Chapter 441: Be wary of neonatal sepsis, there is no real fairness

Author: Jiangbian Yuweng

Chapter 441: Be wary of neonatal sepsis, there is no real fairness

"Let the nurse call the number directly in order of priority!"

After Zhou Can finished speaking, he ignored the woman and went directly into the consulting room.

The guiding nurse is still Zhou Yanqing, and she is an old acquaintance with Zhou Can.

The two of them have been cooperating for more than a day or two. She can understand Zhou Can's look.

"No. 1, Tang Juxiang!"

"It's us, it's us!"

A young woman who was resting on a bench hurriedly picked up her child and entered Clinic No. 17.

At this moment, no family member can speak for the shrewish woman anymore. The common people have a reputation in their hearts. Although they don't say it with their mouths, they see the right and wrong of the matter and are aware of it in their hearts.

Everyone's sympathy is not so easy to use.

"Dr. Zhou, please help me find out. I don't know why the child suddenly stopped feeding."

The woman's husband and family members came without accompanying her.

Judging from her dress, her financial situation should be pretty good.

"The baby looks quite young, not long after he was born, right?"

Zhou Can began to observe the condition of the child.

The child was pale, cyanotic around the mouth, and had irregular breathing. These symptoms were very similar to neonatal jaundice. This disease itself is also highly prevalent.

"Today is exactly 21 days since he was born, and he's not even one month old yet! Since about yesterday, he hasn't been feeding very much, and he seems to be very restless, crying all the time, and has a very bad temper."

The woman described the child's condition.

"Breastfeeding or feeding milk?"

"I have been breastfeeding since I was born. At first, I was worried about insufficient milk supply. The confinement nanny I hired seemed to be very professional and made me some pig's trotter soup, boiled eggs with rice wine and other foods. My milk supply became more and more abundant. The baby's milk supply became more and more abundant.

After eating, sometimes there is still some leftover, and I feel distended and painful. But starting from yesterday morning, the baby seemed to be a little resistant when breastfeeding. The confinement nanny asked me to take the baby to the hospital for a check-up."

The woman looked at the baby in her arms, full of maternal love.

The greatness of maternal love begins from the moment the child is conceived. After ten months of pregnancy, the burden of maternal love has not only not lightened, but will also increase. She needs to put the child to sleep, breastfeed, clean up the feces and urine...

The fact that this woman can afford a confinement nanny shows that she has good economic conditions.

Because these days, the starting price of a confinement nanny is at least 5,000 yuan. Better yet, it is very common to get a gold medal confinement nanny and ask for more than 10,000 yuan.

"Do you and your confinement sister-in-law take care of the children together?"

"yes!"

"Do your family members help take care of you? For example, your parents, mother-in-law, and husband."

"Why are you asking these questions? It seems to have nothing to do with the condition!"

Her words flickered and she refused to answer.

"Don't get me wrong, I just want to eliminate possible problems in the child's feeding process." Since the family members did not want to answer, Zhou Can did not ask any more questions.

These days, some women give birth to children, maybe they are just mistresses.

Illegitimate children cannot be seen in the light, and the identity of the child's father must be kept tightly secreted.

"I think the child's energy is not very good. Even if he hasn't eaten for a day, he shouldn't be like this. Have you given him water?" Zhou Can asked.

"I gave him water, but he didn't drink much."

"When breastfeeding, does the child suck strongly?"

"Much weaker than usual, looks powerless."

"Did you have a bowel movement? Did you have diarrhea?"

"I have diarrhea. It seems that I have been having diarrhea since the third day after birth. My confinement sister told me that this is a normal phenomenon. When the child is older and has accumulated diarrhea, he will no longer have diarrhea."

"How is the child's sleep?"

"I wake up very easily. I cry at every turn, especially at night. Last night, I would make a fuss almost every once in a while, punch and kick me, and cry so much. I couldn't stop myself no matter how much I coaxed me."

"Was it like this before?"

"No, it just started from the night before yesterday. But the night before yesterday was pretty good."

…

After Zhou Can asked about the child's basic information and medical history, he took the child's temperature, which was normal.

When examining the child's abdomen, it can be clearly felt that the abdomen is very hard.

Indicates the presence of abdominal distension.

"Let's go for two tests first! If the child urinates and defecates, you can take some samples for laboratory testing. For the time being, check the three general tests first. After the results come out, you can come to the outpatient department to see me for further diagnosis."

Zhou Can quickly opened the inspection application.

The three general rules are sometimes basically must-check items.

"Dr. Zhou, I was introduced by a friend who said that your medical skills are very good, your medical ethics are noble, and you are very responsible for the patient's condition. That's why I specifically called you. Is my son's condition serious? Could it be that he suffered the disease at night?

A minor problem like cold?"

When the woman said this, she naturally wanted to get closer to Zhou Can.

"Well...it's hard to say for the time being. But based on some of the child's current symptoms, it's probably not optimistic. Don't delay. In fact, you should have taken your child to the hospital for medical treatment as soon as yesterday. Babies are not like adults. They

The disease progresses very quickly and the tolerance is much weaker. The various systems of the body are not fully developed and will be relatively more fragile."

Zhou Can was originally unwilling to say these serious words.

Seeing that the young mother didn't seem to pay much attention to the child's condition, he had to remind her.

"Is everything going to be okay? What can I do? I have been hesitating whether to come to the hospital yesterday. It's all my fault. What can I do?" After hearing this, the woman became anxious.

"Let's get checked first! You are the first in line, and the blood routine results should be available within two hours at most. If it's just neonatal jaundice, it's easier to treat. I'm afraid it's troublesome if it's neonatal sepsis. So, blood tests

After the test results come out, you must come to me in time without delay. In addition, apart from breastfeeding and water, try not to feed your child any other food."

Based on his personal diagnosis experience, Zhou Can highly suspected that the child might have neonatal sepsis.

This disease is usually most common in infants between three days and half a month old.

It took twenty-one days for this child to get sick, so his resistance should be pretty good. Or he might have already gotten sick, but the mother was not alert.

Neonatal sepsis is a systemic infectious disease caused by bacteria invading the blood circulation.

Because the newborn's central nervous system is immature, the body's response is weak, the defense capabilities of the skin, mucous membranes and gastrointestinal tract are low, and local lymph nodes are highly permeable to bacteria, the infection focus cannot often be limited to a relatively small range.

Instead, it will spread rapidly and eventually become sepsis.

At present, the child's mental state is very poor, and he has not eaten all day and night, which makes Zhou Can very worried.

In the face of a terrible disease, a living life can easily be lost.

The woman followed Zhou Can's instructions and hurriedly took her child for a checkup.

Zhou Can originally wanted to ask why the child's father didn't come?

Because this woman had just given birth for 21 days and her body was still in the recovery period. Running around with her baby in her arms could easily have some adverse effects on her body. She could even leave behind what is commonly known as confinement disease.

Since ancient times, China has had the habit of confinement to recuperate.

This is by no means the squeamishness of Chinese women, but the medical wisdom of the nation. It is also a manifestation of the foundation of traditional Chinese medicine.

Women abroad don't have these rules.

They think there is no need for confinement, and they dare to bathe in various ways just after giving birth, eat and drink without restriction, etc. It is even popular to give birth in the water. It can only be said that benevolence sees benevolence and wisdom sees wisdom.

A mother who has just given birth is deficient in both qi and blood. Even though the immune mechanisms of foreign women and Chinese women are different, such torment on the body will often leave confinement syndrome for life.

Only they themselves can understand the pain and sorrow involved.

Patients come one after another, and Zhou Can handles them very quickly. When encountering some difficult cases, he often needs to spend a long time to investigate and make comprehensive judgments. He even needs to consult with pediatric experts to discuss the condition.

Generally speaking, his cure and improvement rate is very high, whether it is common diseases or difficult and complicated diseases, the cure rate has always been high.

Currently, he has been practicing in pediatrics for about two years. In the first year, his CMI value reached 3.2.

You know, the CMI value of many chief pediatricians is only about 1.5.

The ones who are great are naturally very powerful, some even reach 6.0 or above.

Cmi value refers to the case mix index, which is internationally recognized as representing the technical difficulty of treating diseases and the comprehensive ability of hospitals to treat difficult and severe cases. The higher the Cmi value, the more serious the disease is and is not easy to cure.

This is even directly linked to the amount of prepaid medical insurance the hospital can obtain.

Moreover, China is paying more and more attention to the CMI value of doctors, which directly reflects the level of a doctor's medical skills.

If ordinary doctors usually treat ordinary cases, the CMI value will naturally be very low.
To be continued...