Chapter 268 Infectious Diseases Treating Measles(1/2)
Chapter 268 Infectious Disease Treatment
The Department of Infection is the most special department in every hospital.
The Infectious Disease Department of the Municipal Hospital is a white three-story building with a two-meter-high wall outside, which separates the Infectious Disease Department from the Municipal Hospital.
As the First People's Hospital of Grassland City, the Infectious Disease Department of the Municipal Hospital is not only responsible for the treatment of abnormal infectious diseases, but also responsible for epidemic prevention in the city.
Just look at the patients treated by the infectious department.
Various types of viral hepatitis, influenza, measles, chickenpox, mumps, renal syndrome hemorrhagic fever, dengue fever, AIDS, typhoid and paratyphoid fever, brucellosis, anthrax, diphtheria, whooping cough, scarlet fever, tuberculosis, epidemic encephalosingitis, malaria, cholera, etc., are highly contagious diseases.
When entering the infectious department, the first thing Feng Su and his team did was to change their clothes.
The group first passed the cleaning passage to disinfect, clean their hands, wear protective masks, wear round caps to lose hair, wear surgical rubber shoes, then put on a layer of shoe cover, wear protective clothing, goggles, and finally wear two layers of protective gloves.
When you go out and change one, you have to wear a layer of shoe covers and be inspected by the inspector to see if the dress is in compliance.
This is the infectious disease department. Every step is not careless. If there is a mistake in dressing, it is a matter of life.
When Fengsu walked into the ward, he saw a baby in the insulated box with a round oxygen-absorbing cover on his head.
Flavour walked to the incubator and the nurse began to introduce the patient's condition to Flavour: "The baby's latest body temperature is 41 degrees, and his heart rate is 160 times a day."
Flavin ignored the nurse's explanation and began to carefully observe the baby's condition.
A villain less than half a meter tall has a thin figure. The baby should have pink skin, but the baby in front of him is dull and dull.
The baby closed his eyes tightly and his breathing was already very weak. His bloated belly was like a patient with a big belly disease.
Li Yan and Li Nan saw the child's miserable situation, and both turned their heads and dared not continue watching.
This seemed like a kind of reincarnation. When he was treating Xiao Tuya, He Hui hid in Risong's arms and did not dare to look at the miserable appearance of the child.
The accompanying nurse gently opened the incubator.
Flavour bent down and observed the baby carefully. The baby's nose had obvious nose swelling.
The nose flaming means the nose wings on both sides of the breathing.
It is a sign of poor breathing in the lungs. When you breathe, you can see the expansion and shrinkage of the nostrils, or the wings of the nose can be incited.
Commonly found in children with asthma, severe pneumonia, lobular pneumonia, heart failure and other diseases.
Flavin gently pressed his ears to the baby's lungs, clearly hearing the rough sounds of the patient's breathing, and clearly hearing the rales.
If you can hear rales, it means that the baby has serious lung diseases.
Huang Su gently picked up the baby's small palm, gently opened the baby's palm, held the child's index finger with his left hand, and gently pushed the child's index finger from the child's index finger to the Fengguan with his right thumb.
"Li Yan, come here and pay attention to my technique. This is a common technique used by our traditional Chinese medicine to diagnose infant diseases."
While operating, Huang Su told Li Yan about the key points of the pediatric fingerprint diagnosis method.
Pediatric fingerprint diagnosis method, the previous free chapters are detailed.
While listening, Li Yan carefully watched Huang Su's movements.
Li Nan also came to the insulated box and was curious to observe the operation of flavin.
When the baby's index finger was pushed by flavin, a red and purple meridian gradually became clear.
Li Nan pointed at the child's finger and said, "It really appeared."
Director He and Director Han also approached to observe.
Li Yan asked: "Master, the baby's index finger is purple-red, does it mean that there is heat in the patient's body?"
Huang Su nodded silently, reached out and gently took off the oxygen hood from the baby's head, and gently spread the baby's mouth.
Every move is cautious, for fear of using more effort to hurt this ill-fated baby.
Li Yan opened the baby's tongue coating and asked, "Master, why is the baby's tongue coating thin, yellow and dry, but the tongue is light red, shouldn't it be red or crimson?"
"This shows that the child has a weak heat caused by both Qi and Yin damage!"
Seeing the baby's tongue coating, Flavin breathed a sigh of relief.
What Feisu fears most is that the baby has red tongue or crimson tongue.
If it is really hot, the baby is likely to experience encephalitis and heart failure.
Encephalitis and heart failure are the most common fatal complications of measles.
Before the vaccine was popularized, the incidence and mortality rate of measles were very high.
In the pediatrics of traditional Chinese medicine, acne, shock, and malnutrition are called the four major symptoms.
Macab means measles, acne is chickenpox, shock is sudden convulsion, and malnutrition is accumulation of malnutrition.
Measles is translucent outside, and translucent inside. If the positive and weak cannot be entrusted to the evil, or if the evil is strong and the fire is invasive, it can lead to the measles translucent and uneven symptoms and form a negative symptoms.
In order to make the final decision, Feng Su held the child's small hand with his left hand and pressed the high bone part of the baby's palm with his right thumb.
This method of diagnosing infant pulse is called the first designated three levels.
Children's pulse is generally only diagnosed with floating, ups and downs, slow, rapid, weak, and slow, to distinguish between yin and yang, external, cold and heat, and evil and good.
The pulse in children is rapid and weak, but it is weak and hot.
Huang Su put down his hand and asked the nurse next to him: "How is the child's urine and defecation?"
The nurse replied: "The urine is red and yellow, and the stool has not been pulled out for four days."
Feng Su nodded and continued to ask, "How is the diet?" The nurse said, "The baby basically doesn't drink much from the milk powder we feed, and now it depends on infusion to maintain nutrition."
Looking at Huang Su, he listened to the nurse's answer and nodded constantly.
During the examination of flavonol, Director Han, who was afraid to breathe, stepped forward and asked, "I don't know if there is a treatment for flavonol."
Unlike Director He who knew that Director Cao was willing to protect himself, Director Han took the initiative to take action.
During this hospital struggle, Director Han saw the opportunity to leave the infectious department.
If the department that doctors are most reluctant to go to, the infectious disease department will be among the top three.
The working environment of the infectious department is very dangerous.
If the medical staff in the infectious department are slightly negligent in their clothes, they will easily be infected by the epidemic during their work. This is why the infectious department set up a patrol nurse to check the dress of the medical staff entering the infectious department.
The work intensity of the infectious department is high.
Patients in the infectious department often experience emergency situations or are critically ill, and medical staff should maintain a high concentration of 24 hours a day.
The work environment is dangerous and the work intensity is not the most important thing.
The most important thing is the misunderstanding of people around. Most people hear the doctors in the infectious department and think that the doctors in the infectious department carry infectious viruses, and basically stay away from them and avoid them.
This has caused a lot of inconvenience to the daily life of an infectious doctor.
In fact, everyone doesn’t have to do this. Doctors in the infectious department must undergo strict disinfection when entering and leaving.
Director Han knew that if someone in the city hospital was promoted, he would definitely be Dean Burigude.
Director Han now defects to Secretary Lang and President Cao, hoping that after Burigude is transferred, he can help him get out of the infectious department with his sincere contribution.
For this reason, Director Han did not hesitate to show the patients they had given up on treatment and made things difficult for Huang Su.
Huang Su naturally didn't know about the colorful intestines in Dean Cao's stomach, and said truthfully: "The patient's measles and pneumonia are both caused by the deficiency of Qi and Yin injuries. I plan to use Zhuye Gypsum Decoction to add, reduce heat and detoxify, replenish qi and nourish yin."
"Director Huang, that's great, I'll ask you this baby."
Hearing Huang Su's affirmative reply, Director Han's eyes in his goggles had already smiled into a crack.
Director Han was afraid that he would hear Huang Su say that he would not be cured.
Of course, Director Han also doesn't think that flavour can cure the baby's measles.
Feisu took out his own prescription and wrote: 10g Codonopsis pilosula, 15g Ophiopogon japonicus, 15g raw gypsum (first decoction), 10g light bamboo leaves, 10g Qing Pinellia ternata, 10g raw Rehmannia glutinosa, 15g Dendrobium, 10g Mutong, 10g Tangerine peel, and 5g licorice.
Adding and subtracting Zhuye Gypsum Decoction should be used to nourish yin and clearing the body, nourishing the qi and spleen, and strengthening the body and supporting the poison.
Codonopsis pilosula is added to the prescription, Ophiopogon japonicus is formed into Shengmai Drink, which is beneficial to the heart and lung qi and yin to prevent fatigue.
Bamboo leaves, raw rehmannia, Ophiopogon japonicus, Dendrobium can clear the heart and cool the cultivation, nourish yin and produce salivation; Pinellia ternata, Tangerine peel, licorice, and Codonopsis can benefit the qi, spleen and stomach.
Huang Su handed the prescription to Li Yan and told him: "You go to the Chinese pharmacy and decoct this prescription into four parts."
"Okay, Master!"
Li Yan took the prescription and walked out.
While waiting for the medicine, the ward suddenly fell into silence.
After all, the relationship between the Department of Traditional Chinese Medicine and the Department of Infectious Disease is not good, and Director Han asked Huang Su to come for treatment, which was because the motivation was impure.
Huang Su was even more reluctant to pay attention to Director Han.
All the actions of Huang Su entering the ward were seen by Director He, who had been observing carefully behind him.
Out of admiration for flavin's character.
Director He quietly walked to Huang Su's side and asked in a low voice: "Doctor Huang, how sure is you of curing measles?"
Huang Su said: "Measles is not a difficult disease in traditional Chinese medicine. Traditional Chinese medicine has a long history of understanding of measles. As early as the "Huangdi Neijing Suwen and the Four Seasons of Spike Rebellion" compiled in the Spring and Autumn Period and the Warring States Period, it was called "Hengzhen". It was called "Wind Pruritus Rab", "Red Rab" and "White Rab" in the Sui Dynasty and Tang Dynasty, and "Epidemic Rab" in the Yuan Dynasty. The records of this disease were more detailed in the Ming and Qing Dynasties."
To be continued...