The night shift actually passed very slowly. Xu Yourong returned to the duty desk and looked at the cases. Sun Lien was snoring in the lounge. He was indeed tired.
Time passed by bit by bit, and it was already 9:45 pm. Just fifty minutes had passed since the patient was sent to the Fourth Central Hospital.
"Didi! Didi! Didi!" The cardiopulmonary monitor in the clean room suddenly sounded an alarm. Xu Yourong was stunned for a moment, then quickly dropped the materials in his hands and rushed into the clean room.
"What's going on?" In the clean room, Zhong Yu was busy checking the vital signs of Nameless Doe. Xu Yourong pushed open the room and walked in, striding close to the hospital bed. Just as she was asking about the situation, she suddenly saw Zhong Yu surprised.
s face.
"Get out!" Zhong Yu dropped the flashlight in his hand and started pushing Xu Yourong without hesitation. "Get out right now!"
Xu Yourong was taller than Zhong Yu, and all she could think about was to determine the patient's condition as soon as possible, so she simply turned around, bypassed Zhong Yu who was not sure why, and rushed to the bedside. With just one glance, she saw
The reason for the alarm is that Jane Doe's body temperature is rising rapidly, and the current body temperature has reached 38.1c.
"Get out quickly!" Zhong Yu grabbed Xu Yourong's arm, "Why did you come in without a mask?!"
Only then did Xu Yourong realize what was going on. She quickly took out a mask from her pocket and was about to put it on, but at this moment, the heart and lung monitor on Wuming Doe started beeping again. Her blood oxygen saturation was rapidly declining.
And she also made a strange "cough" sound in her throat.
"Suction!" Xu Yourong was about to step back enough to make it easier for Zhong Yu to suction, but Wumingshi suddenly coughed violently. Pink blood mixed with sputum spurted out from her slightly open mouth. Squirt
It got on Xu Yourong's white coat and sprayed on her face.
Sun Lien was called up by the panicked nurse Xiao Guo.
"Brother Sun, brother Sun, wake up quickly." Xiao Guo stood on the ground and easily pushed up Sun Lien, who was sleeping on the upper bunk, "Something happened!"
"Ah?" Sun Lien got up sleepily, "What's wrong?"
Xiao Guo was almost dying of anxiety. Seeing that Sun Lien seemed a little confused, he simply pulled Sun Lien off the upper bunk and said, "Doctor Xu may be infected."
"Infection?" Sun Lien was suddenly shocked, "What's going on?"
Xu Yourong was doing disinfection work in the clean room. The pink liquid and sputum sprayed on Xu Yourong's face may have carried a large number of germs. After coming into contact with possible sources of infection, medical staff must clean and disinfect themselves as soon as possible.
Using the oxidation potential water, soap and alcohol gel provided in the clean room, Xu Yourong quickly completed the basic cleaning work. Zhong Yu, on the other hand, was kicked out of the clean room by Xu Yourong after completing the suction.
"I will draw blood from the patient later, and you send the sample to the laboratory department." Xu Yourong threw his white coat into the yellow biological contaminant garbage bag. After tying the bag, he said to Zhong Yu, "
Let the laboratory do four coagulation tests..."
"What's going on?" Sun Li'en strode over. He looked at Zhong Yu who looked anxious and asked, "What's going on? Just now Xiao Guo asked me to get up in a hurry and didn't explain the situation clearly.
"
"There is a patient who has difficulty breathing and has symptoms of severe pneumonia, but his body temperature was not high when he was first brought here." Zhong Yu took a few deep breaths and forced himself to calm down. "But his body temperature suddenly rose rapidly just now, and it was already over 38 degrees Celsius.
.When Dr. Xu came in to check the situation...he was not wearing a mask."
"This is my mistake." Xu Yourong's voice came from the door of the clean room, and then she added, "The patient just coughed up blood. The blood splashed on me, and I may have been occupationally exposed."
"Call the people from the hospital to come over." Sun Li'en immediately understood the seriousness of the situation. He also wanted to thank the hospital department for their spare no effort in publicity. He immediately made a decision. "Please ask Director Liu to come to the scene immediately and let the hospital come."
Always bring two sets of protective clothing.”
Zhong Yu and Xiao Guo were still digesting Sun Lien's arrangement, while Sun Lien put on the N95 protective mask Xiao Guo brought. After confirming that both Xiao Guo and Zhong Yu were still wearing masks, he opened the door of the clean room.
Red patterns quickly filled Sun Lien's retina. The status bar warned Sun Lien in an almost hysterical manner. Behind the clean room door that was pushed open, almost all of the large red characters in the air read, "Warning, high risk of transmission."
This was a new situation. Sun Lien laughed bitterly in his heart. After all, Xu Yourong and he were colleagues in the same treatment team. When faced with occupational exposure, the fastest way to confirm safety was not to wait for expert assessment, but to take a look at it himself.
Status bar. It's a pity that this kind of words can't be said directly. He didn't intend to explain it in detail. He just wanted to take a look and decide what to do next.
But in the eyes of the people around him, this kind of behavior looks a bit strange.
Xiao Guo reached out to grab Sun Lien, but he didn't expect that Sun Lien only paused for a moment after opening the door, and then got into the room.
"Brother Sun!" Xiao Guo was frightened now. The patient's body temperature was 38 degrees Celsius and he also had severe pneumonia. In addition, with the city's fourth-level emergency response mechanism now activated, the patient should have been sent to the Second Hospital for isolation treatment.
.But Dr. Xu in the treatment team didn’t tell anyone when he was exposed. Brother Sun, who took good care of him, actually got in. What should I do? “What are you doing?!”
"What are you yelling for?" Sun Lien's dissatisfied voice came from the room, "I'll take over the patient, go ahead and do what you're supposed to do!" Sun Lien paused, and then raised his voice a little higher, "Why are you still standing there? Go ahead.
Call someone!"
Xiao Guo and Zhong Yu looked at each other, nodded to each other, and turned around and left the emergency room. Xiao Guo was big and suitable for moving some things. So he ran directly to the courtyard office on the third floor, while Zhong Yu stood at the door and called Liu Tangchun.
Got the phone call.
"What are you doing running in here?" Xu Yourong checked her body and confirmed that all the blood stains had been washed away. Then she found a disposable sterile gown and put it on. She was already exposed and it didn't matter whether she wore it or not.
The bacteria suit doesn't mean much anymore, but now that the clothes on his body are wet, Xu Yourong can feel a little more comfortable by wearing some clothes outside. "This patient may have severe bacterial pneumonia..."
"It's not a simple pneumonia." Sun Lien glanced at Xu Yourong, and after a pause, he turned to the inspection report in his hand. "This is probably a case of human infection with avian influenza."
The huge stone in Sun Lien's heart was lifted by more than half.
The status bar above Xu Yourong's head clearly stated, "Xu Yourong, female, 31 years old, secretes more adrenaline." Except for some excessive secretion of adrenaline due to stress, Xu Yourong was actually fine.
The status bar on the patient's head is more direct.
"Wu Fenmei, female, 57 years old, h7n9 avian influenza infection, severe pneumonia, refractory hypoxemia."
Human infection with avian influenza is a very serious infectious disease. In China's infectious disease control system, the severity of human infection with avian influenza is almost equivalent to SARS. Every suspected patient must be reported immediately to the region and
Provincial CDC and send the patient's throat swab sample to the CDC for testing. If it is the first confirmed patient in the province, the provincial CDC also needs to send the sample to the National Center for Disease Control and Prevention in the capital, and
The National Center for Disease Control and Prevention convened an expert team to re-evaluate the patient's condition.
The Second Hospital has closed the entire emergency department because it admitted a suspected patient. Being able to directly close the emergency department of a tertiary hospital shows how serious the epidemic of human infection with bird flu is.
Although Sun Lien did not need to rely on the CDC's test to know that the patient in front of him was indeed infected with avian influenza, this was of no practical help to him. Before being diagnosed by the CDC, he still had to
He and Xu Yourong were under quarantine observation together. According to the hospital's work requirements for infectious diseases, Xu Yourong needed to leave the working environment immediately. I'm afraid I can only rely on him and Zhong Yu for subsequent treatment. It is said that Xiao Guo did not enter the clean room, so he should not need to be quarantined.
The staff in the hospital's office responded quickly. Xiao Guo rushed into the rescue room carrying three sets of positive pressure protective suits, while the security guard behind him carried a gas cylinder in his hand. Liu Tangchun walked in with Xiao Guo with a sullen face.
.
"Nonsense!" After hearing about Sun Lien's actions, Liu Tangchun's face turned as dark as the bottom of a pot, "Sun Lien, you are a heartless thing! Xiao Xu has been exposed, just accept isolation and intervention, and you should also be involved.
What is the use?!"
Sun Lien had been called "Li En" by Director Liu for nearly a week, and now he suddenly heard Director Liu call him by his full name. He naturally knew that Liu Tangchun was angry. But Sun Lien could not say "I did it just to look at the status bar."
He could only explain, "The patient's condition is unstable. Since he is a patient admitted by my treatment team, I must be allowed to fight first now."
"This is a hospital! This is not a place for you to be a lone hero!" Liu Tangchun raised his fist, "When you come out without any problems, I will definitely skin you..."
"...Then fill it with straw and hang it at the door of the hospital." Sun Lien added the second half of the sentence very familiarly, "Director Liu, we will talk about skinning me later. When you let the comrades from the hospital come in, bring them with you.
Take a throat swab tool."
Liu Tangchun raised his eyebrows, "What do you mean?" Lao Liu actually didn't think the matter was serious. He was just angry at Sun Lien's "reckless" behavior. Bacterial pneumonia, even if it is contagious, should be gone with some antibiotics.
Problem.
"This patient's temperature has risen to 39.2c." Sun Lien looked back at the data on the monitor, "Severe pneumonia; refractory hypoxemia; decreased white blood cells, platelets, and neutrophils..." He paused.
, continued, "Considering that the Second Hospital admitted a suspected bird flu patient yesterday, I suspect that... the anonymous person also has bird flu."