I can see the status bar

Chapter 378 The Plague
Sun Lien hasn't seen the warning on the status bar for a month.

At around four o'clock this afternoon, the emergency department of the Fourth Central Hospital of Ningyuan City received a family of three who came to see a doctor.All three showed high fever, accompanied by severe headache, pain in limbs, and coughed up a large amount of bright red bloody sputum.

The medical staff of the emergency center of the Fourth Hospital, who had just been diagnosed with bird flu a month ago, called the doctors from the Nosocomial Infection and Infectious Diseases Department for consultation without any hesitation.And quickly began to transfer the patients in the emergency room—if they were really in a bad condition and could not be transferred, they would be pushed together with the bed into the emergency room where the family of three could not pass.

Although it is not yet sure what the disease is, the family of three fell ill at the same time, and showed obvious upper respiratory symptoms under high fever.Before the province's secondary response mechanism was lifted, the doctors of the Fourth Hospital immediately regarded the three as highly suspicious infectious disease patients.It would be better to make a false alarm afterwards than to be careless and lead to continued infection.What's more, looking at the course of these three people's illnesses, a terrifying term appeared in the minds of the doctors.

plague.

Yuan Ping'an was patrolling the emergency room at first, and when he saw the three patients coming in, he immediately stopped the bed-pushing nurse who was about to leave, and announced that the emergency room was closed.The evacuation of patients in relatively stable condition was completed with the assistance of other doctors.Then, he called Sun Lien.

"Their situation is too much like the plague." Yuan Pingan said to Sun Li'en, "I just called Director Zhou, and he also agreed with my measures to close the emergency department."

In fact, Yuan Pingan has no right to announce the closure of the emergency room. He must immediately notify Zhou Jun who has relevant rights and obtain permission.At the same time, he had to notify his superior doctor. Judging from the current structure of the treatment team, he had to notify Sun Lien immediately.

Sun Li'en smiled wryly twice, and the "Warning, high risk of transmission" and "Warning, high risk of fatality" were all over the street like small advertisements posted on telephone poles, unscrupulously posted everywhere.Compared with the previous "high transmission risk" of bird flu, there is an additional "high fatal risk". The status column almost clearly states that these three patients have serious infectious diseases.And the risk is much higher than bird flu.

"How is the patient's condition?" Although the disinfection and treatment are left to nosocomial infection and infectious diseases.But the job of the emergency department still has to be done by the emergency department itself.Rescuing patients and maintaining vital signs, these most important tasks cannot be delayed because of concerns about infectious diseases.

"Sinus tachycardia, son's heart rate is 148, parents are 151, blood pressure is a bit low." Yuan Pingan was reminded by Sun Li'en, and then realized that he had not done a basic physical examination for the patient.Fortunately, the nurses next to them were strong enough to put monitors on all three of them.

"Draw blood and train them." After all, Sun Lien had been Yuan Ping'an's leader for more than a month, and he was very familiar with directing the rescue process. "A sample is taken from each patient and sent directly to the CDC."

After arranging this series of tasks, Sun Lien could finally take a look at the status bar of these three patients.

"Tang Xingde, male, 48 years old" "Hou Huiying, female, 45 years old" "Tang Wen, male, 22 years old".

For a family of three, five states are neatly marked on the status bar, and the time difference between the earliest states on the heads of the three is no more than 14 minutes, and the earliest symptom time is only 29 hours.It is basically certain that they were infected by a single source of infection at the same time.

The five states are "significantly increased white blood cell level", "high fever", "severe pneumonia", "sinus tachycardia" and "decreased fibrinogen concentration".

A significant increase in white blood cell levels, high fever, and severe pneumonia are all important reminders of bacterial infection.The sinus tachycardia may be caused by acute myocarditis or infection, fever.And the fibrinogen concentration is reduced, needless to say, this is an old friend.If it is excessively reduced, DIC may occur in the patient's body, and finally the patient will die due to hemolysis and thrombosis.

"What's the temperature?" Sun Lien put on protective goggles and gloves, and put on a one-piece protective suit. This is the second-level emergency response mechanism, and the defense standard for emergency patients with fever. As for the mask, it is an N95 without a breathing valve. Masks are now basically standard equipment in the Fourth Hospital.

"41°C." Yuan Ping'an also put on the same protective clothing, and took the ice blanket handed over by the sister nurses on the side, covered the three of them, and asked the sister nurse, "Where are the other family members? Is there any family members here?"

"No, this family lives alone. They just came back from a trip. The neighbor asked them to have lunch today, but they didn't wait for anyone to come. Finally" when they knocked on the door, they found that they were in a bad state, so they called 120 for help. "

"Call the police, contact the Centers for Disease Control and Prevention, and ask them to isolate that neighbor immediately. Also, find out where they have traveled. Especially find out whether they have been to a natural plague area." Yuan Ping'an is still worried about the plague A problem that may continue to spread.Song'an Province is not a natural plague area, and there is a high probability that the three members of this family were infected in other places.But there are no absolutes. If other pneumonic plague patients are infected and then spread to this family, it means that there is another source of plague transmission outside the hospital, wandering around uncontrollably.

"Where did you go to play before? Have you ever come into contact with marmots, gerbils, or other rodents?" Sun Lien's move was more direct. He patted Tang Wen's shoulder vigorously and asked, Tang Wen's parents looked a little indifferent Yes, the blood oxygen saturation of the two is dropping rapidly, while other doctors are intubating for rescue.Now is not the time to worry about the spread of infectious diseases, at least it is not Sun Lien's turn to worry about it.

"We went to Xihai Province...the receptionist there treated us to roast marmot..." Tang Wen tried his best to answer the doctor's question.He is young, but he has more knowledge about this aspect than his parents, "We also saw marmot skin..."

"When did you eat it?" Sun Li'en was startled and asked hastily.

Tang Wen covered his head tremblingly, took a few breaths and replied, "The day before yesterday, we ate it before we left."

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Plague is a highly contagious disease that originated in the natural foci of plague.The disease is mainly transmitted by fleas.Animals that are naturally infected with plague can be used as a source of human plague infection.These include rodents, wild carnivores, wild artiodactyls, domesticated animals, and more.The full name of the "marmot" mentioned by Tang Wen is "Himalayan marmot".It is endemic to the Qinghai-Tibet Plateau, and it is also the main storage host of plague in the epidemic areas of the Qinghai-Tibet Plateau.

This kind of stout rodent can weigh more than ten kilograms. The fur quality is very good, and the meat is tender and delicious. In addition, it is relatively easy to catch, and at the same time, it has a strong destructive effect on the plateau grassland.Therefore, many herdsmen will catch marmots.On the one hand, it protects the pastures, while on the other hand, it is used for food and selling fur for profit.

In addition to marmots, groundhogs, a "net celebrity animal" that has suddenly become popular recently, actually have the risk of spreading plague.Sun Lien once saw pictures of some tourists feeding groundhogs at close range. It looked beautiful, but Sun Lien felt chills behind him when he saw it.If the groundhog was infected with the plague, only one or two of the seven or eight tourists who went to feed the groundhog would survive.

As a severe infectious disease, the course of plague progressed extremely quickly, and the fatality rate was very high.The infection of the three members of the Tang family all showed obvious pulmonary symptoms.If it is really plague, it is the pneumonic plague classification in the plague.The mortality rate is about 80%, and the course of the disease generally does not exceed five days.It usually takes less than 72 hours from initial symptoms to death due to multiple organ failure, and the infection is highly contagious.The bloody sputum spit out by the patient's cough and the bacteria-containing aerosol produced during breathing are all sources of transmission.

"The colloidal gold used to diagnose the plague is not available in the hospital. The samples were sent directly to the CDC. The results will come out in about 40 minutes." Xu Yourong was receiving various information from the side.This was the task Sun Li'en entrusted to her - although she had been working in the emergency department for a month, Xu Yourong was still not particularly proficient in rescue.She can't help much with the treatment of this severe infectious disease.After thinking about it, Sun Li'en simply asked her to be in charge of communication and coordination of rescue matters.From requesting consultation to drug preparation, from reporting to the CDC, to assisting the hospital to establish an airtight door outside the door of the emergency room.In short, all these busy and heady matters were left to Xu Yourong to handle.

Xu Yourong also lived up to Sun Lien's expectations. The coordination ability she showed was extremely impressive—holding three mobile phones and two landline microphones at the same time, and performing mixed voice and text input on WeChat, Xu Yourong didn't make any mistakes.

"There's no time to wait for the results." Sun Li'en frowned and looked at the state of the three members of the Tang family. Tang Wen probably had the advantage of being young, but his parents were not so lucky.Both Tang Xingde and Hou Huiying's heart rate exceeded 160, while their systolic blood pressure was less than 100. Both of them are currently in shock.Nurses opened four intravenous lines on the two and are rapidly infusing glucose solution and crystalloid.Their condition is very bad, and no one knows how long the couple can survive under the full rescue of the emergency room. "First use the medicine according to experience, and take a skin test to see if you are allergic to streptomycin. If not... Streptomycin is injected into the muscle with 500 grams, and ciprofloxacin is given as an intravenous infusion of [-] mg."

"Doctor Sun, Dean Song's phone number." Just after the doctor's order was issued, Xu Yourong called Sun Li'en over to answer the phone. "Can you take it now?"

"Dean Song." Sun Li'en answered the phone, and on the other end of the landline, Song Wen asked calmly, "Do you suspect that the three patients are plague?"

Sun Lien responded, "The patient had contact with Himalayan marmots in Xihai Province 48 hours ago and ate marmot meat. He currently has a high fever of 41°C and severe lung symptoms. According to the diagnostic criteria, he is a highly suspected case."

"I didn't ask about the diagnostic criteria, Sun Lien, I was asking you." Dean Song raised his voice a little, "Do you think these three people are plague? Could it be pulmonary anthrax?"

"The early symptoms of pulmonary anthrax do not have high fever, and their progress is too fast to fully match the symptoms of anthrax. Considering the history of exposure, the possibility of plague is the greatest." Of course Sun Li'en dare not say that this is plague - he has not seen it yet What about the living plague patients?

Dean Song sighed, "Then treat it according to the plague first, I warn you, you are absolutely not allowed to take off your fucking mask this time, it will kill you, you know?!"

"I know!" Sun Lien stood at attention unconsciously.He already knew how terrible the nosocomial infection was and how terrible the plague infection was.After the isolation is completed, he will never enter the isolation area without wearing P4 protective clothing.

(End of this chapter)