Gou is practicing medicine in the clinic

Chapter 255 The mother who cried anxiously in the middle of the night, ITP disease

Li Jingsheng quickly opened the retractable door outside, and saw a 28-year-old young mother walking in quickly holding a little boy.

The child's father or other family members were not seen.

The woman was in a hurry when she walked, and she might be hugging someone again, staggering and almost falling.

Fortunately, Li Jingsheng was quick-sighted and quick to support him.

"Slow down, slow down!"

Li Jingsheng comforted her.

When he touched her just now, he could feel her hands trembling.

The little boy who was holding him opened his eyes in horror, looking at his mother with tears in his eyes.

"Today, my sister-in-law brought two children as guests. While playing, her eldest son pushed my son, which caused my son to fall and hit the TV cabinet. He had a nosebleed on the spot. I thought it was the children. My aunt, it was caused by children playing, so I didn’t say much. I thought the bleeding could be stopped easily, but I didn’t expect it to stop after more than half an hour, so I was a little scared.

Hurry up and bring your child to your clinic for treatment.

Later, you successfully stopped the bleeding.The sister-in-law also left with the child.

Who would have thought that he just sneezed just now and started to bleed again, and he couldn't stop it at all.I have no choice but to trouble you at home alone with the child. "

It's really not easy for her.

As I was talking, I might feel aggrieved and scared, my nose was sore, and I started to cry.

Li Jingsheng hurriedly reassured, "It's okay, it's okay, first put the child on the bed and let him lie on his back." Seeing her holding her was also tiring.

The child reads a book in a reclining position, and does not dare to move while lying there.

Look at how honest this little guy is now, why didn't he think of being afraid when he was playing around?

Li Jingsheng observed that the amount of bleeding was not large, but it kept bleeding out.

In this situation, it is best not to lie flat, otherwise the blood will flow back into the deep nasal cavity and it is easy to choke.

Ou Qinglan also came over to help.

"Qinglan, take a small flashlight and shine a light on his nasal cavity."

"Where's the little flashlight?"

She was unfamiliar with the items in the clinic.

Li Jingsheng had no choice but to go over and take out a small flashlight from the drawer, and take pictures of the child's nasal cavity.

There are blood scabs and a lot of blood stains inside.

But you can still see fresh blood flowing out.

After repeated inspections, he was basically sure that it was only superficial bleeding.

Try to press the side of the bridge of the child's nose, and the bleeding will stop slowly.

But after letting go, it bleeds again.

Li Jingsheng asked Ou Qinglan to bring an ice pack and try to apply ice to the child's nose.

This is done to constrict the blood vessels, which helps stop the bleeding.

Some effect.

"Little friend, hold it down with your hands."

Li Jingsheng said to the child.

The little boy obediently pressed the ice pack with his right hand.

At this time, Li Jingsheng saw an ecchymosis on the back of the child's hand, which was lavender.

His eyes narrowed slightly, and he pointed to the bruise and asked, "Did you get this when you fell?"

"No! It was there two days ago."

The little boy said timidly.

"My cub is usually a bit naughty, and it is common to accidentally bump into this kind of bruise."

The child's mother said distressedly and helplessly.

As a child, naughtiness is inevitable, and bruises and falls are unavoidable.

But Li Jingsheng felt that things were not that simple.

"Kid, do you have this bruise anywhere else on your body?"

"Yes! It's on my feet!"

Children can't lie, Li Jingsheng took off his shoes and socks, and sure enough, he saw bruises on the back of his feet.

If it is a bruise or bruise, under normal circumstances, there will be blue and purple.

But the bruises on this child were all lavender.

Li Jingsheng looked at his family members.

"I, I have never physically punished him!"

The child's mother obviously misunderstood.

Li Jingsheng did not suspect that the child was harmed.

Seeing the child's nosebleed, the young mother cried anxiously. How could she be willing to abuse her child?
Li Jingsheng has relatively rich experience in treating children. He can basically easily tell whether parents really love their children.

"That's not what I mean, I want to ask, how long has he had this bruise on his body?"

"It seems to have appeared only recently! Sometimes a piece pops up suddenly, and I always criticize him for being more and more mischievous."

"Did he get injured and bleed during this time?"

"I bit my tongue once when I was eating, and it bled for a long time. I recovered later. No other injuries or bleeding occurred."

After listening to the child's mother's description, Li Jingsheng was even more sure that the little boy's situation was not simple.

There were bruises on the limbs, and they were all purple, and the parts that appeared were not places that were easily injured.

In both injuries, the bleeding was difficult to stop.

The tongue is also rich in blood vessels.

The bite will bleed a little bit.

"Kid, open your mouth and let me see your mouth!"

Li Jingsheng already had a certain direction of diagnosis in his mind, but he was still not sure.

The little boy opened his mouth and blood blisters could be seen on his tongue.

There are also blood blisters on the oral mucosa.

Seeing this, there is almost no need to check any further.

"After your child broke his nose, the bleeding may not be serious. Instead, he may have a disease called ITP. If he has not had bleeding that cannot be stopped before, it should be acute ITP For children, it is generally related to viral infection." Li Jingsheng told his family members his diagnosis opinion.

"Could it be a virus that caused the infection from a cold a month ago?"

The family can only think about it.

"What is ITP? I don't understand this, can you please explain in more detail?"

"Whether it is related to a cold, it is difficult to say. Because my clinic has limited conditions, I can only make a preliminary diagnosis based on his symptoms, medical history and other information. I just suspect that it may be this disease. Because ITP disease is prone to appear on mucous membranes, limbs Extensive subcutaneous hemorrhage in distal and other parts.

The full name of this disease is primary immune thrombocytopenia, which is an acquired autoimmune disease.

It mainly causes thrombocytopenia.

Because he has never had this disease before, the possibility of abnormal T cells and anti-platelet autoantibodies is relatively low.I suspect there may be something to do with the viral infection. "

Li Jingsheng made it more clear this time.

But still not dead.

"Then can you treat him here? The child's father is studying and training in other places and is at an important stage for promotion. I don't want to worry him about this. I haven't told him about the child's injury until now."

The mother of the child is a very good wife.

She takes care of her children full-time at home, and thinks wholeheartedly about her husband's career and future.

This requires sacrificing one's future.

Selfish women generally can't do it.

Because when a woman grows older, she must have her own career.No woman dares to bet on her future destiny.

Without a career, the possibility of being rejected by her husband is extremely high.

And it will be very passive.

It must be more dignified to have your own business and not have to reach out to your husband for money.

"I can try gamma globulin for him. This has almost no side effects, and whether it works will be seen soon. But the price is very expensive. It's better to have medical insurance. It's not easy to pay for it all by yourself."

Li Jingsheng truthfully explained the truth to his family members.

This disease is not difficult to treat, and it is relatively common in clinical practice.

But gamma globulin is expensive.

The cost price of one is about [-], and when it is sold to patients, many hospitals charge [-] to [-].

Randomly hit dozens of sticks, that's tens of thousands.

Sometimes it is common to spend 3 to [-] yuan for a rescue of globulin.

Now the proportion of drugs is strictly controlled, and some ITP patients who are in urgent need of rescue can only use this drug.

But if you use it too much, you will be scolded by your superiors.

Usually the director scolds people.

Sometimes, it is really not easy to be a doctor in a large hospital. Not only do you have to think about which medicine can cure the patient's disease, but you also have to control the proportion of the medicine.

Expensive medicines cannot be used, and other cheap medicines need to be considered.

In the actual clinical treatment, when encountering a patient who is in urgent need of rescue, it must be which kind of medicine is effective and has a high success rate of rescue, which kind of medicine should be used!

Therefore, it is very difficult to be a doctor now.

"Neither my child nor I have bought medical insurance! Only his father has bought it."

"This gamma globulin needs [-] bottles, and it's not enough for a day or two. The treatment cycle will be very long, do you think it needs to be used?"

"Use it! It must be people who matter. You can earn money after you use it up! When the child is older, I will find a job."

She showed a side of great maternal love.

With almost no hesitation, he agreed to use this expensive drug directly.

Decades later, when she was sick and hospitalized and needed emergency treatment, would this brat be willing to spend money for her mother?
What Li Jingsheng saw most in the hospital was that his son was not happy to spend more money on his parents.

They may even ask the doctor to extubate the tube.

He fetched gamma globulin on the spot and injected the little boy.

Hit two.

That's 800 yuan.

According to the dose, 1 g of gamma globulin corresponds to one kilogram of body weight.

Li Jingsheng has already helped his family save on medication.

In order to be effective as soon as possible, choose the way of static infusion.

Not too bad, after taking the medicine, the bleeding of the little boy stopped.

It seems that Li Jingsheng's diagnosis is correct.

Really acute ITP.

The child's mother was still a little worried and did not leave immediately.

I stayed there for more than an hour, and after making sure that there was no more bleeding, I took my son home.

Her family lives not far from the clinic.

My husband is a local resident and my father-in-law and mother-in-law passed away early.Now she is left living at home with her children.

……

The next day, when Li Jingsheng was sitting in the clinic, the woman came again with her child.

The moment we met, he was all smiles.

And the expression is quite relaxed.

"Dr. Li, thank you very much yesterday. After the treatment, the child did not bleed again. I took him to get the medicine again today."

"You're welcome. As long as the child's bleeding has stopped, I will prescribe medicine for him. You can get a number first."

Li Jingsheng and her are considered acquaintances.

But not to jump in line.

Rules cannot be broken.

"Played c ball? Is it ITP?"

Dr. Shao's experience is quite rich, and he guessed the cause of the child immediately.

　Sorry, Chapter 2 is late

　　
　
(End of this chapter)