Under, Chinese medicine flavin

Chapter 40 Neonatal Tetanus
After lunch, Huang Su and Yan Bing strolled in the pool garden of the hospital, enjoying their rare time alone.

A gust of wind blew by, and Yan Bing wrapped the clothes around her body.

In Grassland City in late October, the temperature has turned cold, and autumn is very short here.

Huang Su was worried that Yan Bing was wearing too little clothes and that she would catch a cold, so she suggested, "Yan Bing, why don't we go back to the Chinese medicine clinic and sit for a while!"

"Don't go, it would be embarrassing if Risong and He Hui were in the room."

Ever since Risong and He Hui secretly helped Yan Bing, Yan Bing felt a little embarrassed every time he saw them.

"What's so embarrassing, they used to feed me dog food unilaterally, and today I will feed them too."

Yan Bing didn't understand the meaning of Huang Su's words, and asked curiously: "What dog food, why do you still eat dog food?"

Only then did Huang Su realize that he had slipped his tongue again, and uttered the Internet words of later generations, and hurriedly explained:
"This is a saying in our university. Single people are called single dogs. To show affection in front of single dogs is to spread dog food. Single dogs eat dog food when they see people showing affection."

"Single dog! Sprinkle dog food! Eat dog food, you are thinking about something all day long at school." Yan Bing smiled and said: "I have only been out of college for a few years, and I can't keep up with the thinking of college students now."

The two talked and laughed, time passed quickly, and it was time to go to work in the afternoon.

The two parted reluctantly, and one walked to the hospital and the other to the outpatient building.

Back at the outpatient clinic, Huang Su had just changed into a white coat when the cell phone in his pocket rang.

Taking out his mobile phone, he saw that it was the director of the Department of Pediatrics, Agudam, who was calling. Huang Su answered the phone and asked, "Director Agudam, what's the matter?"

Agudamu's voice came from the mobile phone: "Director Huang, we have a tetanus patient who was born [-] days ago, and the situation is not optimistic. I would like to invite Director Huang to come over for a consultation. Can you give us advice from the perspective of traditional Chinese medicine? some advices."

It has been nearly four months since I came to the city hospital, and this is the first time that other departments have taken the initiative to seek consultation from the Department of Traditional Chinese Medicine.

Huang Su immediately asked, "What time does the meeting start?"

On the phone, Agudamu said: "Director Huang, if you have time, you'd better come here now."

Huang Su put down the phone, looked at Na Risong and He Hui and asked, "Which one of you will follow me to the pediatric consultation, and whoever will stay at the outpatient clinic."

Na Risong said first: "Director, let He Hui go, I'll stay in the outpatient clinic and read more."

Huang Su nodded and took He Hui to the hospital.

Walking into the pediatric conference room, there are already six doctors sitting in the conference room.

"Director Huang from the Department of Traditional Chinese Medicine has also arrived, so let's start the meeting." Agudam said to the doctor beside him: "Dr. Feng, you are the doctor who treats the patient. Please introduce the patient's situation first."

After hearing Agudamu's introduction, Huang Su felt a doctor opposite him cast a displeased glance at him.

There are always some Western doctors who are full of inexplicable hostility towards Chinese medicine, as if they have an enmity with Chinese medicine, and wish to get rid of Chinese medicine soon.

Huang Su thought to himself: I can't just meet him today.

A kind-faced doctor stood up. Huang Su had met this doctor a few times when he was transferred to another department.

I remember that the doctor's surname is Feng, he is the attending physician of the neonatology department, and he is the backbone of the department. When the pediatric department held a farewell party for him, this doctor Feng was there.

Dr. Feng stood up and briefly introduced the patient's condition.

Muren, born on the thirteenth day, developed a hoarse cry on the sixth day, and then became silent. On the second day of the onset, she had frequent convulsions and difficulty in opening her mouth.

The patient was hospitalized five days ago, and we diagnosed it as neonatal tetanus, which was caused by cutting the umbilical cord with unclean scissors during delivery at home.

Neonatal tetanus is mostly caused by incomplete umbilical disinfection. When delivering a baby, the doctor cuts the umbilical cord with scissors that have not been strictly sterilized, or the hands of the delivery person are unclean, or they do not pay attention to the cleaning and disinfection of the umbilical area after birth.

In the 90s, due to inconvenient transportation, herdsmen often chose to deliver babies at home. However, the environment of the yurts could not guarantee the disinfection of the indoor environment, and the midwives did not disinfect themselves and the delivery tools in a standardized way, which greatly increased the possibility of tetanus infection.

Regardless of the herdsmen's flocks of cattle and sheep, and their wealth, but in the 90s, when the national medical level was backward, the medical and health care of herdsmen has always been below the average level.

Take hepatic echinococcosis as an example. So far, northern pastoral areas are high-incidence areas, and this disease cannot be eliminated. This has also led to hospitals in important pastoral areas such as Mengjiang and Xinjiang have always been in the leading position in the country in hepatobiliary surgery technology.

We first used tetanus antitoxin, penicillin and gentamycin to control the infection, and then compound hibernol, chloral hydrate, and luminal, but the condition was still deteriorating, with severe convulsions, and currently relying on oxygen inhalation, heat preservation, nasal feeding, and infusion Maintain the infant's vital signs.

After Dr. Feng sat down, Agudam said: "The Department of Infectious Diseases and Traditional Chinese Medicine is invited here today. I hope that everyone can discuss a treatment plan from the perspectives of China and the West."

As soon as the words fell, the doctor on the opposite side glanced at Huang Su contemptuously and asked, "Does the baby have frequent convulsions or choking?"

It turned out that the doctor was the invited infection doctor.

Doctor Feng replied: "It appeared twice, and we rescued it in time."

The infection doctor continued: "Since there are frequent convulsions and suffocation, I think that the baby should be given a tracheotomy first to avoid suffocation and death. Since the existing antispasmodic drugs are ineffective, thiopental sodium and vitamin B6 can be used. treat."

After saying his plan, the doctor in the infection department raised his chin slightly and looked at Huang Su with provocative eyes, as if he was asking if tetanus can be cured by Chinese medicine!
Modern medicine believes that tetanus spasm is due to the fact that tetanus toxin mainly acts on nerve synapses and presynaptic nerve endings, and stimulates spasms by inhibiting gamma-aminobutyric acid and glycine that inhibit neurotransmission.

Therefore, vitamin B6, as a coenzyme of glutamate decarboxylase, can promote the synthesis of γ-aminobutyric acid from glutamic acid, and vitamin B6 can be used as an auxiliary treatment for tetanus.

The doctor in the infection department said: "Clinical data at home and abroad show that daily intramuscular injection of vitamin B6 100 mg can reduce the mortality rate of neonatal tetanus while using anti-convulsant treatment."

"Patient's parents are resistant to performing tracheotomy for their children, and thiopental sodium has too many side effects. It is best not to use it if you can. If you use Dr. Fang's treatment method, you should pay attention to enlightening the patient's parents. "Agudam did not agree with this plan from the bottom of his heart, because the side effects of the drug were too great.

Afterwards, Agudam looked at Huang Su who was sitting at the end of the conference room and asked, "Director Huang, how do you treat tetanus from the perspective of your Chinese medicine practitioners?"

Huang Su said: "In traditional Chinese medicine, this disease is called umbilical wind, which is caused by the evil invasion of wind and poison, causing liver wind. Specifically, I still need to check the patient's symptoms. If it is umbilical wind, you can use Wuhu Zhuifeng San, which is a traditional Chinese medicine for treating tetanus. For mild cases, one dose will be effective, and for severe cases, only three doses will be effective."

"cut!"

Hearing the effect in three days, Dr. Fang laughed sarcastically, and everyone in the meeting room heard it clearly.

Agudam frowned slightly at the behavior of the other doctor, showing his displeasure. Dr. Fang's behavior was undoubtedly embarrassing himself, and both of them were doctors he had invited for consultation.

It can be seen that the three people showed signs of worry when they saw results. It's not that he doesn't believe in Huang Su's medical skills, but in his impression, traditional Chinese medicine belongs to the treatment of chronic diseases, and it is indeed unheard of for three doses to be effective.

Agudam asked suspiciously: "Director Huang, are you sure the three doses will work."

Huang Su ignored Dr. Fang's sneer, and said truthfully: "Three doses can be effective. This is Mr. Shi Chuan'en's secret recipe, which was published in the Chinese Medicine Magazine in August 1967. For more than 8 years, Chinese medicine has often used this prescription in the treatment of tetanus." .This prescription has a wealth of clinical cases, and it has already surpassed ancient prescriptions."

Hearing that there was a clinical case, Agudam nodded reassuringly and said: "In this case, let's go and see the patient together."

The doctors in the room walked out of the conference room together and went to the neonatal intensive care unit.

感谢上周书友老鼠羽毛的两张月票、大河东城度和军事历史现代的一张月票。感谢军事历史现代500起点币的打赏、杨明南一102起点币的打赏、谦谦君子与卑以自牧和1万年太久121 100起点币的打赏。更感谢所有书友的支持，在本书发布18天达成了第一个收藏成就。

In addition, I would like to ask all readers who collect and follow up to give a lot of investment and vote for monthly tickets. These results will directly affect the recommended resources of the work in the future. There are 39 chapters and 11 words. .

(End of this chapter)