Tweet
The fever is 40℃ and the infusion room is full! The number of severe pneumonia cases is increasing rapidly. Doctor: This round is more severe.
beiqing.com2023-11-02 18:56
On October 31, a video was released on multiple social platforms. A parent said to the doctor: "If you can see it, just see it. If you can't see it, don't make 1,000 calls! There is a child with a fever of 40°C, and no one comes out to deal with it."
The woman on the side also said: "The child had a fever and was very uncomfortable. He lay down at the door to enjoy the cool breeze and waited for a full 7 hours."
Chao News reporters learned from relevant sources that since March this year, the number of pediatric outpatient and emergency visits in many hospitals across the country has continued to be high. "In the past, autumn and winter were the peak visits, and March this year has been the peak." Mycoplasma this year The peak number of medical consultations caused by pneumonia, influenza, new coronavirus, etc. has increased by nearly 30% compared with the peak number of medical consultations in previous years.
According to Qian Dongmei, deputy director of the Pediatric Emergency Department of Ningbo Women and Children's Hospital, in mid-October, mycoplasma pneumonia has been going on for some time and has been increasing since June. Recently, the number of outpatient visits has increased 2-3 times than usual. Not long ago, Ningbo Hospital of Traditional Chinese Medicine infected pulmonary disease. The department admitted a 32-year-old patient with mycoplasma pneumonia. While he was hospitalized, his children at home were also hospitalized. Three people in the family were infected one after another.
The following is a Chao News reporter’s visit to Hangzhou Hospital
What I learned
There are queues at the infusion department, and all 56 beds are full.
At about 10 o'clock in the morning, the reporter came to the Hubin Campus of the Children's Hospital Affiliated to Zhejiang University School of Medicine.
In the waiting hall of the fever clinic, there are many children and parents waiting for treatment. It can be seen on the call screen that there are 6 clinics open, and the registration machine shows that all the morning treatment numbers have been taken, and there are 91 afternoon treatment numbers left.
Outside the clinic on the second floor, Mr. Sun, who had made an appointment the night before, was waiting in line with his children. Mr. Sun said that there was an activity in the kindergarten the day before yesterday. In the evening, he was told by the teacher that a student was infected with hand, foot and mouth disease. That night, his son also had a fever. "The highest temperature was close to 39°C. I had taken Motrin yesterday. Although the temperature dropped a little, I was afraid of him." I was also infected and registered overnight.”
Mr. Sun specially asked for a morning off and checked in for the 111th medical appointment from 10:00 to 10:30. Just as he was talking, the prompter at the door of the clinic called number 111, and Mr. Sun hurried into the clinic with his son.
At the pre-examination desk in the waiting hall, two nurses were busy asking about the children's condition and taking their temperatures.
One of the nurses told reporters that the fever clinic starts calling at 7 a.m. every day and does not take a break at noon. The afternoon calls usually start at 12:30. "Numbers will be allocated according to the number of doctors seeing each day. Sometimes there are seven to eight hundred numbers a day, and sometimes there are three to four hundred."
Outside the hall, Ms. Yang is waiting for the test results of her son Xiaochen.
Xiaochen's fever lasted for three days, with the highest temperature reaching nearly 40 degrees Celsius. The anxious Ms. Yang got up at about 5 o'clock this morning to register and took Xiaochen from her home in Xiaoshan. While waiting for the doctor, she opened a routine blood test form on the self-service machine in advance.
"Xiaochen had already been to the Children's Hospital a month ago because of the flu. I am quite experienced." Ms. Yang explained that routine blood tests can be applied for through the self-service machine. Use the queuing time to do the routine blood tests before seeing the doctor. It not only saves time, but also facilitates doctor's consultation.
"This period is the period of high incidence of influenza and mycoplasma pneumonia. Children have low immunity, so it is normal for the hospital to be crowded." Ms. Yang said that because you have to wait in line for a while and see your children suffering, parents are inevitably anxious. "But doctors are responsible for every sick child, and we all understand that."
There was a queue at the infusion section of the infusion room on the third floor, and the 56 beds were filled with children undergoing infusion and their accompanying parents.
3-year-old Xing Xing had a high fever caused by otitis media and had just received medicine. Star mothers came to the hospital with their children early in the morning. After describing the symptoms, the nurse at the triage desk suggested going to the internal medicine department. "It was after 8 o'clock, and there were not many people in the internal medicine department. We were the third to see the doctor. After the doctor made the diagnosis, Let us come to the infusion room to get fluids, it’s pretty quick.”
A check-in process is set up in the waiting area
At noon, at the fever clinic at the Binjiang Campus of the Children's Hospital of Zhejiang University School of Medicine, the waiting area was filled with children and parents.
It can be seen from the display on the wall that the afternoon number 173 has been called. While waiting in line for treatment, in addition to sleeping, many children were reading books and building blocks.
On-site medical treatment. Photo by Chao News reporter Wang Hao
"We have opened 12 clinics today. All patients must register first and then sign in. We call the number according to the order in which they sign in." The nurse at the triage desk said that due to the large number of people, a sign-in process was set up in the waiting area to facilitate the queuing of numbers. Children and parents who are close to the patient and present at the scene can see the doctor in sequence.
At 2 o'clock in the afternoon, the nurse at the triage desk loudly reminded, "There are already more than 100 children queuing up. If children after No. 260 have fever symptoms, they can order a routine blood test on the self-service machine first, and wait until the number is reached. It is convenient for doctors to diagnose.”
On-site medical treatment. Photo by Chao News reporter Wang Hao
Outside the clinic, Ms. Zhao lined up anxiously with her 19-month-old daughter and two suitcases.
"The child had a fever last night and had symptoms of convulsions." Mother Zhao and her child's grandfather came from out of town early in the morning. They got off the high-speed rail at noon and went straight to the hospital to catch the afternoon train.
"She has been in this situation before, so I prepared some necessities in advance so that she wouldn't be in a hurry if she was hospitalized."
After hearing the advice of the nurse at the triage desk, Zhao's mother stayed where she was to take care of her child, while her grandfather went to the self-service machine to write a routine blood test. "Although there are many people here, it feels quite orderly overall. The child's condition is relatively stable now, so I feel more at ease." Mother Zhao held her daughter in her arms and patted her gently.
On-site medical treatment. Photo by Chao News reporter Wang Hao
In the infusion room, Ms. Chen's daughter had just been hooked up to an intravenous drip and was gradually falling asleep in her mother's arms.
Looking at the indwelling needle in her daughter's hand and the tears on her face, Ms. Chen felt heartbroken. "She started to have a fever last night. My grandma and I took her to the fever clinic at 10 o'clock today. We waited until 11 o'clock to see a doctor. At 1:30 p.m., she got an injection. The whole medical treatment process went smoothly."
At 2 o'clock in the afternoon, the infusion room of the fever clinic was full of children. The nurses also reminded that if it is too late for infusion in the fever clinic, you can go to the general outpatient clinic with the diagnosis and treatment form for infusion. "There are doctors and nurses there 24 hours a day."
In addition, on the Internet registration platform of the Children's Hospital of Zhejiang University School of Medicine, the appointment registration instructions also remind that the treatment of fever patients is not limited to the fever clinic, and children with fever can be admitted in all clinic areas of the clinic.
The number of children with mycoplasma pneumonia is still increasing.
The flu is coming fiercely and there are mixed infections!
The doctor teaches you how to deal with it
During these days, mycoplasma pneumonia has frequently been a hot topic. Compared with the same period last year, the number of pediatric outpatient clinics in Hangzhou First People's Hospital has more than doubled, with the highest number of daily outpatient visits reaching more than 1,900, of which three or four are the cause of mycoplasma pneumonia. With the rapid increase in the number of children infected with Mycoplasma pneumoniae, the number of Mycoplasma pneumoniae pneumonia and severe pneumonia has also increased rapidly, and the pediatric ward has been in a queue full of beds. "We each have to see about 70 people in a class every day, and sometimes there are more than 100 people, and we don't even have time to drink." Zheng Xuyang, deputy chief physician of pediatrics at Hangzhou First People's Hospital, said. Mycoplasma pneumoniae infections are at their peak, and influenza is also quietly on the rise. The China Influenza Surveillance Weekly Report for the 41st week of 2023 released by the China National Influenza Center shows that the positive rate of influenza virus detection in some southern provinces continues to increase, with the A(H3N2) subtype being the dominant one. "This round of disease is quite fierce." According to Zheng Xuyang, there has been a significant increase in children infected with A and B influenza recently. For every 10 children examined, about 3 to 4 are positive for A and B influenza, which is significantly higher than before. This It does not rule out that some children are infected with both at the same time.
more....zhttps://baijiahao.baidu.com/s?id=1781449438379180929&wfr=spider&for=pc
Comment