Next, the ward that Zhao Sheng was in charge of was almost at full capacity or even overloaded, and in this way, Zhao Sheng and his people were busy until nine o'clock in the morning of the next day, and the tide of patients calmed down a little.

Waiting for the shift change to take over the ward, Zhao Sheng let the others go to rest, but he couldn't rest, because he also had a director on duty, and it would be another twenty-four hours.

Before leaving, Zhao Sheng discussed with Cai Lijun, director of pediatrics, and the hospital, and introduced several measures in order to alleviate the tide of pediatric patients.

First, according to the degree of fever of children, different color wristbands are given to distinguish (blue below 38 degrees, yellow high risk from 38 degrees to 41 degrees, and red danger above 41 degrees), strengthen the rapid treatment mechanism for children in critical condition, and start multidisciplinary consultation in time if necessary.

Second, the implementation of the "first laboratory test and then diagnosis" measure, when the child with fever and cough symptoms comes to the hospital, after the preliminary pre-examination and triage, the designated clinic can be issued in advance in the designated clinic blood routine, Mycoplasma pneumoniae and other laboratory tests, while waiting for treatment, the child can go to the test window to complete the routine laboratory test, and directly provide the test results to the doctor at the time of treatment.

However, despite these measures, the pediatric building is still overcrowded, and the pediatric emergency hall is almost full of children and parents.

Back in the department, Zhao Sheng came to the doctor's office.

As soon as he came in, Zhao Sheng saw that Lin Haizhou was also sitting on the chair with a tired face, and it seemed that he had not slept all night.

"Director Lin, go and rest."

Seeing that Lin Haizhou's face was pale and his lips were dry, Zhao Sheng couldn't help but say to Lin Haizhou with concern.

Lin Haizhou can't fall, otherwise, Li Weidong is often absent, and if Lin Haizhou falls again, the director will be the only one on duty.

Although he was physically able to endure a few days and nights of overtime, his mental exhaustion and even boredom needed time to ease.

"I can still hold on, Director Zhao, you should go to rest, I heard that you took someone to the pediatric department for an all-nighter, and you were also tired. It's okay, I can still hold on. ”

Lin Haizhou smiled a little reluctantly and said.

"We can't go on like this, we are doctors, not cows and horses, and if we continue like this, we will die of survival."

Zhao Sheng suddenly said with some anger.

No matter how dedicated a doctor is, he can't go on like this every day.

Fortunately, since awakening, his endurance and physical strength have been at the peak of human beings or even surpass the existence of human beings, but with a normal human body like Lin Haizhou, how long can he survive.

If one day you suddenly survived and died, it would be a little ridiculous for a doctor.

"There's no way, Director Zhao, just get through this outbreak period."

Lin Haizhou said with a wry smile again.

Next, Zhao Sheng forcibly let Lin Haizhou go to rest, and he replaced Lin Haizhou to continue the director's duty.

This succession, Zhao Sheng found out that the pediatric department exploded, and the intensive emergency center was not much better.

Although winter is indeed a period of high incidence of cardiovascular and respiratory diseases, there are a lot of seriously ill patients.

In particular, the number of people over 80 years old who are usually in good health but have sudden cardiovascular diseases has suddenly increased.

This made Zhao Sheng think of a literature he had read, patients with underlying diseases, after being infected with a certain virus, the vascular endothelial system was disordered, and the vascular plaque was prone to inflammatory reactions, which would lead to an increased incidence of thrombosis.

In addition, studies have shown that a certain virus can indeed mediate immune response and inflammation, which can cause severe damage and dysfunction of the cardiovascular system.

Previously, a study published in BMJ showed that about 57% of people infected with a certain virus reported persistent cardiovascular-related symptoms, and even after many weeks of "Yang Kang", there were still structural and functional abnormalities of the heart, such as myocardial damage.

Similarly, an article in Nature also mentions the cardiovascular effects of a virus, and magnetic resonance imaging showed that 78% of people surveyed with a virus had heart damage, and 58% of them still had heart abnormalities one year later.

Viruses can induce myocarditis in 3 ways:

(1) direct damage to cardiomyocytes by the virus;

(2) inflammatory cells migrate to cardiomyocytes and induce local inflammation;

(3) Damage to the heart muscle due to systemic inflammation triggering overactivation of the autoimmune system.

Early symptoms of viral myocarditis include:

Fatigue, weakness, chest tightness, shortness of breath, palpitations, dizziness, loss of appetite, difficulty breathing, chest pain, etc.

Once the above symptoms appear, be vigilant!

If the symptoms worsen, or if you have arrhythmias, tachycardia or bradycardia, you should go to the hospital as soon as possible to check whether the electrocardiogram shows myocardial damage.

If the patient is treated as soon as possible, the prognosis is usually good. If the disease continues to progress, it often takes a sharp turn for the worse, which may lead to heart failure, shock, and even sudden death.

Even if you have general symptoms of an upper respiratory tract infection, do not engage in strenuous exercise.

Because when a person has a fever, the heart beats faster, the blood circulation increases, and the heart's blood output increases, which will increase the workload of the heart.

At this time, the vigorous movement of the movement will further increase the burden on the heart, especially for patients with underlying heart diseases, and acute cardiac insufficiency and fatal arrhythmia may also occur.

In addition, strenuous aerobic exercise can cause a high heart rate and increased oxygen consumption, which is not conducive to myocardial repair.

Excessive anaerobic exercise, such as equipment exercise, produces a large amount of lactic acid and other metabolites, which accumulate in the heart muscle and is not conducive to the recovery of the heart.

It is recommended to control the intensity of exercise, no more than one-third of the usual, and then slowly return to the usual amount of exercise after subsequent adaptation, and patients with underlying diseases or severe infections should first ask the doctor to assess when they can resume exercise.

1:10 p.m.

After finally dealing with the seriously ill patients in the morning, Zhao Sheng was sitting in the doctor's office, and Li Mujia was also sitting and resting, she suddenly said to Zhao Sheng: "Do you say that I want my parents to go to the hospital in my hometown for a comprehensive cardiovascular system examination?" ”

This morning, so many elderly people with sudden cardiovascular diseases were sent, and they were all very healthy before, but they were only sick recently, which somewhat reminded Li Mujia of his parents in his hometown.

"Yes, it's necessary."

Zhao Sheng nodded without hesitation and said.

"Hmm."

"It's really painful to work like this."

Li Mujia, who has always been optimistic and strong, suddenly expressed such feelings.

Now the whole state of the hospital makes her feel like her life is not bright.

(End of chapter)