I can see the status bar

Chapter 169 Closing the Emergency Department
Zhou Ce and Liu Tangchun boasted that attracting firepower was effective—at least Sun Lien quickly completed the pre-charging and connection of the dialysis machine.

"Okay, okay, let's take a break." The old and cunning Liu Tangchun watched Sun Li'en finish his work, and waved his hand to stop Zhou Ce's words, "The two of us will be torn apart by the nurses."

"I've wanted to rip your mouth for a long time." Hu Jing came over in a nurse's uniform, stepped forward and took Hu Jia's hand.The head nurse said dissatisfiedly to Liu Tangchun, "You are a man of age, why are you talking so stupidly?"

"If I hadn't said anything stupid, Hu Jia would have rushed in." Liu Tangchun spread his hands, "I have no choice but to understand, long live understanding."

Hu Jing pulled her niece behind her, and warned this troublesome little girl with her eyes.Turning to Liu Tangchun, he said, "Director Liu, according to regulations, the nursing of this kind of patients should be performed by qualified and voluntary nurses from the Nursing Department." Hu Jing said, "I am the head nurse of our department. I am married and have children. I’m still a party member. So I should be the first to do the nursing, and then wait for the nursing department to transfer personnel to take over the role.” She looked at Liu Tangchun and asked loudly, “Do you have any objections?”

"No objection." Liu Tangchun shook his head, and then asked, "But...Xiao Sun is doing well now, so it's not your turn yet, right? Or wait a little longer, and we'll send the patient away as soon as the results of the preliminary examination come out. Transfer to a designated hospital. This will also reduce the risk of exposure..."

"Ms. Liu, the patient's current situation may not be transferred." Sun Lien interrupted Liu Tangchun's speech, "There is basically no room for parameter adjustment of the ventilator, but her blood oxygen saturation still cannot go up."

Wu Fenmei's condition is complicated and extremely dangerous. H7N9 bird flu caused severe pneumonia and high fever.Severe pneumonia triggers systemic inflammatory response syndrome (SIRS).The three main comorbidities of systemic inflammatory response syndrome, shock, DIC, and organ failure, have all been manifested.If the police find the patient's family members, I'm afraid the emergency room has issued several critical illness notices in succession.

Yes, Wu Fenmei has been admitted to the hospital for more than two hours, and her family members have not been found yet.All the rescue measures in the rescue room so far have been carried out with the help of the four-level emergency response mechanism and the authorization of the medical department.Both the hospital and the doctors share the huge pressure and risk—in case Wu Fenmei is not rescued, and the family members are the kind of bastards who get into the eyes of money.In the next period of time, I am afraid that the Fourth Central Hospital will be tortured by the doctors again.

That's why Liu Tangchun has been thinking about transferring Wu Fenmei to a designated hospital for treatment.On the one hand, he has to consider the bad impact of the closure of the emergency room of the Fourth Central Hospital, on the other hand, he also needs to avoid some risks for his medical staff as much as possible.It doesn't matter whether the risk comes from the disease itself, or another incurable ailment.

"Let's take a look first." Liu Tangchun looked a little ugly.Patients with such serious and complex conditions should be managed by ICU, who are more experienced in life support and intensive care.But now the only person who can directly contact patients is Sun Lien.The group of guys in the hospital sense office said that they did not "borrow" the equipment needed to refill the compressed gas cylinders.They have to be borrowed from the Level [-] biology lab in the college.The most optimistic estimate, it will take about an hour to complete the inflation work.

"Director Liu..." Lao Wu, a policeman stationed at the hospital, also came, and he said to Liu Tangchun, "The patient's identity has been found."

"Oh? Finally, there is good news." Liu Tangchun raised his eyebrows, "Has the family members come yet?"

"The family... can't come." Lao Wu cried and said, "The one who was admitted to the Second Hospital for suspected avian flu was her wife. The old couple has no children, and the closest relative is working in Shanghai. They have to come back tomorrow afternoon. "

Hearing these words, Sun Li'en suddenly felt a cold sweat break out from behind.

He is not foolhardy.The reason why Sun Lien dared to come to see patients wearing a mask at the beginning was because so far, there has been no case report of human-to-human transmission of highly pathogenic avian influenza.

Some types of human influenza can infect both poultry and pigs, and spread between pigs and poultry, causing the virus to mutate rapidly.During the mutation process, a low-pathogenic avian influenza type H7N9 appeared in the poultry population.This type of avian influenza is not too severe for poultry, but it has a very high fatality rate for humans.According to general statistics, the mortality rate of patients infected with H7N9 bird flu is as high as 30-60%.

According to Sun Yat-sen University's 13-year virus traceability survey, the H7N9 avian influenza virus genes that are occasionally transmitted in China come from wild bird populations in Zhejiang, Jiangsu, Shanghai and South Korea.And this mutation spread latent after wild birds came into contact with poultry, and became a highly pathogenic strain to humans.

But perhaps because of the nature of the virus, the ability of this strain to transmit from person to person is weak.Although there are occasional reports of co-disease among family members, it is still impossible to confirm that H7N9 avian influenza can be transmitted from person to person-in the report of co-disease among family members, the patients all have a history of contact with poultry.

The virus research report of Sun Yat-sen University also supports this view.According to the experience gained from the study of H5N1 avian influenza, in order for the avian influenza virus to achieve the condition of "droplet transmission", it needs to have three kinds of mutation combinations at the key amino acid positions of HA.Among the H7N9 viruses they isolated, there are only two H7N9 viruses with this key amino acid site mutation.In other words, from the perspective of virus structure, the H7N9 virus does not yet have the possibility of droplet transmission.

This is why Sun Lien boldly entered the clean room. H7N9 cannot transmit human to human, or the ability of human to human transmission is very weak.When other doctors were still unable to determine what the patient was suffering from, Sun Lien already knew that she was infected by the bird flu virus, which has a weak droplet transmission ability.

But now, Sun Li'en suddenly thought of a very dangerous possibility.

Viruses mutate.The patient's family had no children, and the old couple who lived together day and night almost fell ill at the same time.This had to make Sun Lien start to worry.If... the virus has mutated, it may spread to itself through droplets - no wonder the status bar will use such an obvious prompt to warn itself!

"Report this situation to the CDC immediately." Liu Tangchun immediately made up his mind, "Report the situation to the Second People's Hospital and ask them to increase the level of protection. Call the municipal party committee and government and ask them to immediately increase the level of the emergency response mechanism..." Liu Tangchun took a look My own department, as well as the surrounding medical staff, "contact the affiliated hospital to allow them to accept patients with stable vital signs. Contact intensive care medicine and ask them to vacate the negative pressure ICU intensive care unit and transfer all patients who cannot be transported there."

Hu Jing's face sank like water, she had already heard what Liu Tangchun wanted to do.While listening, she took out her mobile phone and quickly pressed on the screen.

"Contact the medical department..." Liu Tangchun sighed deeply, "announced the closure of the emergency department. All emergency medical staff are under quarantine and observation, and no one is allowed to leave the hospital without the permission of the director and the higher authorities!"

　The research results mentioned in this article come from "Journal of Sun Yat-Sen University (Medical Science Edition)" in May 2013, Volume 5, Issue 34.

　　Title of the article "Research Status of H7N9 Avian Influenza"

　　AuthorProfessor Jiang Lifang
　　Professor Jiang Lifang's research direction is molecular virology, mainly studying the etiology, pathogenicity and immune mechanism of dengue virus, influenza and human avian influenza virus, SARS coronavirus
　　
　
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