Knowing that the patient was H7N9, Qian Xiaolin was indeed slightly relieved, before the patient was diagnosed, what he was most afraid of was the emergence of a new type of infected virus.

H7N9 is a type of avian influenza that was first detected in Shanghai and Hai'an at the end of March 2013 and is a sporadic infectious disease.

Sporadic refers to the scattered medical records, and there is no large-scale infection, because the H7N9 avian flu has been appearing for several years, so Qian Xiaolin still knows something about this virus.

This avian influenza is an acute respiratory infectious disease caused by a new subtype of virus infection, and the main route of transmission is respiratory transmission, and once inhaled the secretions and excreta of birds contaminated with avian influenza virus, it is easy to infect avian influenza. Some patients are also susceptible to H7N9 avian influenza by eating undercooked and undercooked poultry food, which happens to carry the avian influenza virus.

So far, although there is no vaccine for H7N9, there has never been human-to-human transmission, which is why Qian Xiaolin breathed a sigh of relief. 、

The unknown is always more terrifying than the known.

It is known that no matter how terrible it is, at least the doctors already have a corresponding response plan, how to protect it, how to deal with it, if it is unknown, it will really be scrambling.

Even if this unknown virus is not very contagious, no protective measures are too much until it is clear.

Qian Xiaolin heard that in the first half of the year, there was an infected person with a new mutant virus in the Jiangzhou Provincial Medical Affiliated Hospital, and the emergency department of the Jiangzhou Provincial Medical Affiliated Hospital was temporarily closed for 11 days.

As for how the Jiangzhou Provincial Medical Affiliated Hospital finally responded, Qian Xiaolin did not have an in-depth understanding and was not very clear.

Just thinking about it, Qian Xiaolin suddenly thought that Fang Han was from Jiangzhong City, and asked: "Xiaofang, in the first half of the year, there were infected patients with the new mutant virus in the Affiliated Hospital of Jiangzhou Provincial Medical University, do you know about this?"

"Yes. ”

Fang Han said: "I was in the hospital at the time. ”

"You're on the scene?" Qian Xiaolin was stunned, he really didn't know about this.

At that time, although Fang Han's name was on the Jiangzhou Daily, Jiangzhou Daily was only a local provincial newspaper after all, and it did not belong to a special national medical newspaper, and Qian Xiaolin did not know it.

"I was in charge of the treatment at the time. Fang Han said.

Qian Xiaolin's mouth opened slightly.

Although he did not know the specific process, he did know that it was said that the new mutant virus discovered at that time was a virus similar to SARS, which was highly transmissible and had a high mortality rate, and the International Health Organization had only found infected people in some places such as Saudi Arabia.

However, several infected patients found in the hospital were all recovered and discharged, and the cure rate can be said to be 100%, but I didn't expect that Fang Han was in charge of treatment.

"Director Qian, the patient's wife is here and wants to see you. ”

Qian Xiaolin was still a little dazed, Wang Haobo had already walked in, he had just gone to be responsible for notifying the hospital and asking about the patient's family.

Although H7N9 is currently known to be infected by birds, since the hospital has found an infected person, it is still necessary to understand the source of infection of the patient, and if it is known that infected poultry have appeared near Yanjing, then the relevant departments should do a good job to avoid more people from being infected.

"The patient's wife?" Qian Xiaolin was stunned for a moment.

"The patient's wife is Director Mei of the Medical University Hospital. Wang Haobo added.

"Why didn't you say it earlier. ”

Qian Xiaolin said a word, Fang Han explained twice, and then walked out of the rescue room.

Outside the rescue room, a middle-aged woman of about forty-five years old was standing in the doorway.

"Director Mei. ”

Qian Xiaolin walked out of the rescue room, saw the other party at a glance, and hurriedly greeted him.

"Director Qian. Mei Shuqin hurriedly stepped forward and stretched out her hand.

Qian Xiaolin shook hands with Mei Shuqin and said, "I didn't expect the patient to be Director Mei's lover." ”

"I'm sorry Director Qian. ”

Mei Shuqin was very polite and asked, "I heard that my lover has been diagnosed, is it H7N9?"

"Well, it has been confirmed, and the nucleic acid test result has come out, positive. Qian Xiaolin nodded.

Mei Shuqin is the deputy director of the respiratory department of the Medical University Hospital, and she is also an expert in this area, so she naturally knows what H7N9 means.

Although this disease is a sporadic disease, it has an acute onset, and there are symptoms of respiratory tract infection such as fever and cough in the early stage of the disease. Severe pneumonia-related manifestations such as dyspnea appear 5-7 days after the onset of illness, and progressively worsen, and some cases can rapidly progress to acute respiratory distress syndrome and death.

Mei Shuqin had just heard Wang Haobo say that his lover was sent to the emergency department of Yanjing Hospital because of acute respiratory distress.

Acute respiratory distress syndrome (ARDS) can be considered quite serious.

"Director Qian, I wonder if I can participate in the treatment?" asked Mei Shuqin.

"Director Mei is an expert in respiratory diseases, and with Director Mei involved in the treatment, it is too late for me to welcome it. Qian Xiaolin agreed.

If it were other doctors, Qian Xiaolin would naturally ignore it, and if it wasn't the doctors from Yanjing Hospital who participated in the treatment, who would be responsible if something happened?

But Mei Shuqin is different, on the one hand, Qian Xiaolin and Mei Shuqin know each other and know that Mei Shuqin is an expert in respiratory diseases, second, Mei Shuqin is a family member of the patient, and third, the medical hospital is also a top tertiary hospital that can be compared with Yanjing Hospital, and Mei Shuqin, the deputy director of the respiratory department, still has a big card.

"Thank you, Director Qian. Mei Shuqin hurriedly thanked her.

As a doctor, Mei Shuqin should understand the rules, and Qian Xiaolin agreed to her participation in the treatment, which is a favor.

Director Mei was polite. ”

Qian Xiaolin was polite, and then said to Wang Haobo: "Get a mask for Director Mei." ”

Wang Haobo hurriedly took a mask for Mei Shuqin, asked Mei Shuqin to wear a mask, and then entered the rescue room.

In the rescue room, Fang Han was observing the patient's condition.

Fang Han, a new type of avian influenza disease, has heard of H7N9 for a long time, but it is the first time he has encountered such a patient, although the treatment of diseases in traditional Chinese medicine is not limited to the names of some diseases in Western medicine, but the severity of some diseases and changes in the condition are still helpful for doctors to refer to.

The onset of this disease is urgent, and the danger of severe patients is great, Fang Han is still clear, so he is also very cautious.

After entering the ward, Mei Shuqin hurriedly stepped forward and looked at her lover.

At this time, the patient cooperates with oxygen therapy, hanging on a drip, and the respiratory rate is relatively fast.

Mei Shuqin took a look at her lover's situation, and then asked Qian Xiaolin: "How does Director Qian plan to treat it?"

"Does Director Mei have any suggestions?" Qian Xiaolin did not answer, but asked rhetorically.

"If I could, I would like Chinese medicine to be involved in the treatment. Mei Shuqin said.

As an expert in respiratory diseases, Mei Shuqin not only knows a lot about this disease, but he has also treated such patients himself.

Based on the known cases, the prognosis for severe cases of H7N9 avian influenza is generally not good.

Although the mortality rate of H7N9 avian influenza is lower than that of H5N1 avian influenza, the case fatality rate of H7N9 is 20%, the fatality rate is 60%, and the case fatality rate of H7N9 is 20%.

However, the prognosis of avian influenza patients is generally not optimistic, and there may be a high probability of sequelae after treatment, such as respiratory insufficiency, and even the need for long-term oxygen replacement, and some will remain with nephritis, cerebral insufficiency, brain cell death, etc.

As an expert in respiratory diseases and a family member of a patient, Mei Shuqin has to consider not only treatment, but also prognosis.

Qian Xiaolin nodded when he heard this: "I agree with Director Mei's opinion. ”

Saying that, Qian Xiaolin beckoned to Fang Han and said to Mei Shuqin: "Director Mei, let me introduce to you, Doctor Fang Hanfang, an expert in traditional Chinese medicine, has rich experience in the treatment of similar respiratory diseases. ”

If it had been before, Qian Xiaolin might not have said this, but after learning that Fang Han was actually the chief investigator of the incident at the Affiliated Hospital of Jiangzhou Provincial Medical University, Qian Xiaolin had actually decided to hand over the patient to Fang Han just now.

Although the infected patients found in the Affiliated Hospital of Jiangzhou Provincial Medical University are mutant viruses, they are not the same virus infection as the N7N9 patients this time, but they are all respiratory diseases, and there are many similarities in both onset and symptoms.

In layman's terms, they all belong to patients with pneumonitis.

And in some ways, the infected patients in the hospital are even more serious.

Since Fang Han can cure the infected patients in the hospital attached to the hospital, the patients in front of him should be able to solve them for Fang Han.

As for the truth of what Fang Han said.

With Qian Xiaolin's understanding of Fang Han, Fang Han would never lie about this kind of thing.

And with Fang Han's ability, there is no need for him to pretend to be the credit of others.

"Xiao Fang, this is Director Mei Shuqin Mei of the Respiratory Department of Yenching Medical University Hospital, Director Mei is an expert in respiratory diseases and the patient's lover. ”

"Hello Director Mei. Fang Han nodded politely to Mei Shuqin.

"Hello Dr. Fang. ”

Mei Shuqin nodded, but her expression was a little confused.

Qian Xiaolin, what's going on, introducing her to such a young little doctor?

The reason why Mei Shuqin suggested that Chinese medicine practitioners participate in the treatment just now is that she really knows the prognosis of this disease, and secondly, because she knows the level of several Chinese medicine experts in Yenching Hospital.

If this is another hospital, Mei Shuqin really doesn't feel at ease with Chinese medicine treatment.

It is true that TCM treatment has a good prognosis and few complications, but this disease is by no means curable by any Chinese medicine practitioner.

Mei Shuqin doesn't joke with her lover's life.

If you choose between prognosis and life, Mei Shuqin will naturally choose life without hesitation.

"Director Qian, Doctor Fang, the decoction is here. ”

Mei Shuqin was still stunned, and the nurse had already come with the boiled soup.

"I'll see. ”

Fang Han stepped forward to take the decoction, tried the medicinal properties, and then said, "Feed the patient." ”

"Wait......."

Mei Shuqin hurriedly stopped.

What is this, what is this, this is medicine?

What about Tan Guangping, what about Du Yuntao, and what about Xue Wenhui?

Not a single expert from the TCM department was present, what is going on?