If there is always a possibility that things will go bad, no matter how small that possibility is, it will always happen Murphy's Law.
Murphy's law plays out in reality in various ways and angles that people don't expect. This time at Changning Maternal and Child Health Hospital, it manifested itself in the form of explosive nosocomial infection.
Since almost a month ago, children in the nicu of Changning Maternal and Child Health Hospital have developed unexplained high fever, severe pathological jaundice and respiratory distress syndrome. Within this month, 24 children have become ill.
, three of them died because the respiratory distress syndrome progressed too quickly and rescue was ineffective.
Thirteen days ago, Changning Maternal and Child Health Hospital notified pregnant women who came to the hospital for prenatal check-ups, requiring them to have prenatal check-ups in other hospitals and make appointments at the remaining five hospitals in the city. At the same time, it began to inspect the nicu and neonatal wards.
Strengthen disinfection.
Seven days ago, Changning Maternal and Child Health Hospital officially reported the abnormal death of a child in the hospital to the Changning Municipal Health Commission and the Provincial Health Commission. However, the causative pathogen has not yet been found.
Three days ago, all departments of Changning Maternal and Child Health Hospital, except the emergency obstetrics department, stopped operating. The entire hospital entered the emergency response mechanism.
Two days ago, Changning Maternal and Child Health Hospital began to transfer children and pregnant women in stable condition to other hospitals. The Provincial Health Commission dispatched an expert team to investigate.
To be fair, even as a medical worker, Sun Lien felt an uncontrollable anger at the slowness and low efficiency of Changning Maternal and Child Health Hospital.
"They...how dare they..." Sun Li'en yelled out of control in front of Qian Hongjun, "These are a bunch of bastards!"
"Now do you know why Dean Song lost such a temper?" Qian Hongjun did not join Sun Li'en in scolding Changning Maternal and Child Health Hospital for neglecting and belittling the hospital's infection work. Instead, he said seriously to Sun Li'en, "You are knowingly doing this all by yourself.
If you run into the clean room when there is a risk of infection, if you are not careful, the accident in the Maternal and Child Health Hospital will fall on us! If it weren't for the fact that there were no serious consequences, and there was Lao Liu to cover it for you
Damn it, you kid has been fired a long time ago!"
Sun Lien was shocked when he heard this, and he said seriously to Qian Hongjun, "I know I was wrong."
Qian Hongjun looked Sun Lien up and down, and nodded after a long time, "I know that old fox Liu Tangchun will not misjudge the person. He must have his own plans to protect you." Qian Hongjun then sighed, "You have to remember
"There is no trivial matter in the hospital, no trivial matter in the patient, and no trivial matter in life!" He changed his tone and dragged Sun Lien out of the bathroom, "Do you know how big the trouble is at Changning Maternal and Child Health Hospital this time?"
Sun Lien shook his head honestly. He actually didn't care much about this issue. At present, what he was most concerned about was what kind of disease his cousin had. From Qian Hongjun's description, his symptoms seemed to be similar to those of the outbreak in the maternal and child health hospital.
The hospital symptoms are very similar.
"The expert team from the Ministry of Health has arrived in Changning." Qian Hongjun shook off the water on his hands, found an alcohol gel disinfectant bottle in the corridor, squeezed some and put it on his hands and rubbed it, "Changning City Health Department
The person in charge of the health committee is expected to be suspended for inspection, and the director of the maternal and child health hospital will definitely be suspended. Someone in the hospital's health department may also be held criminally responsible. The top three A brand can't be saved... The doctors at the maternal and child health hospital
Nurses and midwives all have to suffer."
People who are not in the medical industry may not understand how important the name of a tertiary hospital is. Only medical staff who have experienced tertiary inspections and reviews know how hard-earned this title is.
The total number of inpatient beds must be more than 501, and there must be at least 13 departments including emergency department, internal medicine, surgery, gynecology, pediatrics, traditional Chinese medicine, etc., including pharmacy department, examination department, blood transfusion department, operating room, etc.
A clinical auxiliary department. Each bed is equipped with 1.03 health technicians, and each bed is equipped with at least 0.4 nurses... There are eight major items and six specific requirements. After the meeting, they were gathered into an evaluation standard with a full score of 1,000 points. The hospital must
Only when a score of more than 900 points is obtained during the inspection can it be recognized as a tertiary hospital.
A tertiary hospital is the highest level of hospital classification in China. So far, 31 of the 34 provincial-level administrative regions across the country have carried out hospital classification assessment, 334 prefecture-level administrative regions, 2876
There are only 722 tertiary hospitals in each county-level administrative region.
In a few days, there will be only 721.
"We can talk about these issues later." Sun Lien couldn't bear it anymore. He pulled Qian Hongjun's sleeve and asked, "What disease did my cousin have? Is it related to the infectious disease that broke out in Changning Maternal and Child Health Hospital?"
?”
Qian Hongjun slapped his head, "I forgot about this." He nodded towards Sun Lien, "It has been confirmed that it is cytomegalovirus infection, which is consistent with the autopsy results from Changning Maternal and Child Health Hospital. Already.
The child was treated with ganciclovir."
Cytomegalovirus? Sun Lien heard a term that he was familiar with. In microbiology, cytomegalovirus is famous for its special name, the fact that it causes the infected cells to swell and has huge intranuclear inclusion bodies. As a
A typical herpes virus replicates slowly in cells, generally taking 30 to 40 days to reproduce once.
Thirty... to forty days? Sun Lien frowned. This was not consistent with the symptoms of his cousin's disease. He was only four days old, so how could he have time for cytomegalovirus to replicate and proliferate?
"Isn't cytomegalovirus progressing so fast?" Sun Lien hesitated, "If it were cytomegalovirus, wouldn't it take almost a month to reproduce once?"
Qian Hongjun shook his head at Sun Lien and said with contempt, "You emergency doctors are like this, your vision is too limited!"
Sun Lien was criticized inexplicably. The most annoying thing was that he couldn't reply yet. He really didn't understand how this kind of progress was not rapid, and the latent infection rate among Chinese adults was as high as 95%. How could a virus become so popular?
It broke out on my cousin's body.
"Intrauterine infection!" Qian Hongjun knocked Sun Lien's head angrily. He didn't know if it was because he hadn't hit a head with hair for a long time. After knocking twice, Qian Hongjun paused and knocked again.
For a moment, "Mother-to-child transmission, intrauterine infection. The mother may have been infected with the virus during the prenatal check-up, and the child was born prematurely, so the infection exploded!"
Neonatal cytomegalovirus infection itself is one of the most common congenital infections in clinical practice. However, the probability of congenital infection caused by intrauterine infection is not very high, only about 7% to 10%. And not every infection
Newborns infected with cytomegalovirus will behave in such a critical condition. In fact, most newborns infected with cytomegalovirus will not have severe symptoms. Many children will show occult infection just like their mothers.
However, if the infection during pregnancy is combined with premature infants, the result will be different. Cytomegalovirus itself will attack the liver and lungs, manifesting as severe hepatitis and respiratory distress syndrome. But the fatal thing is that whether it is hepatitis
The jaundice, hypoxic symptoms and triple concavity sign of respiratory distress syndrome are all consistent with neonatal jaundice and atelectasis symptoms caused by insufficient pulmonary surfactant in premature infants.
After more than ten days of delay, the child's jaundice has not improved, and the difficulty in breathing still persists, so doctors may consider cytomegalovirus infection. Subsequent immunological examinations also require time and equipment.
.For many children diagnosed with cytomegalovirus infection, it is common for a delay of one or two weeks from onset of illness to diagnosis.
There are no obvious clinical manifestations, the onset is insidious, and the diagnosis is difficult. Therefore, newborns infected by cytomegalovirus are very likely to die due to untimely treatment. The three children in the Changning Maternal and Child Health Hospital died because they had been delayed for the last time.
optimal treatment time, resulting in death cases.
From this point of view, Wang Tian is lucky. Little Wang Tian is also very lucky. Through the autopsies of the three deceased children, doctors proved that cytomegalovirus infection is raging in Changning Maternal and Child Health Hospital. And this
Only then did Ningyuan No. 4 Central Hospital receive the warning. After receiving Xiao Wang Tianhou, they immediately conducted relevant examinations for cytomegalovirus infection.
"Previous statistical cases were based on clinical diagnosis, so most children were not treated during the optimal treatment period." Qian Hongjun wanted to completely reassure Sun Lien, so he added a few more words when explaining, "
That’s why there is a 30% mortality rate statistics. This data cannot be applied to your cousin. But it’s hard to say whether there are any subsequent injuries. We can only observe and see first.”
Sun Lien also understood this truth. He nodded gratefully towards Qian Hongjun, "I feel more relieved now. Thank you, Director Qian."
"Just thanking you is not sincere." Qian Hongjun rubbed his bald head again, "Tonight we have a midnight snack in the department, Director Sun, can you think of a way to solve it?" Qian Hongjun smiled like an old fox, "Lao Liu, give it to me.
I'm so angry, you, Director Sun, are now a big business owner."
"It should, it should." Sun Lien didn't know how much Liu Tangchun knew, and how much he had told Qian Hongjun. But because of the hard work of the pediatrician, and the fact that he really cared about his cousin, it was appropriate to thank him. "That's it.
OK, I'll ask someone to deliver a batch of takeout, can it be delivered directly to the NICU nursing station?"
"That's a good relationship." Qian Hongjun nodded, and then asked, "Don't order something that tastes too strong, as it will have a bad impact."
Sun Lien thought for a moment and turned on his phone, "Fifty portions of sweet soy milk, plus fifty portions of fried dough sticks... Director Qian, it's not so good if they are all vegetarian? How about some meat?"
Qian Hongjun was shocked when he heard this, "What are you doing for such a big battle? Isn't it just a matter of buying some fruit?" He glared at Sun Lien, "Fifty servings of soy milk and fried dough sticks, on average, two and a half servings per person, you will be our pediatrician.