Siheyuan: Rebirth in a prosperous era, great doctors are sincere

Chapter 617 New Residents of the Siheyuan

After handing Xiaodang over to Li Pingan, Cai Quanwu was about to leave. Li Pingan stopped him and said, "Don't leave. I'm about to get off work. I'll take you to this girl's home later. Let her family thank you anyway!"

Cai Quanwu shook his head like a rattle and said, "I think it's better to forget it. I feel relieved to leave this child to you. I will go back first. There is still a lot of work waiting for me to do in the tavern!"

Seeing that he couldn't keep Li Ping'an, he didn't say anything and let Cai Quanwu leave.

It was not yet time to get off work, so Li Ping'an took Xiaodang to the surgery office.

Colleagues asked what was going on and who this girl was.

Li Ping'an introduced Xiaodang's situation. His colleagues all said that this girl was lucky to meet good people. If she hadn't met Cai Quanwu and his wife, who knows what would happen to Xiaodang now!

After get off work, Li Pingan took Xiaodang to find Qin Huairu.

Qin Huairu was also surprised. She didn't expect that Xiaodang would be found. Xu Huizhen dressed the girl up neatly, so Xiaodang should not have suffered any hardship in the past two days.

Li Pingan was riding a bicycle, Qin Huairu was sitting on the back holding Xiaodang, and when the three of them returned to the courtyard together, they immediately attracted the attention of the three aunts and others.

The Yan family discovered that Xiaodang had been found, so Yan Bugui and his wife, along with their son, daughter-in-law and a group of people, went to the central courtyard.

The He family, Liu Haizhong who had just returned from get off work and others also stopped at the door of the Jia family to watch.

When Qin Huairu and Xiaodang got off the bicycle, Jia Zhang just came out of the house.

When she heard the noise outside, she immediately came out of Jia's house.

"Grandma..." Xiaodang called out clearly, but walked in front of Liu Yue without saying anything.

She was wearing clean clothes and holding a small bundle in her hand. Jia Zhang asked in confusion, "What's going on? Why are you back?"

Liu Yue is still outside looking for her, but Xiaodang comes back relaxedly, even wearing clean clothes.

Xiaodang looked at Jia Zhang and Jia Geng and Huaihua behind her. She wanted to say something but didn't open her mouth. She didn't know how to say it or where to start, so she turned and looked at Li Ping'an.

The neighbors also focused their attention on Li Pingan, wanting to know what was going on.

Li Ping'an told Cai Quanwu and others that they had discovered her and had been looking for the Jia family's address, and he emphasized the address of the tavern.

After all, he has helped the Jia family a lot. If Liu Yue comes back, shouldn’t he go to thank him?

It is not known whether Jia Zhang remembered the address of the tavern or not, and she took Xiao Dang back to the house.

Liu Haizhong said: "I never thought Xiaodang could be sent back. Ping An, your friend named Cai is a good person!"

"Yes!" Yan Bugui said, "Not only did they take good care of this girl, they also changed her clothes!"

After returning home, Li Ping'an told his parents about Xiao Dang's return. Xu reminded him, "Since the girl has been found, you should say hello to Qian Ming again. Maybe the police at the police station are still worried about this matter!"

Li Pingan said: "I understand. I will call Qian Ming when I go to work this afternoon!"

Xu nodded.

After lunch, Li Ping'an and his wife went to work at the Sixth Hospital together. He called the police station using the hospital's phone. It was not Qian Ming who answered the phone, but the policeman said he would convey the message to Qian Ming.

Liu Yue searched for it at the Changdian Temple Fair for a whole day but still couldn't find it.

Most people have started working today, but as it is the last two days of the temple fair there are still many people.

Not to mention that Xiaodang had long been away from the temple fair. Even if she was still there, it would be difficult to find a little girl with so many people there.

When Liu Yue returned home exhausted, he found that Xiaodang had already returned.

She hurriedly asked her mother-in-law what was going on.

Jia Zhang repeated Li Ping'an's words and added, "I told you, who would want a girl like Xiao Dang? She ate and drank well in that tavern these past two days, and they even gave her a new set of clothes!"

Jia Zhang felt somewhat proud, as all the depressed and repressed feelings she had felt over the past two days were swept away!

If Xiaodang got lost, Liu Yue and the neighbors would blame me for the rest of my life!

It's fine now.

If you lose your horse, you will know no blessings.

Not only did Xiaodang not lose anything, he also earned a set of clothes. Liu Yue will never blame himself again, right?

When Liu Yue went to Li's house to return the bicycle, he did not ask about Cai Quanwu's situation or the specific address of the tavern.

Li Ping'an thought that Jia Zhang should have already told her.

She should at least buy some gifts and go to the tavern to express her gratitude!

just.

She didn't.

Xiaodang has been found.

The Jia family's mother-in-law and daughter-in-law acted as if her disappearance had never happened.

but.

Li Ping'an did not pay too much attention to this matter. He really didn't know whether the mother-in-law and daughter-in-law of the Jia family went to the tavern to thank Cai Quanwu and others.

Li Ping'an's salary increased by one level, from the basic salary of more than 50 yuan to 172 yuan. Correspondingly, the tickets he could get also increased a lot.

Chen Xueru brought a woman and a little girl to the Sixth Hospital for medical treatment.

The woman seemed to be in her thirties and worked in a tailor shop.

The little girl was about ten years old, about the same age as Li Ye.

The sick one was the little girl, with fever, headache and vomiting. When Li Ping'an examined her carefully, he found bruises on certain parts of the mucous membranes and skin.

Even signs of meningeal irritation were found.

Meningeal irritation is a manifestation of irritation of the meninges. Meningeal lesions cause irritation of the spinal cord membrane and affect the spinal nerve roots. When stretched and stimulated, it causes a pathological reflex of reflex spasm of the corresponding muscle group. It is seen in meningitis, subarachnoid hemorrhage and increased intracranial pressure.

Meningeal irritation is mainly manifested as varying degrees of neck stiffness, especially in the extensor muscles. Neck stiffness can also be seen in cervical spine diseases and neck inflammation, causing a series of symptoms such as headache, vomiting, neck stiffness, Kernig's sign, etc.

He even discovered a bulge in the anterior fontanelle.

The anterior fontanelle is located in the central part of the front half of the baby's head. It is surrounded by the frontal bone and parietal bone on both sides and is the largest bone suture intersection on the head.

Six months after the baby is born, as the skull ossifies, the anterior fontanelle gradually becomes smaller and usually closes when the child is 6 to 1 years old.

The anterior fontanelle is an important indicator of the baby's development and health. By observing its changes, various diseases can be discovered in time, and early diagnosis and early treatment can be carried out.

There are problems with early or delayed closure of the anterior fontanelle. Delayed closure may be caused by intracranial hypertension or rickets, hydrocephalus or intracranial tumors. If the anterior fontanelle closes too early, it will affect the development of brain tissue in the skull.

A bulging anterior fontanelle in infants and young children is a characteristic feature of epidemic meningitis.

Li Pingan was startled.

In the early 80s, a popular curse was "You have meningitis", similar to the later "mental illness". This was definitely not a casual remark, but a pandemic that infected 300 million people and killed 16.8 people.

Meningococcal disease was prevalent in the late 1960s, which is only two or three years ago.

This infectious disease is the most harmful infectious disease since the founding of the People's Republic of China, and is much more serious than previous influenza epidemics.

Could it be that the little girl has meningitis?

Li Ping'an immediately arranged a separate ward for the little girl and performed various examinations on her.

The first is a blood test.

The number of white blood cells ranges from thousands to tens of thousands per cubic millimeter, mainly neutrophils. The protein content is significantly increased, while the sugar content is significantly decreased.

When bacteria invade the human body, substances such as bacterial toxins and proteases may damage white blood cells, leading to an increase in the number of white blood cells. This is a reaction produced by white blood cells in the process of trying to engulf and destroy bacteria.

Li Pingan personally performed a microscopic examination on the little girl.

The staff of the laboratory wanted to help but was rejected by Li Pingan.

The causative agent of meningococcal meningitis is Neisseria meningitidis.

The staff were not very familiar with this bacteria.

Use the needle tip to puncture the skin bruise, squeeze out a small amount of blood and tissue fluid, and then stain the smear for microscopic examination.

Li Ping'an actually found Neisseria meningitidis during microscopic examination.

Neisseria meningitidis, also known as meningococcus, is the pathogen of epidemic cerebrospinal meningitis (EMM).

Kidney-shaped or bean-shaped Gram-negative diplococci, the contact surface between the two bacteria is flat or slightly concave, with a diameter of 0.6~0.8mm.

After artificial culture, it can be oval or spherical, with irregular arrangement, single, double or 4 connected, etc. In the culture after 24 hours of incubation, it often shows a declining morphology, the size of the bacteria is not consistent, and the color is also uneven. In the patient's cerebrospinal fluid, it is mostly located in neutrophils and has a typical morphology.

Most of the newly isolated strains have capsules and pili.

After confirming that it was meningitis, Li Pingan and Chen Xueru learned about the girl's condition.

The girl's name is Han Xiulan.

Her father was originally a worker in a steel mill. He died in an accident a few years ago. At that time, Soviet experts were still there, and they were testing some new technology in the steel mill. The accident happened when the child's father was trying it out.

Later, with the introduction of the street office and neighborhood committee, Han's mother went to work in a tailor shop. Now the mother and daughter still live in the steel factory's staff building!

Han Xiulan realized that she was not feeling well last night and took a leave of absence from school today. Her mother wanted to take her daughter to the Sixth Hospital for medical treatment, and Chen Xueru also came along.

Things are a bit serious.

Li Ping'an immediately reported the matter to the Health Bureau, asking them to strictly investigate whether there are other cases in Han Xiulan's residence, tailor shop, and school. It would be best if they could conduct a city-wide investigation.

Epidemic cerebrospinal meningitis, a Class B infectious disease, is an acute purulent meningitis caused by Neisseria meningitidis and transmitted through the respiratory tract. It is more common in winter and spring, with children under 15 years old being the main victims, and the mortality rate is higher in children under 7 years old.

In later generations, my country reported hundreds of cases of meningococcal disease every year, mainly sporadic cases, with clusters of cases occurring in some areas.

Severe cases of meningococcal meningitis can result in death within 24 hours, and 10% to 20% of survivors still have serious sequelae.

The majority of cases of meningococcal meningitis in my country are caused by group A Neisseria meningitidis. The detection of group C and group B Neisseria meningitidis in meningococcal meningitis cases is on the rise. In some areas, group C Neisseria meningitidis has become the dominant group of bacteria. Group W135 and group X Neisseria meningitidis have been detected in a few areas.

The screening mainly targets children under the age of fifteen.

Li Pingan and Chen Xueru discussed it and found out that there were no sick family members among the female workers in the tailor shop, so she would continue the investigation after returning.

Li Ping'an suggested that Chen Nan follow Li Ye and Chu Kang, so that the three brothers could live and eat together in the courtyard and go to school together.

Chen Xueru agreed.

in fact.

The drug of choice for meningococcal meningitis is penicillin.

Li Pingan prescribed penicillin and streptomycin to Han Xiulan, and also prescribed the Chinese patent medicine Angong Niuhuang Pills.

Angong Niuhuang Pills have a sedative effect on the central nervous system, and have significant anticonvulsant and antipyretic effects.

It has a cardiotonic and blood pressure lowering effect on the cardiovascular system.

It has a gallbladder-friendly and liver-protecting effect on the digestive system.