In previous years, during the Spring Festival shift on the first day of the lunar new year, it should be relatively quiet, because apart from sudden accidents, there are few people who come to the hospital for neurology. But yesterday, he complained on Weibo: "Why are there so many people unwell on the first day of the New Year while I'm on duty?" The emergency room nurse even laughed at him: "Today is your special session!"
A 17-year-old teenager in Quzhou, after staying up late on New Year's Eve and drinking some alcohol, suddenly had an epileptic seizure on the first day of the New Year and was sent to Sir Run Run Shaw Hospital by his family.
He posted a picture and said: "This lump has been present since birth, about the size of a finger, soft, and not painful when touched. It's located 2 cm away from the center of the top of the head on both sides."
On the Weibo Doctor platform, the most questions came from new parents who, lacking experience, were very worried about every breath their baby took.
What should be done? Dr. Wang Hailin from the Hangzhou Burn Specialty Hospital provided a professional answer within the "Zhejiang Weibo Doctor" volunteer team:
Journalists consulted experts at the Women's Hospital of Zhejiang University, who explained that during childbirth, due to uterine contractions and pressure from the birth canal, the baby's scalp blood circulation can be obstructed, leading to localized congestion, swelling, and bruising. This temporarily elongates and deforms the baby’s head, causing subcutaneous hematoma, which is medically referred to as caput succedaneum.
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Reporter: Wang Rui
Many netizens said that with more time spent cooking during the Spring Festival, and with more frying and cooking, patterns become more varied, resulting in quite a few burns. However, opinions differ on whether the blisters caused by scalds should be punctured or not.
Some say that the blisters should be protected until the new skin grows back and the blister naturally disappears. Others suggest that they should be punctured and then treated with "Bai Du Bang".
Dr. Sun Bo said: "Among the patients I have seen, there have been cases like this, and generally, they resolve on their own without needing worry."
Someone said, these days are too cold, elderly people with high blood pressure need to pay special attention to fluctuations in their blood pressure and seek medical attention promptly; although the reunion of family members during the Spring Festival is joyful, one should not overindulge, stay up late, get tired, or drink excessively, as all these can lead to cardiovascular accidents.
Dr. Zhang Lisan, a neurologist from the "Zhejiang Weibo Doctor" volunteer team, worked a 24-hour shift at the hospital on the first day of the New Year.
If the blister is less than 0.5 centimeters, it can be left unpunctured; if greater than 1 centimeter, it can be disinfected and punctured, then iodine fluoride disinfectant applied. If it is larger than 3 centimeters, it must be handled and bandaged at the hospital.
First-degree burns do not form blisters and usually do not require special treatment.
Second-degree burns form blisters, with red base surfaces being classified as superficial second-degree burns, which do not leave scars; white base surfaces indicate deep second-degree burns, which may leave scars; superficial second-degree burns can convert into deep second-degree burns under infection conditions.
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1. "Qiantang Xusheng": I feel pain under my left ribcage (on the body's left side), and today it feels worse than yesterday. I wonder what the problem could be?
2. "An Ye Shan Cha": During the Spring Festival holiday, I will take a child on a long-distance bus ride. How can I best care for them during the trip and what essential medicines should I carry?
3. "AiDen": While eating out, I suddenly experienced severe pain in the lower right abdomen. After returning home, I lay down and massaged the area, which alleviated the pain somewhat. Is this appendicitis?
Dr. Zhang Lisan said that these days are too cold, and elderly people with high blood pressure need to pay special attention to fluctuations in their blood pressure and seek medical attention promptly; though the reunion of family members during the Spring Festival is joyful, one should not overindulge, stay up late, get tired, or drink excessively, as all these can lead to cardiovascular accidents.
The neurology department where Dr. Zhang Lisan works typically sees patients with dizziness, headaches, strokes, and dementia, but this year on the first day of the New Year, he saw over ten patients, keeping him extremely busy!
During the Spring Festival, Hangzhou was particularly cold, and many netizens reported on the Zhejiang Weibo Doctor platform that the low temperatures were hard for the elderly to bear.
An aunt in her 60s from Hangzhou had a cold before the New Year but did not seek medical attention. Over the past few days, her family noticed she was dizzy, sleepy, and speaking unclearly. She was taken to the hospital and diagnosed with encephalitis, requiring hospitalization.
Dr. Wang said that on New Year's Eve, while on duty, the hospital admitted several children injured by inferior quality fireworks, mostly superficial injuries. There were also two babies, one only two and a half months old, who were accidentally scalded by hot water. Parents must not be careless.
Netizen "Jiuyin" sent a picture showing a large blister on the arm, surrounded by red skin, about the size of a soybean. "Jiuyin" anxiously asked: "Should I puncture this big blister caused by a burn?"
Burns are categorized into several types:
If the blister is smaller than 0.5 cm, it does not need to be punctured; if larger than 1 cm, it can be disinfected and punctured, followed by applying iodine fluoride for disinfection. If it is larger than 3 cm, it must be professionally handled and dressed at the hospital.
First-degree burns do not form blisters and usually do not require special treatment.
Caput succedaneum does not affect infant intelligence. Since this bleeding occurs between the periosteum and the skull, it is not intracranial bleeding and does not harm brain cells. As for cranial deformation, it is temporary. Neonatal bones are soft, easily deformable, and easily recoverable, so parents do not need to worry.
Netizen "Xiangcao Xiao Wei Dao" was enthusiastic, saying: "It should be caput succedaneum, which usually disappears within about a month. Do not touch it frequently."
"A Universal Helper," a new father, urgently sought help from "Zhejiang Weibo Doctor": "Urgent! My 18-day-old baby has two soft lumps on its head. Is this normal?"
A 70-year-old gentleman, who usually does not drink alcohol, was so happy to reunite with his family during the New Year that he drank 2 liang of Maotai wine. Feeling dizzy, he suddenly collapsed while taking a family portrait and was diagnosed with alcohol poisoning upon arrival at the hospital.