Chang Jiawei initially judged that it might be cellulitis.
Cellulitis is not uncommon clinically. Once an exposed wound is not treated properly, bacteria can easily continue to invade under the skin and cause massive infection or even necrosis of subcutaneous fat tissue. Subcutaneous adipose tissue is shaped like a honeycomb, so if the name cellulitis is simply understood, it can be imagined as an adjective for inflammation of subcutaneous adipose tissue.
Wearing sterile gloves, Nie Jiamin gently pressed the boy's wound with his fingers. It was determined that it was pitting edema and there were pustules in the epidermis. It required surgical incision, cleaning with saline and draining the pus.
Turning around, Nie Jiamin said to the nurse who was preparing the supplies: "If you want to incise the abscess, please prepare saline solution."
When the time came, Xie Wanying took out the thermometer from the child's armpit, looked at the scale towards the daylight, frowned and reported to the teacher: "Teacher Nie, the patient's temperature is now 39 degrees one. I predict that his temperature will go up again." .¡±
"Yeah." Nie Jiamin was still in no hurry.
Doctors with rich medical experience rarely become anxious after seeing many different patients and big scenes. Furthermore, Xie Wanying discovered that Teacher Nie seemed to be dissatisfied with the families of the children.
The child in this situation should not be delayed to come to the free clinic. It shows that the family does not seem to take the child seriously. Now, if the doctors here are helping to deal with the problem, once the free clinic doctors leave, will the family members of the child just throw the child home again? Therefore, it is best to let the family of the child responsibly send the child to the hospital for treatment after the initial treatment.
Look at this child¡¯s grandfather who continues to evade his responsibilities: ¡°Hey, he runs every day and often falls. This time his fall was not as severe as last time. His grandma and I can¡¯t figure out why it happened like this.¡±
"In short, this family should need to reflect and reflect. How can we say that the child can not pay attention to the child's wounds just like a normal fall.
On this point, Xie Wanying did not object to what the teacher thought, and said: "Teacher Nie, I think you may need to check his mouth first. The condition of the face and jaw is equally serious."
¡°Oral cavity?¡± Nie Jiamin was alert to her new proposal.
Chang Jiawei was also stunned for a moment, what kind of mouth?
"I saw that the left side of his face was a little swollen on the lower jaw. I guess the rapid development of his bacterial infection was due to an early oral infection and infections in other parts of the body." Xie Wanying said.
Chang Jiawei moved closer to the bedside, and together with Nie Jiamin, they looked inside the child's mouth when they opened it. They clearly saw that the lower left back tooth was particularly swollen. The worst thing is that it also suppurated, and as Xie Wanying said, the face became swollen, which could spread to intracranial infection in the future.
This child must have a toothache, but the family didn¡¯t care at all.
The child¡¯s grandfather was surprised after hearing what the doctor said: ¡°Can this toothache be worse than the inflammation of my grandson¡¯s leg?¡±
"Yeah." The doctor answered him affirmatively.
"I also have toothache." When the child's grandfather said this, he opened his mouth to show the doctor his cavities.
¡°When doctors and family members of children with this kind of disease see each other, they are speechless.
"Your doctor should prescribe medicine for him." The boy's grandfather said the same thing as Lulu's mother before, urging the doctor to prescribe medicine.
???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? It is generally best for problem patients to go to the hospital, and have the bottles hung up, to avoid intracranial and systemic infections, and to be suppressed with antibiotics as soon as possible. Incision and drainage of pus in the oral cavity should be handled by a dental surgeon. If necessary, a neurosurgeon should be consulted to see if there is an intracranial infection. (Remember the website address: www.hlnovel.com