A 6-year-old boy, saved his life, but the man was stupid...

For medical professionals only

distressed!

I'm reluctant to share this case with you because he evokes painful memories. But I can't help but share it with you, hoping that such a tragedy can be avoided as much as possible.

Save one counts as one.

2 years ago, a high school classmate of mine suddenly called me, and it was already 9 p.m. We hadn't been in touch for a long time, and he suddenly called me, and I had a hunch that it wasn't a good thing.

"Squad leader, there is something I ask you to help with." His tone was rather nervous, confirming my thoughts.

"You say you say, I listen." I let go of the work at hand and sat up straight.

The two of us are actually not too familiar, but after all, we are old classmates, and I must have encountered difficulties in calling me at this time. It is likely that something was wrong with the family, and it may be a major illness. Few of my high school classmates were in the medical profession, and I was one of the few. Coupled with my former class leader, the popularity is OK, so the students like to ask me for help with things, and I try to help as much as I can.

"My child is hospitalized, and alas, I don't know how to tell you. You know, when I heard the news, I rushed back to my hometown, and the tears ran out along the way. ”

The old classmate on the other end of the phone, at this time, his voice was choked up, obviously crying. He gave me the impression of being the kind of tough guy character, but at the moment, nothing mattered.

"The doctor said it was encephalitis and is now admitted to the ICU." He said.

"What's going on? Don't worry, tell me about it first. I comforted him.

He said, "I'll give my wife the phone, I don't know my brain now, let my wife tell you, okay, old squad leader." He asked me almost in a pleading tone. It made my heart sour all of a sudden. I don't know when our classmate friendship became so strange.

"Be well, tell your wife to me, and you should rest first." I say.

After his wife answered the phone, she explained to me the ins and outs of the child's illness with a crying voice.

"The day before yesterday, the child had a fever, thought it was a cold, didn't care, bought some cold medicine for him at the pharmacy, ate it and continued to go to school." Unexpectedly, the child vomited at school, and the teacher quickly asked the mother to come and pick up the child.

When he got home, the child seemed to be better, but his spirit was not very good. I went to the health clinic near my home and took some medicine.

Unexpectedly, the next day the child's condition was more serious. When I went to call him out of bed, I found that he was talking badly and could not get out of bed. The child cried urgently, and I cried along with it.

Called the neighbor for help and quickly sent the child to the hospital. After the doctor's examination, he judged that the child may be encephalitis, said that the condition was very serious, and said that he would be admitted to the ICU for treatment. Now doctors say to do a small operation, that is, a small operation to put a needle into the back. ”

She told me a lot, and I probably understood.

"Did you do CT?" I asked the child's mother.

"I did it, CT did it first, and now I'll wait to see if I want to do this small operation." I seemed to see tears swirling in her eyes, "I discussed with the child's father, I really don't understand these operations, so I will ask you what you mean, what do you see." ”

I took a deep breath and told her, "Don't hesitate, trust the doctor fully, and if the doctor recommends it, do it quickly." Any surgery has risks, but the one you are talking about should be a lumbar puncture, which is a relatively small operation, there are risks, but the general problem is not big. ”

"Is the child awake now?" I asked.

"I was still awake on the road, but when I was just sent to the ICU, I seemed a little confused." She finally couldn't help it and cried out.

"The child's father (my classmate) only came back from the field at noon today, he has been working outside the home for many years, and he is such a son."

I have seen his circle of friends, a very happy family. Suddenly, this difficulty is shocking.

Later, she also sent me the diagnosis certificate given by the doctor, "It is viral encephalitis, and the doctor said that it might be better if he came earlier, but now it is a little late." She said to me as she cried.

In fact, it's really a little late. If you go to the hospital when your child has fever and vomiting, you may be able to give more appropriate treatment a day earlier, and the treatment effect should be better. But it's too late to say anything now, because things have already happened. Saying that it is too late will not help, and will only increase the guilt, sadness and pain of the child's parents.

But how do ordinary people know that a fever needs to be squeezed into the hospital? Fever is a very common symptom, children have several times a year fever, basically common colds, who can think of viral encephalitis.

But there is a lesson to be learned. In general, children with colds will not vomit, most of them will have nasal congestion, nasal discharge, sneezing, sore throat, fever and other typical manifestations, and if vomiting occurs, it is still necessary to be highly vigilant (a small number of children will also vomit when they have a cold, especially infants).

Fever, vomiting, coupled with poor mental health, often indicate that the condition is more serious, may be acute hepatitis, may also be acute viral encephalitis, or other, in short, it is unlikely to be the common cold. Even if you have a cold, I strongly recommend that you actively see a doctor to find out as soon as possible. The little boy went to the clinic in the middle of the day, but the clinic doctor did not see the clue, alas, this may also be an accident.

They listened to my advice and agreed to have a lumbar puncture.

The so-called lumbar puncture is to use a needle to penetrate the child's lumbar spine in the back, and the cerebrospinal fluid inside is extracted for testing, which can identify whether it is a viral infection or a bacterial infection, and can also be further more complex examination. The human body's cerebral fluid, spinal fluid is connected, collectively known as cerebrospinal fluid, if there is encephalitis or meningitis, cerebral fluid will be abnormal, abnormal cerebral fluid will flow into the subarachnoid cavity, at this time our lumbar puncture can extract this part of the cerebrospinal fluid, laboratory tests can provide a lot of information.

Viral encephalitis is a very wide range of diseases, all virus-induced encephalitis, are called viral encephalitis, data show that there are dozens of hundreds of viruses can cause encephalitis, different viruses caused by different situations are not the same, treatment will also be different.

As far as the existing antiviral drugs are concerned, they can only treat some viruses, and not all viruses are effective. So in fact, there is no specific drug, more rely on symptomatic support treatment, such as the child has a fever, then the fever is reduced, the intracranial pressure is high, then reduce the intracranial pressure, maintain the electrolyte balance, and wait for him to get through the difficulties.

The child is really suffering, and I hope he can recover as soon as possible.

"Is the child in danger?" My classmates asked me later.

This question brought me down, but thankfully I had communicated with my pediatrician and neurologist before. I could only tell him: "Most children's viral encephalitis can be recovered after treatment, but a small number of them will leave sequelae, especially before he came to the hospital, he was hemiplegic (unable to get up), aphasia (speech is not good), indicating that the brain parenchyma has been affected, which is more serious than simple meningitis." Even brain hernia death can occur. But according to the information you provide so far, the child should be stable, the key is to see if there will be sequelae. ”

This is the information I can give him, and it is also a kind of comfort for him. I told them, "Trust your doctor in charge." But you can also keep in touch with me more. ”

Three days later, he called me and said, "The child is awake, but he doesn't seem to recognize anyone." ”

Oops, I thought to myself.

It seems that the child's brain parenchymal damage is still serious.

"The doctor said that it may be like this in the future. He will undergo active neurology rehabilitation, but there is no guarantee of how far he will be able to recover. He told me, hoarse and tired.

It's really a thunderbolt on a sunny day.

After hanging up the phone, I consulted my pediatric and neurology colleagues, after all, they are more professional, hoping that they can give some more optimistic information, but unfortunately not.

I looked back at the kid playing with the blocks on the side, and saw his clumsy, chubby little hands and feet, and his every move was infinitely cute. Thinking of my classmate crouching in the corner of the wall, holding his head helplessly and crying, I couldn't help but be hurt.

Child, you have to grow up healthy.

The tragedy of this child cannot be said to be all to blame for his mother. Is there any fault with the clinic doctor? What was the situation? I wasn't in the mood to understand, it wouldn't help. We can only warn everyone that when facing their children's illness, they should still be vigilant, and parents should also learn more medical knowledge and pay close attention to their children's health. Remember a sentence, the child is sick, if you can eat and drink can play, generally means that the problem is not big, but if the child is not in good spirits, refuses to eat and drink, and refuses to play, then it must not be careless, and do not be troublesome when you should go to the hospital.

Today, 1 year later, I wanted to call him and ask how my child was doing, but I didn't have the courage. I was afraid to hear that my child was still the result of mental retardation and that there was nothing I could do about it.

I wish it well, and I hope that all young parents will learn the lesson of this blood.

Source of this article: Higher end humans

Editor-in-Charge: CiCi