I can see the status bar

Chapter 349 Night

If there is always the possibility that things will go wrong, no matter how small the possibility, it will always happen - Murphy's Law.

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Murphy's Law plays out in various unexpected ways and angles in reality.But this time in Changning Maternal and Child Health Hospital, it manifested itself in the form of explosive nosocomial infections.

Since about 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.During this month, 24 children became ill, and three of them died because of the rapid progress of respiratory distress syndrome.

Thirteen days ago, Changning City Maternal and Child Health Hospital notified pregnant women who came to the hospital for temporary prenatal checkups, asking them to have prenatal checkups in other hospitals and make appointments to the remaining five hospitals in the city.At the same time, intensive disinfection of the NICU and neonatal wards began.

Seven days ago, the Changning Maternal and Child Health Hospital officially reported the cases of abnormal deaths of children in the hospital to the Changning Municipal Health Commission and the Provincial Health Commission.But the causative pathogen has yet to be found.

Three days ago, all departments of Changning Maternal and Child Health Hospital except the emergency obstetrics department stopped operating.The whole hospital entered the emergency response mechanism.

Two days ago, Changning Maternal and Child Health Hospital began to refer children and pregnant women in stable condition to other hospitals.The Provincial Health Commission dispatched an expert team to investigate.

In all fairness, even though he is also a medical worker, Sun Lien felt an uncontrollable anger at the slow action and inefficiency of Changning Maternal and Child Health Hospital.

"They... how dare they..." Sun Li'en cursed in front of Qian Hongjun, "These bastards!"

"Now do you know why Dean Song lost his temper so much?" Qian Hongjun did not denounce Changning Maternal and Child Health Care Hospital's neglect and contempt for hospital infection work with Sun Lien, but said seriously to Sun Lien, "You are alone knowing that If there is a risk of infection, go to the clean room. 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 Lao Liu would cover it for you Pot, you kid has been fired a long time ago!"

Sun Lien was shocked when he heard the words, 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 can't misunderstand the person. He must have his plan to protect you." Qian Hongjun then sighed, "You have to remember , There is no trivial matter in the hospital, there is no trivial matter in the patient, and there is no trivial matter in life!" He changed his tone and dragged Sun Lien out of the bathroom, "Do you know how big the incident in Changning Maternal and Child Health Hospital is?"

Sun Li'en shook his head honestly, he didn't care much about this issue.At present, what he is most concerned about is what kind of disease his cousin is suffering from. From Qian Hongjun's description, his symptoms seem to be very similar to the nosocomial flu symptoms that broke out in the Maternal and Child Health Hospital.

"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 rubbed it on his hands, "Changning City Health The person in charge of the Health Commission is estimated to be suspended for inspection, the dean of the Maternal and Child Health Care Hospital will definitely be suspended, and someone in the Hospital Infection Department may be held criminally responsible. The top three brands can't be kept... the doctor in the Maternal and Child Health Care Hospital Nurses and midwives have to suffer accordingly."

People who are not in the medical industry probably don't understand how important the name of the top three hospitals is.Only medical staff who have undergone the top three inspections and reviews know how hard-won this title is.

The total number of hospital beds should be more than 501, and there are at least 1.03 departments including emergency department, internal medicine, surgery, gynecology, pediatrics, traditional Chinese medicine, etc. There are 0.4 departments including pharmacy, inspection department, blood transfusion department, and operating room. A clinical auxiliary department.Each bed is equipped with 900 health technicians, and each bed is equipped with at least [-] nurses... There are eight major items and six specific requirements.A hospital must score more than [-] points in the inspection before it can be recognized as a third-class hospital.

The tertiary hospital is the highest level in the classification of hospitals in China. Up to now, 34 of the 31 provincial-level administrative regions in the country have carried out the evaluation of hospital classification, 334 prefecture-level administrative regions, and 2876 county-level administrative regions. Among them, there are only 722 tertiary hospitals.

In a few days, there will be only 721 stores.

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"We can talk about these issues later." Sun Li'en couldn't bear it any longer. He tugged at Qian Hongjun's sleeve and asked, "What's wrong with my cousin? Is it related to the infectious disease that broke out in the Changning Maternal and Child Health Care Hospital?" ?”

Qian Hongjun slapped his head, "I forgot about this." He nodded towards Sun Li'en, "It has been diagnosed, it is cytomegalovirus infection, and the autopsy results are consistent with Changning Maternal and Child Health Hospital. The child was treated with ganciclovir."

Cytomegalovirus?Sun Lien heard a term that he was quite familiar with.In microbiology, cytomegalovirus is known for its special name and the fact that it causes the infected cells to swell and has huge nuclear inclusions at the same time.As a typical herpes virus, it replicates slowly in cells and generally takes 30-40 days to reproduce one round.

Thirty... to forty days?Sun Lien frowned, which was not consistent with his cousin's disease symptoms.He was only four days old, how could there be time for cytomegalovirus to multiply?
"The progress of cytomegalovirus is not so fast, is it?" Sun Lien hesitated, "If it is cytomegalovirus, wouldn't it take about a month to reproduce one round?"

Qian Hongjun shook his head towards Sun Lien, and said with disdain, "You emergency doctors, that's it, your vision is too limited!"

Sun Lien was inexplicably criticized. The most annoying thing is that he still can't talk back-he really doesn't understand that this kind of progress is not fast, and the hidden infection rate of the Chinese adult population is as high as 95%. What is it? How did it explode on my cousin.

"Infected in the palace!" Qian Hongjun knocked on Sun Lien's head, hating iron and steel. I don't know if it's because he hasn't knocked on the head with hair for a long time. After knocking twice, Qian Hongjun knocked again after a short pause. For a moment, "Mother-to-child transmission, intrauterine infection. The mother may have been infected with the virus during the obstetric examination, and the child was born prematurely, so the infection exploded!"

Neonatal cytomegalovirus infection itself is one of the most common congenital infectious diseases in clinic.However, the probability of congenital infection caused by intrauterine infection is not very high, only about 7% to 10%.And not every newborn infected with cytomegalovirus will be so critical.In fact, most newborns infected with CMV do not have too severe symptoms - many children will be as silent as their mothers.

However, if the infection of pregnant women is combined with premature babies, the result will be different.CMV itself attacks the liver and lungs, manifesting as severe hepatitis and respiratory distress syndrome.The terrible thing is that whether it is the jaundice shown by hepatitis or the hypoxic symptoms and three concave signs shown by respiratory distress syndrome, they are all related to neonatal jaundice and atelectasis caused by insufficient pulmonary surfactant in premature infants. Symptoms are consistent.

After more than ten days in a row, the child's jaundice has not improved, and the dyspnea still persists, so the doctors may consider cytomegalovirus infection.The subsequent immunological examination also takes time and equipment to carry out.For many children who are diagnosed with cytomegalovirus infection, it is very common for a week or two to be delayed from the onset of the disease to the diagnosis.

There are no obvious clinical manifestations, the onset is insidious, and the diagnosis is difficult.Therefore, neonates infected with cytomegalovirus are very prone to death due to untimely treatment.The three children in the Changning Maternal and Child Health Hospital died because they delayed the best treatment time.

From this point of view, Wuyou is lucky.Xiao Wangtian was also very lucky.By conducting autopsies on the three deceased children, doctors proved that cytomegalovirus infection was rampant in Changning Maternal and Child Health Hospital.This is why Ningyuan Fourth Central Hospital received a warning. After receiving Xiao Wangtian, they immediately carried out related examinations for cytomegalovirus infection.

"In the past, the statistical cases were based on clinical diagnosis, so most of the children were not treated in the best treatment period." Qian Hongjun intended to reassure Sun Lien, so he added a few more words when explaining, " That's why there is a 30% mortality rate. This data cannot be applied to your cousin. However, it is hard to say whether there are any subsequent injuries. We can only observe first."

Sun Lien also understood this truth, and he nodded gratefully to Qian Hongjun, "I feel more at ease now, thank you Director Qian."

"Thank you but no sincerity." Qian Hongjun stroked his bald head again, "Tonight we have supper in our department, Director Sun, can you find a way to solve it?" Qian Hongjun smiled like an old fox, "Old Liu is for me. It's over, your Director Sun is a big family now."

"It should be." Sun Li'en didn't know how much Liu Tangchun knew, and how much he had told Qian Hongjun.But the hard work of the pediatrics department, and the fact that he really cares about his cousin and nephew, he should be thanked. "How about this, I'll ask someone to deliver a batch of takeaway, and it's okay to send it directly to the NICU nurse station?"

"That's a good relationship." Qian Hongjun nodded, and then instructed, "Don't order too much flavor, it won't affect you well."

Sun Li'en pondered for a while, then turned on the phone, "Fifty servings of sweet soy milk, plus fifty servings of deep-fried dough sticks...Director Qian, it's all vegetarian, isn't it good? How about some meat?"

Qian Hongjun was shocked when he heard the words, "Why are you making such a big fight? Isn't it all over by buying some fruit?" He glared at Sun Lien, "Fifty servings of soybean milk fried dough sticks, on average, two and a half servings per person, you will be our pediatric doctor Are they all rice buckets?"

(End of this chapter)