Sept. 18, 8 p.m. Vertices

The ward of the first patient, Li Xiaoran.

Gu Yanan and Lu Li were in Li Xiaoran's ward, and Li Xiaoran was treated with suggestive treatment of psychogenic reaction disease.

In the ward, Li Xiaoran's parents accompanied the bedside.

Seeing the experts from the city's disease control and control, Li Xiaoran's mother hurriedly asked: "Is the adverse reaction of our Xiaoran due to vaccination serious?" After being treated for so long, why hasn't it gotten better? ”

Gu Yanan explained to Li Xiaoran's parents the specific situation of the adverse reactions to the vaccination.

Gu Yanan said to Li Xiaoran's parents: "Don't worry, Xiao Ran's mother, Xiao Ran's situation is not an ordinary adverse reaction to the vaccine, but a psychogenic reaction caused by the nervousness of vaccination. ”

Li Xiaoran's mother asked puzzledly: "What is a psychogenic reaction?" ”

"Simply put, hysteria caused by a certain reaction."

"Hysteria?! Doctor, do you mean that my Xiao Ran is mentally ill? ”

"Almost, no organic damage was found in Li Xiaoran's clinical diagnosis, as long as the fear and concern of vaccination are eliminated, the mood is stabilized, and supplemented by certain drug treatment, I believe that Xiaoran will get better soon."

Li Xiaoran's parents breathed a sigh of relief, although they didn't know what was going on with this hysteria and psychogenic reaction, but it didn't sound serious.

Li Xiaoran's father asked Gu Yanan, "Several of Xiao Ran's classmates have the same symptoms as Xiao Ran, and they are all in the hospital, and they are all hysteria?" ”

"Yes, this is a mass psychogenic reaction event, as long as it is explained clearly to the children, parents should not be overly anxious, and cooperate with the doctor's treatment, the children will be fine."

After receiving the reply from the experts of the Municipal Center for Disease Control and Prevention, Li Xiaoran's parents were completely relieved and comforted their daughter Li Xiaoran, saying that this is nothing big and will be fine soon.

Li Xiaoran listened to Gu Yanan and his parents' words, and his mood relaxed.

Gu Yanan and Lu Li were at the Yuntai County People's Hospital, where they saw all the children hospitalized for vaccination, and by the time they were done, it was already more than 9 o'clock in the evening.

Gu Yanan and Lu Li stayed in the guest house next door to the Yuntai County People's Hospital, and before going to bed, the two had supper at the beef noodle restaurant next to the guest house.

Lu Li ordered a large bowl of beef noodles, and Gu Yanan ordered a small bowl of beef noodles.

Gu Yanan put some vinegar and the restaurant's homemade chili sauce in his beef noodles.

Lu Li looked at Gu Yanan's appearance, and also put a spoonful of chili sauce into his big bowl of beef noodles, took a bite, and praised: "The beef noodles in this noodle restaurant are good, and the taste of homemade chili sauce is fragrant and spicy enough!" ”

Gu Yanan: "Today's lunch and dinner are not delicious, eat more, do you want to add another braised egg?" ”

Lu Li nodded while eating the beef noodles in the bowl, "Well, I need to replenish some energy." ”

"Boss, add two boiled eggs!"

The braised eggs were quickly served, Lu Li ate most of the beef noodles in the bowl, and after eating the braised eggs, he was not so hungry before he remembered to ask a question.

Lu Li: "Sister Yanan, as soon as we arrived at the Yuntai County People's Hospital in the afternoon, how could you judge that this incident was a mass psychogenic reaction caused by vaccination based on the medical records of these sick students and the epidemiological investigation data done by the staff of the local CDC last night?" ”

Gu Yanan explained to Lu Li, "It's actually very simple, the colleagues from the Yuntai County Center for Disease Control and Prevention have investigated the epidemiology of the students who fell ill very clearly, and with the case files in the hospital, it is easy to judge."

First of all, mass psychogenic events, also known as mass hysteria, generally occur after vaccination, or after group preventive medication.

In the case of Ponyville Central Elementary School, multiple people developed similar clinical symptoms at the same time or successively after vaccination.

Moreover, their clinical symptoms are diverse, the patients are mainly autonomic dysfunction, and symptoms of multiple systems can occur at the same time, but there are no positive signs in the hospital physical examination, which is consistent with the characteristics of mass hysteria. ”

Lu Li listened to Gu Yanan's explanation while eating the noodles in his bowl.

After Gu Yanan finished speaking, Lu Li sighed: "Mass hysteria, I have only heard about it in books before, and I really haven't seen it in reality, and this time I came out to see it with Sister Yanan." ”

Gu Yanan saw that Lu Li had basically finished eating, and asked, "Do you remember what are the characteristics of the introduction of mass hysteria in the books?" ”

"Acute group onset, generally with obvious mental inducement, most of the onset is acute, and there can be two clinical processes: episodic and persistent.

It is suggestive, inspired by other people's verbal actions or expressions, or when it sees something, touches the scene, and can affect each other to induce symptoms.

The onset is short-lived, and the vast majority of patients have a short duration of symptoms, with general motor disturbances ranging from 5 to 20 minutes, psychosensory impairments lasting 10 to 30 minutes, and autonomic disorders lasting up to an hour or more.

Recurrent symptoms can be recurrent and can be completely different, ranging from 2 to 10 episodes, with some more episodes.

Subjective symptoms do not match objective examination, and there are no positive signs. ”

"What else?"

Lu Li scratched his head, thought about it, and shook his head, "Huh...... I just remember so much. ”

"And most importantly, the age and gender of mass hysteria are more common in women during adolescence between the ages of 10 and 16. ”

Lu Li realized, "Oh, I remember, there seems to be such an article in the textbook, and the first case of the vaccine incident at Ponyville Central Elementary School, Li Xiaoran is a twelve or thirteen-year-old girl, who belongs to the group with a high incidence of hysteria. ”

Lu Li still didn't understand, "Sister Yanan, the book says that mass hysteria is generally short-lived, but this time the vaccine incident at Ponyville Central Elementary School has passed for almost 36 hours from yesterday morning to this evening, why the children's symptoms have not been alleviated." ”

Gu Yanan: "This is related to the way the hospital deals with the emotions of parents, once a group of hysteria occurs, the patient should be evacuated in time, it is not appropriate to concentrate on treatment, and isolation treatment should be carried out to avoid mutual induction, causing a chain reaction."

Like the practice of Yuntai County People's Hospital, where students with all symptoms are concentrated in one ward, and students face each other face-to-face, seeing that other people's symptoms are severe, their symptoms will become more severe, which is a chain reaction.

Before leaving today, I have already greeted the doctors at the county people's hospital and asked them to isolate the students for treatment, and I believe that tomorrow morning, the effect of isolation treatment will appear. ”

Lu Li: "I see, no wonder when we left, you explained to the doctor at the county people's hospital that you should isolate the students as much as possible." ”

"In fact, this kind of mass hysteria can be completely prevented, and publicity and education should be done before vaccination, and after students have adverse reactions, they should evacuate patients in time, carry out psychological intervention, focus on grooming, suggest treatment, carefully observe, and deal with it appropriately."

According to their predictions, the students will be discharged from the hospital one after another tomorrow, and this mass cardiac reaction incident caused by vaccination will end soon.