Chapter 451

"Child? Okay, I'll be there right away!"

Originally, Xiao Chenguang was still a little confused in his sleep. When he heard Qi Tiancheng say it was a child, he instinctively jumped up from the bed.

He grabbed the clothes beside him and put them on randomly, put on his shoes, and ran straight to the emergency department without caring about the biting cold wind at night.

He ran all the way and didn't dare to stop.

The most difficult thing doctors face is to rescue children in the emergency room in the middle of the night.

Due to the urgency of the disease, the young age of the children, and the unclear description, in many cases, in addition to relying on the doctor's rich clinical experience to judge the disease, the rest can only rely on luck.

Why.

The main medication guidelines and diagnostic standards for children are different from those for adults, and there is an independent set of procedures.

Pediatrics was just starting in 1999, and many things were uncertain, and children could not be treated directly with the standards of adults.

Therefore, the younger the child, the more difficult it is to treat in the emergency room.

Xiao Chenguang remembered that in the future, he had encountered a three-and-a-half-year-old child who also had high fever convulsions. The family members did not know anything about the child's condition. The child could not accurately describe the condition, and only knew that he had a rash all over his body.

At first, the doctors who came to consult thought it was a wheal caused by skin allergies, or eczema caused by low immunity.

But as the condition gradually worsened, the child suddenly had difficulty breathing. After emergency intubation, it was discovered that the original rash began to gradually turn red.

After a targeted examination, everyone knew that the child was suffering from systemic lupus erythematosus.

This is an autoimmune disease involving multiple system organs.

The characteristics are diffuse vasculitis and connective tissue inflammation.

The disease is difficult to treat, not easy to get better, and easy to relapse.

At the same time, during the diagnosis and treatment process, ECG monitoring was put on, and everyone found that the child also had severe congenital heart block.

This will further cause arrhythmia, and in severe cases, it can even lead to cardiac arrest.

That night, everyone was worried and stayed in the emergency room, just for fear that the child would have an accident.

Fortunately, after unremitting efforts, the child was saved.

"It must not be an immune system disease that is difficult to cure, otherwise it will be troublesome."

Xiao Chenguang panted and muttered in his heart. After running for two and a half minutes, he finally arrived at the emergency department.

Before entering the door, he heard Qi Tiancheng's anxious voice from the rescue room.

"Tilt the child's head to one side, pay attention to keep the airway open, and be sure not to let the vomit block the trachea."

"Diazepam 5mg intramuscular injection, direct physical cooling with alcohol, and, has the acetaminophen been used? First lower the child's body temperature and don't let him convulse."

As the doctor's orders were issued, the nurse on duty began to treat non-stop.

The child lying on the bed had a red face and chapped lips due to high fever. Even when the nurse gave him an injection, he did not cry or make a fuss. He was in a state of mental depression at first glance.

"Doctor, what disease does the child have? He has a fever for no reason. He took medicine and got an injection for a few hours. The fever just subsided and then rose to over 39℃ again. It keeps coming back and can't be suppressed at all."

The child's parents were so scared when they saw their child in this state for the first time that they could only mechanically protect the child according to Qi Tiancheng's requirements.

"The blood test results haven't come out yet. Don't worry. I just asked the director to come over. We will definitely find out the cause of the child's illness."

Qi Tiancheng kept comforting the child's parents with words.

As an old man who has worked in the emergency department for more than ten years, he would encounter some children with sudden illnesses on duty and come to the emergency department for medical treatment in the middle of the night.

But most of the children are over five or six years old. Even some younger children usually don't have too serious symptoms.

It's easy to deal with.

But tonight is different.

Not only is the child younger, but when he was brought in by his parents, Qi Tiancheng could clearly feel that the child's condition was not right.

He was quickly taken to the emergency department and connected to the ECG monitor. The vital signs measured were shocking.

A heart rate of nearly 200 beats per minute and a respiratory rate of more than 50 times both indicate the child's degree of danger.

Especially touching the hot skin, as measured by the mercury thermometer, it only took half a minute for the temperature to rise to 40℃.

The obvious hyperthermia caused by blurred consciousness, accompanied by irregular limb twitching, are all manifestations of febrile convulsions.

First, cooling down and then dealing with other problems are the first things to be solved.

But if the cause of the disease cannot be found, even if the body temperature is forced down this time, it will not take long for the fever to recur.

It is a typical case of treating the symptoms but not the root cause.

"What should I do?"

Looking at the child's uncomfortable expression, Qi Tiancheng was very anxious.

At this moment, a deep voice sounded.

"Tiancheng, how is the child?"

Xiao Chenguang, who rushed over, pushed open the door of the emergency room.

At this moment, he was only wearing a shirt and didn't even have time to put on his coat.

At the moment he entered the emergency room, his eyes were always on the child.

"Director Xiao, you're here."

Xiao Chenguang's voice was like timely rain, making the restless Qi Tiancheng feel like he had found his backbone.

He quickly reported the patient's condition when he first arrived at the hospital, and also told Xiao Chenguang the treatment plan and the patient's medical history.

"Has the pediatric ward requested a consultation?"

After listening to Qi Tiancheng's report, Xiao Chenguang asked.

"Yes, but they only have one doctor on night duty in the pediatric department, and there is a child upstairs who is not in good condition and has not come down yet."

"I was afraid that something might happen to the child, so I really didn't dare to delay, so I called you, Director."

Qi Tiancheng's expression was somewhat helpless and a little guilty.

It was 3:20 in the morning, a time when he should have been in deep sleep, but he pulled Director Xiao out of bed and took him to the emergency room.

He knew better than anyone how busy Director Xiao was recently.

As a newly promoted director of a major department, he not only had to coordinate the development of three departments, but also the most important thing was that the surgeries he performed every day were scheduled from morning to night.

Five or six hours of sleep a day was a luxury.

So Qi Tiancheng, who was in charge of emergency work, rarely disturbed Xiao Chenguang during this period unless there was something unavoidable.

It was just that now, the child in the bed was really difficult, and it was difficult for Qi Tiancheng to complete the work with his ability, so he had to call Xiao Chenguang.

"It's okay. I haven't slept much recently and I can't sleep in bed. Don't think too much."

"According to your report, the child's first aid measures were correct. Now we just have to wait for the test results to come out before we can further diagnose the condition."

Xiao Chenguang comforted him and walked straight to the bedside and began to do a physical examination for the child.

"This is Director Xiao from our emergency department."

Xiao Chenguang came in a hurry and had no time to wear a white coat. Qi Tiancheng was afraid that the family would misunderstand, so he took the initiative to explain.

"Director Xiao, I'm sorry to bother you so late. What's wrong with my child? Can you tell?"

When Qi Tiancheng finished his introduction, the child's father quickly stood up from the bedside and asked respectfully.

"I'll check the child first and talk to you later."

Qi Tiancheng's report was already very detailed, but Xiao Chenguang still had to do another detailed examination for the child.

After all, everyone has different ideas for examinations, and the results obtained can sometimes go in the opposite direction.

As he began to examine the child, Xiao Chenguang gradually frowned.

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