Chapter 453

Epstein-Barr virus, also called the kissing disease.

As the name suggests, the main route of transmission is through saliva.

The most common people are children aged 3-5 years.

"Most adults carry Epstein-Barr virus, but they don't get sick because of their strong immune systems."

"But children are different. They are less likely to get sick in the first six months because they carry the mother's antibodies."

"Later, as the antibodies weaken, the autoimmune system has not yet been fully established. The 3-5 years old is the most susceptible stage to disease."

"Many parents kiss their children habitually in order to express their love for their children, but they can easily transmit the viruses they carry to their children, making them sick."

Xiao Chenguang has basically deduced this conclusion after getting to know the families of the children.

The habitual actions of the patient's mother just now further confirmed this conjecture.

In fact, Xiao Chenguang has also encountered this kind of case.

It was even more outrageous at the time.

The child's grandmother, because of her deep-rooted beliefs, chews the food before feeding her child every time.

It's incredible.

But this is something that really happened before.

The child is sick, and the grandmother blames herself.

Later, after I started sharing chopsticks with my children, I never suffered from this kind of disease again.

It also further proves why EB virus is called the kissing disease.

"Director Xiao, the blood test sheet is out. This is the blood routine report."

The nurse on duty in the emergency department, after giving the child the medicine, has been communicating with the laboratory department to ask them to get the test results as soon as possible.

"The white blood cell count is 3, the neutrophils are elevated, and the C-reactive protein is also high."

"The most critical percentages of monocytes and lymphocytes are increasing. Combined with a physical examination, the patient can basically be diagnosed with EB virus infection."

Xiao Chenguang took a look at the blood routine list and found that it was a standard indicator of Epstein-Barr virus infection.

This is just like a child who has a cold and fever and goes to the hospital to see a doctor. The doctor asks the child to draw blood and look at the test results to determine whether there is a viral infection. It is a process.

High fever and increased white blood cell count are usually bacterial infections. Use cephalosporin and penicillin to reduce inflammation.

If you have ultra-high fever and the white blood cell count is normal or decreased, generally consider a viral infection. Drink more water, physically cool down, and at most prescribe some oseltamivir antiviral.

"Tiancheng, give the child acyclovir and continue physical cooling. If necessary, give half a dose of dexamethasone intravenously."

With that said, Xiao Chenguang looked at the second test sheet.

This is an urgent biochemical check. The electrolytes, sodium, potassium, magnesium, calcium and other trace elements are quite normal. The child has no obvious symptoms of dehydration due to fever.

However, the bright rising arrows on the other side were so densely packed that Xiao Chenguang frowned.

really.

The child's liver function was abnormal, and glutamic acid, glutamic acid, and transpeptidase were all 100 to 200 higher than normal values.

Concentrated hemoglobin also indicates spleen problems.

"Director Xiao, why are his laboratory indicators so high?"

Qi Tiancheng on the side was just about to give medical advice to his child, but he caught a glimpse of the test sheet in Xiao Chenguang's hand.

The values ​​above are frighteningly high.

I thought that the EB virus was so powerful that it had damaged the child's liver function.

"Tiancheng, it doesn't matter if the pediatrician is unavailable. You can call their department and ask the dosage, concentration, and usage of liver-protecting drugs for a 3-year-old child, such as polyene phosphatidylcholine."

Although Xiao Chenguang has rich clinical experience, he still needs to be cautious when it comes to medication for children, especially infants and young children.

That's why he sought the advice of his pediatrician.

actually.

Xiao Chenguang has always been worried about the fact that Shengli Hospital does not have a pediatric emergency department.

But given the current situation, there aren’t many options.

After all, compared to the emergency department, which everyone despises, in the hearts of all medical professionals, pediatrics is where the hell starts.

There is a large amount of medicine for children, but because of age restrictions, they dare not take medicine and cannot take medicine.

General examinations, such as CT with rays and X-rays, etc., should not be done if possible.

All diagnosis depends entirely on the doctor's personal ability.

It is also necessary to be complained from all day to night, and even the risk of being stunned, saying that it is a pediatrician for power generation.

In the eyes of their peers, they are a group of real warriors.

"Okay, Director Xiao, I'll ask right away."

When Qi Tiancheng saw the pile of abnormal indicators, he knew that the matter was urgent. Without a word, he turned around and ran to the nurse's station again to make a call.

At the same time, there was a clanging sound in the emergency corridor.

It was the metallic sound made by the friction between the iron pulley and the ground.

The imaging doctor, whose eyes were still closed, walked quickly with a B-ultrasound machine that was half a person tall.

"Who wants to have a B-ultrasound?"

The doctor rubbed his sleepy eyes and opened his mouth to ask.

"This child."

The emergency nurse who helped open the door immediately pointed to the bed in the emergency room and responded.

"Child? So young?!"

When he saw the child on the hospital bed, the doctor's eyes, which seemed to be half-open a second ago, suddenly became clear.

I just received a consultation call and asked for a bedside examination. I didn’t ask any more questions and rushed over.

Unexpectedly, it was a child.

"What disease is so serious?"

The doctor immediately pushed the B-ultrasound machine to the bed, moving a little faster.

He connected the power supply, turned on the machine, and carefully examined the child's condition while waiting.

Like all medical practitioners, when he heard that the patient was a child, a young child, he immediately perked up even though it was already past three in the morning.

"EB virus, damage to the liver and spleen, abnormal test indicators..."

As the data were presented one by one, the doctor's face became serious.

"I have encountered such a case before. Based on the child's current condition, I suspect that something has grown on the child's liver."

As soon as these words came out, the child's mother felt her head buzzing.

Her face gradually turned pale, her body softened, and she almost fell off the bed.

Fortunately, the child's father was quick-witted and held the woman.

The only one who was still rational at this moment was the child's father.

He looked at Xiao Chenguang with a complicated expression, but still said: "Director, no matter what the result of the child is, we can accept it. We will treat it in any way we can. We are not afraid of spending money. As long as the child can get better, we will listen to you."

"Okay, I understand. Don't worry. If something really grows in the liver, we also have a way to solve it."

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