Chapter 250

Shanhai city is a small city, and Jiangxing town of Shanhai city is a small place. Although it is on the seashore, there is no tourism industry.

In this small town hospital, more than 20 similar cases of fever, fatigue and cough have been treated from morning to night on August 2.

Patients with mild illness are suspected to have a cold, and those with severe illness are suspected of pneumonia.

When Huang Lin, an 18-year-old patient named Shen haoxuan, who was on the night shift in the emergency department of internal medicine, heard the patient clearly say that she was infected by a middle-aged uncle's cough on the bus, she suddenly realized that something was wrong.

It's like an outbreak of an infectious disease.

So Huang Lin became alert and took a look at the similar cases admitted to the hospital all day in the medical record system.

The middle-aged uncle in Shen haoxuan's mouth is a real person. Wang Guoxin, a 43 year old patient admitted to the Department of internal medicine from the emergency department at more than 8 a.m. this morning.

The more Huang Lin looks at Wang Guoxin's medical records, the more upset she feels.

On duty doctor Zhang Bo initially diagnosed Wang Guoxin as "right lower lung pneumonia".

Wang Guoxin's condition is very serious, with a temperature of 39.5 ℃ - 41 ℃. He coughs, coughs with dark brown sticky phlegm, occasional hemoptysis, and suspected rotten meat. He is considered to be pulmonary inflammatory and rotten tissue. The chest X-ray showed that the chest X-ray showed no obvious pain in the right lower lung.

He said that he had been coughing for a few days. This morning, he began to feel very uncomfortable. He coughed up more sputum and had hemoptysis. Therefore, he felt afraid and came to the hospital to have a look.

At that time, Dr. Zhang gave the patient three routine tests, including liver and kidney functions. Blood routine showed that white blood cells increased significantly. According to the results of emergency chest X-ray examination, Dr. Zhang considered that it was pulmonary bacterial infection. After bacterial culture of sputum and blood, he immediately received empirical medication, intravenous cefuroxime sodium anti infection, etamsylate hemostasis, glucose and saline rehydration support, and oral paracetamol for antipyretic.

The patient's temperature sheet made Huang Lin's heart churn up. Although she took antipyretic drugs orally, her temperature did not fall down, which was above 39 ℃.

"I hope I'm just sensitive." Huang Lin immediately called the inpatient department to understand Wang Guoxin's current condition. As a result, a heart sank to the bottom of the ice cellar.

The nurse on duty gave her feedback that the patient's cough, expectoration, hemoptysis and other symptoms were significantly aggravated, and her spirit was more depressed

Huang Lin feels that this is not like general pneumonia.

Dr. Zhang may have been misdiagnosed

The internship experience in University tells Huang Lin that it is a common thing to treat 40 or 50 pneumonia patients a day if it is a tertiary hospital; however, for jiangxingzhen hospital, 20 pneumonia patients a day is too much. She is also very clear about this after working here for several years after graduation.

Wang Guoxin was the first patient with pneumonia admitted to our hospital today. The second case appeared more than 3:00 p.m. and then the outbreak was raging after 7:00 p.m.

By her hand, she has treated 18 cases of pneumonia patients! And what Shen haoxuan said

"It could be a form of SARS."

Huang Lin told another doctor on duty in the emergency room, Zhao Yutao, who was in charge of surgery, about reporting the epidemic.

The town hospital is small in scale, with two doctors in and out of the emergency room.

"Epidemic!" Zhao Yutao, a middle-aged man, frowned when he heard the speech, "it's very normal that the weather is sultry these days, and there are more pneumonia patients than usual."

Once the epidemic situation is reported, whether it is true or not in the end, there will be more. Especially now, Zhao Yutao is reluctant.

Zhao Yutao has never liked Huang Lin very much. She is a famous university student. She graduated from the Medical College of Dongzhou University. She is young and vigorous, and always likes to make trouble. "The first case you said will be transferred to the municipal hospital for treatment. Our conditions are limited." He also wants to persuade.

"Brother Zhao, this is really unusual." Huang Lin insisted on his own judgment, "to invite people from the city's CDC."

She immediately called the hospital infection management office and the Ministry of health and education to report on the "severe acute respiratory syndrome" of class B infectious diseases, and there was not a case, but an outbreak.

"The incubation period of the first-episode patients should be more than five days, with prodromal symptoms, but after fever this morning, the disease developed very quickly. Another patient suspected to have been infected by the first-episode patient is also like this, 6-7 hours have hemoptysis! "

Huang Lin said it very seriously, but also made it clear that the seriousness, and asked the authorities to report immediately.

There is a time limit for reporting the epidemic situation of infectious diseases, i.e. 2 hours for class A infectious diseases and 24 hours for class B and C infectious diseases.

When an outbreak occurs in category B, it shall be reported according to the time limit and manner of class A.

But that could be in two hours. Huang Lin is really worried about the delay of the Ministry of medical education, and reports to the police an hour later.

Now every minute is extremely precious. Every minute we take the epidemic control measures one minute earlier may save one more life.The Ministry of health and education responded quickly. The call to the municipal CDC was 20:32 on the evening of August 2.

Huang Lin finished the report and returned to her post. She also admitted the 21st pneumonia patient, followed by the 22nd and 23rd cases

When the number of cases quickly exceeded 30, Zhao Yutao was flustered, and the hospital infection department was also flustered. All the nurses understood that something was wrong.

At the same time, the Municipal Center for Disease Control and prevention made immediate arrangements for this public health emergency, requiring Jiangxing town hospital to do a good job in isolation of patients and medical staff safety protection. On the other hand, he Feng, the chief expert, was sent to lead the team to conduct epidemiological investigation and be responsible for the on-site treatment.

"Oh, good, good." When he Feng received the call from the center, the family was having dinner at home, "I'm going to start."

The wife is also disease control, understand this, but seven year old daughter Niu Niu is not very happy: "Dad, you can go after dinner."

"Dad's going to work. Listen to mom." He Feng stroked his daughter's head and left.

To do disease control is to race against time, and to run where there is a suspected epidemic, which has long been his normal life.

Under the dark night, he Feng got on his epidemic prevention and control car. Li Wen, his deputy, immediately handed him a stack of documents. It was the infectious disease report card filled in by the reporting doctor Huang Lin, the relevant patient's medical records and personal reports. He Feng looks at each page carefully. The more he looks at it, the deeper he feels

Town hospital can not complete most of the pathogen antibody detection, even CT equipment are not, and half a day is too short, Wang Guoxin is what pneumonia is not good.

But he Feng agreed with Dr. Huang Lin's clinical judgment that this is not like ordinary pneumonia.

At this time, deputy Li Wen received a phone call and said in a cold voice: "group leader he, there are 30 cases in Jiangxing town hospital."

"Isolate the whole hospital immediately." He Feng's edict lines wrinkled slightly, and resolutely said: "the patient's cough and vomit can not leave Jiangxing town. Let the center send the equipment in, and all people should do three-level protection. We may have to apply for a blockade this time Jiangxing town. "

After a while, he did not say the ominous "blockade of Shanhai city".

I hope it's just a false alarm. I hope it can be transmitted through close contact with the patient and inhaling the droplets they cough up.

I hope The epidemic area will not be very large

The uneven road makes the car a little bumpy. He Feng looks out the window of the car and looks back at the street in the dark. The faces of his wife and daughter flash through his heart.

Niuniu, dad may not be home for many days this time.

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