailed than those of adults.

"The kindergarten is from 8:30 to 9 o'clock in the morning, and the children come here and eat breakfast at home. The child will drink water here. There will be no problem with the water, many children have drunk it...... It's not even time for lunch, so there's a snack in the afternoon. The teacher in the white coat next to him said, and then glanced at the child's homeroom teacher.

The child's homeroom teacher looked less than thirty, and she was about to cry in a hurry, it seemed that she really had feelings for the child, she also shook her head again and again, and said with a crying voice, "She didn't eat anything in the morning, we were in an indoor class in the morning, three or four teachers looked at more than 20 children, if they ate anything unclean, we all know." Doctor, she must not have an accident. ”

"Slow heartbeat, light breathing, low frequency, high blood pressure, fever, coma, vomiting, slow response of pupils to light, how do I feel a little intracranial hypertension...... Is it a symptom of cerebral hemorrhage or cerebral edema?" Wu Gang raised his head, he was not sure, such a young child, even fever-reducing medicine could not be used indiscriminately now, and a needle would inevitably produce more complex symptoms.

"Alcohol, physical cooling. Go to the hospital for a check-up first...... It must be checked from beginning to end. Wu Gang said. "King pigeon, put on the stretcher, and we will carry it down slowly. ”

Wang Ge nodded, and said to the teacher while helping Bai Nan, "If the family hasn't come yet, don't let them come, go directly to the emergency department of the Second Affiliated Hospital of Yaxiang." We will give priority to opening the green channel for children, so there is no need to rush the cost procedures. ”

"When we contacted you, we called the child's parents again, the situation was really urgent, they said they would come right away, I guess it's almost there. The female teacher unconsciously grabbed her mobile phone, and at this time, the child's parents rushed to the scene.

A man and a woman are estimated to be about thirty years old, and they seem to be a very ordinary young couple, but at this moment, they are sweating profusely and their faces are anxious, and if something happens to their daughter, it is naturally more important than anything else. "Wenwen, what's wrong with you, Wenwen...... Doctor, what's the situation, she was fine when she was sent here this morning, didn't she say she had a fever at first, how did she become like this?"

"The child's fever is only a symptom, without examination, we have no way to judge, we are going to the hospital now, to give the child a thorough examination, you can carefully recall, whether the child has recently eaten anything strange, or behaved abnormally. Wu Gang said while helping to carry the little patient.

Logically speaking, such a serious symptom must have a precursor before the onset of the disease, and it is impossible to start high fever, high blood pressure, and coma shock for no reason. Even a little abnormal behavior before the onset of the disease, or eating some strange things, may be used as the basis for determining the true cause of the child's illness. At least have a general direction.

However, in the process of the group leaving, the parents of the children did not remember what unclean things the children had eaten in the past few days. In the past few days, they haven't even gone out to eat, and they make their own food, and they eat with their families, even if the children's stomach is fragile, it is at most a gastroenteritis, so they won't be in a coma, right?

"Doctor, in fact, Wenwen was a little groggy this morning, no matter how he shouted, he couldn't wake up, he refused to open his eyes, and he didn't want to wash his face. I also cried all the time on the road, not the usual kind of crying, but crying quietly, saying that I didn't want to go out and wanted to sleep at home. When we got to the kindergarten, we were happy to see the children again, and we didn't think much about it......" The child's father recalled carefully, "If it is abnormal, it is more abnormal." ”

"Didn't you have a fever in the morning?" Bai Nan asked again.

"I really didn't pay attention, it's so hot now, everyone's body is hot, and I can't touch it. The child's mother said.

The child's parents were so relieved that they decided to leave their car right in front of the kindergarten and follow the ambulance to the hospital. The group came downstairs, when Wang Ge carefully carried the child into the ambulance, he accidentally found that there were two small scars on the inside of the child's right calf, which should have been six or seven days, and had scabbed over and was about to heal. The two scars were a little symmetrical, as if they were not bumped or fallen.

Although the child was wearing a small dress and exposed his legs, the wound was on the inside of the calf, and Wu Gang did not think that the child was in a coma caused by trauma, so he did not carefully examine the patient's trauma.

"Doctor Wu?" Wang Ge called out to Wu Gang, Wu Gang turned his gaze, frowned, and immediately asked the child's parents.

"What is this?"

"Speaking of which...... It's also unlucky. Our neighbor has a dog downstairs, usually fine, about a week ago we went out for a walk one night, the dog saw the child running, went up to the leg is a bite, and ended up biting. Later, the neighbor lost the money and apologized, the dog has always been licensed, and it is also vaccinated, so it should be fine. The child's mother burst into tears as she spoke, "My poor girl, I feel distressed when I cried when I was vaccinated, what a sin I have suffered!"

Wu Gang and Wang Ge glanced at each other, and then Wang Ge asked again. "Is it a rabies vaccine? Where is it? How many days has it been?"

"It's the rabies vaccine, the medicine prescribed by the epidemic prevention station, and the doctor there said that it will be vaccinated for a week, and today is only the fourth day, and I will go to the community clinic in the evening...... "The father of the child replied. "Doctor, you mean ......"

The king pigeon did not linger in the car, closed the back door of the car after everyone had boarded the car, and then jumped into the cab and twisted the key. He knew that although the child was in serious condition, Wu Gang had not yet given a verbal notice of critical illness, and his life was not in danger in a short period of time, and the Grim Reaper should not come to chase the ambulance now.

"You answer my question first. What is the situation of the dog that bit the child?" Wu Gang still wanted to ask clearly, and after ruling out everything, he would make a conclusion.

"Last night I also saw the dog owner walking with the dog, this time the leash, and apologized to me, the dog is fine, it looks very normal. The child's father replied.

"According to your description of the patient's symptoms, I suspect that the patient is infected with rabies, which can be transmitted through saliva and blood, and before leaving, I have asked the kindergarten teacher to seal the child's vomit, and once I am diagnosed after returning to the hospital, I will immediately report to my superiors, and I will isolate and examine people who have been in close contact with the patient for a short time, of course, including you, and all of us. The dog is fine, which proves that the dog should not be infected with the rabies virus. Generally speaking, dogs infected with rabies virus will basically die within 10 days after biting people madly, which is called the 10-day observation method in the world. In other words, the disease in your daughter should not be infected by the dog, but from the ...... The vaccines you were given. Wu Gang said. In fact, the possibility of other people being infected with the virus is very small, although it is a Class B infectious disease, but the transmission route is limited after all. Compared with SARS and AIDS, which are also Class B infectious diseases in China, although the fatality rate is sufficient, the infection efficiency is still much lower.

Routine is routine, it is not troublesome to check it, you only need to take a blood test, the waiting time and isolation time will not be very long, and it is safe to check it. The king pigeon had been in contact with a patient suspected of being a Class B infectious disease before, and was isolated for most of the day before being released. Shen Hui was even more miserable, she was bitten by an AIDS patient, and she waited for several months before she was willing to let her go to the front line.

Wu Gang understands that in fact, the child is reluctant to get up, because he is sleepy, unwilling to go out, afraid of light, unwilling to wash his face, and afraid of water. These are the first signs of rabies. What should have been a low-grade fever, anxiety, and sensitive onset turned into high fever, high blood pressure, and suspected cerebral edema in this child's body.

Normally, the incubation period of rabies is mostly within three months, the average in China is about 67 days, and there is rarely an incubation period of more than one year, while the longest incubation period in foreign countries is six years.

Because the rabies virus serum in the vaccine is directly injected into the muscles, and the child's age is young, the incubation period is very short, and some symptoms of pain and low-grade fever during the incubation period are also very easy to be considered as the sequelae of vaccination.

It is absolutely normal for vaccinations to have such sequelae. But it won't lead to high blood pressure, high fever, or coma!

The difference in symptoms that Wu Gang learned can actually be used as indirect evidence that the child's illness was not infected by the dog. To be precise, girls are not infected with the rabies virus.

"The epidemic prevention station should have issued all the vaccines to you at one time. This item should be refrigerated at your community clinic, and I recommend that you seal it immediately, record the lot number, and then provide it to the hospital for testing and analysis. ”

The child's parents are a little knowledgeable, knowing that once the rabies virus is infected, there is absolutely no cure, as soon as they heard Wu Gang say this, they immediately hugged each other and began to cry.

"Don't be anxious, don't cry! I'm just telling you the seriousness of the matter, and this is just my speculation, and I can't take it as a final conclusion yet. Even if I think about this correctly, then we must not lose hope! Although the mortality rate is 100 percent in the broad sense of the international figure, there have been cases of cure! Moreover, if there is a problem with the vaccine, then the situation may not be as bad as we think. Now your child's symptoms are different from those of rabies. Most vaccines are inactivated in the process of making, even if there is a problem in the production process, the amount of virus contained is not so much, so the symptoms of infection and the degree of infection may not be so dangerous, the virus in the process of being made into a vaccine, the mechanism of harm to the human body has changed, what kind of symptoms will appear, what consequences will be triggered, it is not very clear for the time being, these are random. Everything will not be known until the hospital. That's why I'm asking you to provide a sample of the vaccine. Only by facing it positively can we solve the problem. Wu Gang said that there are always some things that human beings have not been able to study thoroughly, so they can only cross the river by feeling the stones.

Bai Nan was also very uncomfortable, but now she could only follow Wu Gang's doctor's instructions, use alcohol to distilled water, constantly wipe the child's body, and physically cool down to prevent the high temperature internal environment from harming the human body.

"You mean, there is still hope that she will survive?" the child's mother looked resolute and stared at Wu Gang.

"Before the doctor announces the death of the patient, everyone has hope of surviving!" Wu Gang felt uncomfortable. His child is also a girl, in her teens, in junior high school, a little older than this child. But Wu Gang's child also grew up at such a young age, how can he not feel uncomfortable in his heart? "You have to have hope, and the things you hope for will happen." ”

"After completing the formalities at the hospital, I will immediately go to the community clinic to get the vaccine!" The child's father still held his wife's hand and nodded solemnly at Wu Gang.

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