I can see the status bar

Chapter 166 Takes a sudden turn (Part [-])
Liu Tangchun looked nervous as he watched the throat swab bottle being sent out of the clean room.

According to the current regulations, if this anonymous person is diagnosed with bird flu, and the case in the second hospital is also confirmed.Song'an Province has to enter the province's secondary response mechanism, and the Fourth Central Hospital, which is the receiving hospital, will also be closed and thoroughly disinfected as an epidemic point.

The main reason why the emergency room of the second hospital is closed but does not affect the overall situation is because the fourth central hospital treats patients from the bottom up.But if even the emergency department of the Fourth Central Hospital is closed, where should those patients who need emergency services go?The Fourth Central Hospital undertakes more than [-]% of the emergency work and tasks in the entire region. Once the emergency department is forced to close due to the epidemic, there is no way to deal with the extra [-]% of the emergency work—the emergency departments of other hospitals can barely digest the first half of the emergency work. Additional patients brought on by two hospital closures.

Faced with this situation, Comrade Liu was of course very nervous to death.In case the emergency department is closed, who knows how much funding for the emergency department will be deducted in the next financial cycle!

The hospital staff entered the clean room wearing positive pressure protective clothing, and first put Xu Yourong into the protective clothing they brought.Both Xu Yourong and Zhong Yu, who had direct contact with the patient, will be sent to the fever clinic for isolation and observation until the infectious disease experts confirm that she has no symptoms of bird flu.

"Let you be a hero." Liu Tangchun crossed his arms and stared at Sun Lien, "How does it feel to be trapped inside?"

Wearing a mask, Sun Li'en spread his hands towards Liu Tangchun, "Ms. Liu, you forced me into this treatment team. Now that this kind of thing happens, I can't shrink back, can I?"

"Are you still stubborn?" Liu Tangchun frowned and was ready to curse, "Didn't the teacher teach you when you were in school? Protect yourself before you can help others!"

"Aren't I wearing a mask?" Sun Lien chuckled twice, "Don't worry, it's not that mysterious."

An old man and a young man bickered through the door, and the hospital flu doctor next to him rolled his eyes.After the inspection department sent Anonymous's test results, the hospital doctor was a little relieved.Anonymous's five tests for infectious diseases were all negative, it seemed that at least Xu Yourong didn't need to worry about the impact of other infectious diseases - as long as he continued to observe the bird flu.

"Look, you kid is lucky." Liu Tangchun showed Sun Lien the checklist, which reassured Sun Lien a little, and then asked, "How is the patient's condition?"

"To be honest, it's not very good." Sun Li'en turned around and looked at the status bar, "After suctioning the sputum, the blood oxygen concentration has temporarily increased, and it is only 91% now. I suggest stopping imipenem and cilastatin sodium and replacing it with Peramivir injection."

Liu Tangchun knew that Sun Lien wanted to ask for his consent.Xu Yourong was isolated, and Sun Lien could only use his own prescription rights.

Liu Tangchun pondered for a moment, then nodded in agreement with the suggestion. "Since imipenem has been used, it's over."

"Didi, Didi." The heart and lung monitor called again.Sun Li'en hurried to the hospital bed. "Anonymous" Wu Fenmei's blood oxygen saturation began to drop again. "Intubation!" Sun Lien immediately decided on the direction of rescue. The patient was already breathing pure oxygen, and the blood oxygen saturation dropped again, indicating that the patient's own respiratory function was failing.Simply relying on oxygen inhalation and non-invasive positive pressure ventilator can no longer reverse the situation.The advanced airway must be opened immediately, and the patient's vital signs must be kept normal by a ventilator.

Usually in the emergency room, there are many doctors and nurses who can help with the rescue, but now there is only Sun Lien in the entire clean room.Liu Tangchun reacted very quickly, as soon as he heard Sun Lien's voice, he was ready to put on protective clothing to help.But how can the positive pressure protective clothing brought by the hospital infection department be so easy to put on?Wearing it with the assistance of two people takes at least two or three minutes to get ready.Liu Tangchun scolded people while wearing it, "The funds you usually need to come are fed to dogs? What are you doing with P3 level protective clothing? Show off that you have it? The patients in it are avian flu at best, and not fucking smallpox!"

But Sun Li'en couldn't hear Comrade Liu's swearing anymore.He was trying hard to insert the throat on Wu Fenmei's body.Her condition was very bad. As soon as the laryngoscope was removed, a steady stream of pink phlegm gushed out from the depths of her throat.The narrow field of view afforded by the laryngoscope is almost instantly covered with phlegm.Holding the medium-sized throat, Sun Li'en could only use his memory to go down.Fortunately, the intubation was successful, otherwise, Sun Lien was really worried about his lack of experience if he really had to do pharyngotomy and intubation.

"Director Liu, you don't need to come in." Sun Lien shouted towards the door, "The pipe is plugged in!"

"Call earlier if you have the ability." Liu Tangchun opened the door and walked in.The positive pressure suit itself is like an inflated doll costume.Relying on the gas cylinder on the back, the internal pressure of the positive pressure protective clothing is always slightly higher than the outside world.In this way, even if the protective clothing itself is damaged, the positive pressure can ensure that outside pathogens cannot enter the protective clothing in a short period of time.

Generally speaking, only the highest-level P4 biosafety laboratories will be equipped with this kind of equipment, and this is not just because the protective clothing is expensive.More importantly, if there is no external inflation port, this protective suit will not last long with only the backpack gas cylinder.Moreover, the Fourth Central Hospital itself did not design a P4-level chemical disinfection spray room.It can be said that such protective equipment cannot fully play its due role, but it is extremely troublesome to use.No wonder Liu Tangchun was so dissatisfied with the hospital feeling department.

"Do you think we bought this thing?" Bi Tianhua, the director of the academy, jumped outside the door, "I borrowed these sets of equipment from the biology laboratory of the college with a shy face!"

"Look at you." Liu Tangchun turned around, and said disdainfully to Director Bi Tianhua outside the door, "I don't know how to dig a corner!"

Ignoring the threat of "I'm going to come in and kill you" from the director of the Hospital Infection Office, Liu Tangchun turned his head to look at "Anonymous" Wu Fenmei on the hospital bed, and asked Sun Li'en, "How is it?"

"It looks okay." Sun Lien glanced at the monitor, "The blood oxygen concentration has reached 93%."

"Wait for people from the hospital to come in later, and you can go and accept the quarantine." Liu Tangchun looked at the mask on Sun Lien's face and breathed a sigh of relief. N95-level masks are sufficient to protect against bird flu.As long as it is carefully disinfected and isolated for a while, it will be fine.At present, the main mode of transmission of avian influenza is still transmitted to humans through birds, and the situation of human-to-human transmission has not yet occurred.Compared with SARS, bird flu is obviously more "mild".Although the mortality rate was as high as 30%, at least it was not that violent.

Liu Tangchun's kindness was rejected by Sun Li'en. "You just treat it as training young people and let me continue to deal with it. Of course I have nothing to say if the person is transferred to another hospital for treatment, but since the person is in our hospital, and our hospital implements the first-diagnosis responsibility system .Then Xu Yourong has been quarantined, this patient should be handed over to me to continue to deal with."

This was the reason Sun Lien used to persuade Liu Tangchun, but for Sun Lien himself, there was actually only one reason he insisted on.

Avian influenza develops to the point of severe pneumonia, and the patient's condition may be extremely changeable.And having a status bar means that he can find the problem earlier than other doctors. Before other doctors wait for the results of the laboratory, he can find out the problem and intervene in time.

And Sun Li'en is probably the only one who can do this kind of thing in the whole world.Now that the patient has touched his own hands, he should try his best to do it.At least don't leave yourself with regrets, thinking "ah, I wish I had stayed and continued to treat her".This is Sun Lien's idea.

"You kid is just joining in the fun." Liu Tangchun glanced at Sun Lien, "You are not married, you have no children, and you are not a party member. This kind of thing is not your turn..."

Just when Liu Tangchun was about to reject Sun Lien's request, the cardiopulmonary monitor rang for the third time.Sun Li'en and Liu Tangchun looked behind together.It's just that Liu Tangchun looked at the monitor, but Sun Lien first looked at Wu Fenmei who was lying on the bed.

"Wu Fenmei, female, 57 years old, H7N9 avian influenza infection, severe pneumonia, refractory hypoxemia, hypercoagulation state."

What Liu Tangchun saw was the rapid drop in Wu Fenmei's blood pressure on the cardiopulmonary monitor.From the beginning of 150/90, the cliff fell directly to the dangerous level of 80/45.

"Director Liu!" Sun Lien called out to Liu Tangchun, "Look at her hands!"

Pimples of purpura appeared on Wu Fenmei's arm, and blood began to ooze from the part where the IV needle was stuck.Although the amount of blood oozing out was not too much, it was definitely not too little—Liu Tangchun lifted the quilt that half covered Wu Fenmei's arm, only to find that the blood oozing from the needle had stained a large piece of bed sheet red.

"Skin purpura, bleeding tendency, rapid drop in blood pressure..." Liu Tangchun gasped, "This is DIC (disseminated intravascular coagulation)."

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Liu Tangchun looked at Wu Fenmei as if he was looking at a dead person.Although he immediately asked the doctors on standby outside to bring heparin, even Sun Li'en knew that Wu Fenmei's condition was so critical that it was almost hopeless.

There may be many reasons for Wu Fenmei's disseminated intravascular coagulation.It may be the circulatory system disorder caused by shock, the systemic coagulation caused by severe pneumonia caused by avian influenza infection, or even the coagulation reaction triggered by the previous prolonged upper respiratory tract bleeding.In short, the cause of the symptom is not important anymore.If DIC cannot be reversed as soon as possible, Wu Fenmei will die soon.

And the way to deal with DIC is also difficult because of the extreme duality of this symptom.There are two main symptoms of disseminated intravascular coagulation, the first is coagulation, and the second is bleeding.

When these two extremely contradictory situations appear on the patient at the same time, it is the turn of the doctor to start having a headache.

　The blood pressure of the patient described in Chapter 162 was wrong, it should be 150/90, which has been corrected now.

　　There should be two updates today

　　
　
(End of this chapter)