Chapter 13: Respiratory distress
"Dad, what's wrong with you?"
Ye Zhenzhen leaned over to the bed and asked loudly while wiping the temperature of her father's forehead with her hands.
My forehead is hot, and my dad has a fever!
Zhenzhen's father didn't seem to hear Zhenzhen's voice, and Zhenzhen shouted again, "Dad, can you hear me?"
Still no response, my dad is unconscious!
Zhen Zhen's mother said on the side: "Your dad has been coughing before going to bed tonight, saying that he has a headache and feels uncomfortable, I thought it was because of a cold, so I let him eat two cephalosporins, but I didn't expect that in the second half of the night, your dad was very hot, and I didn't respond when I called him again." ”
"Call 120 and call an ambulance!"
The sound in the house woke Nan Zhiqiao up, and when he heard that the situation was wrong, Nan Zhiqiao also walked into the bedroom to check on Zhen Zhen's father's situation.
Nan Zhiqiao stretched out his hand to test Zhen Zhen's father's pulse and heart rate, the pulse was shallow and fast, and the heart rate increased.
Looking at the face and limbs, the complexion is purple, the lips are blue, and the ends of the limbs are also blue-purple.
Nan Zhiqiao secretly screamed in his heart, "This is respiratory distress syndrome!"
Zhen Zhen's mother, who had never studied medicine, asked anxiously, "What is 'respiratory distress syndrome'?
Nan Zhiqiao was about to explain while moving her father to keep her breathing smooth, and Zhen Zhen, who was standing on the side, explained to her mother: "It is a general term for some clinical symptoms, and there are many causes of respiratory distress syndrome, the two most common causes are infection and trauma. ”
Zhen Zhen's mother: "Your dad has been fine and hasn't been injured." ”
"Then it could be caused by an infection. ”
"Infected, infected, what, didn't your dad just catch a cold, how could it be so serious?"
Zhenzhen's mother was anxious and didn't know what to do next, and Zhenzhen wasn't sure why the common cold could be so serious.
Nan Zhiqiao was also anxious and asked, "When will the ambulance arrive?"
"About half an hour. ”
Half an hour, one coming and going is an hour, it's too long!
Zhen Zhen does not have a car at home, and Zhen Zhen's father usually takes the bus or rides a battery car to work, and now in this emergency moment, there is no faster transportation.
In the case of Zhen Zhen's father, it is definitely not possible to take people on a battery car, and at two o'clock in the morning, there are very few taxis on the road.
Zhen Zhen looked at the mobile phone at the bedside, remembered the taxi software in the mobile phone, and said loudly: "You can take a taxi through the software, if we go to the fork of the seaside road, it will be faster." ”
The fork of the seaside road is 300 meters away from Zhen Zhen's home, where there are many taxis, from there, you can take a car from there to the nearest hospital in about 20 minutes.
made a decision immediately, Nan Zhiqiao picked up Zhen Zhen's father and walked towards the intersection.
At a distance of three hundred meters, Nan Zhiqiao trotted over, and Zhen Zhen and Zhen Zhen's mother followed behind.
At the intersection, a night taxi received an online message and parked there in advance.
After reporting the address of the hospital, the driver drove the car as fast as possible, and twenty minutes later, everyone arrived at Hospital H.
Zhenzhen's father was taken to the emergency room, and as soon as she lay down on the hospital bed, she was put on an oxygen mask.
Soon, the results of various examinations came out, and the X-ray showed diffuse alveolar infiltrates, and the blood test did not have high white blood cells.
If the white blood cells are not high, it means that it is not a bacterial infection, but a virus?
Just as Nan Zhiqiao was discussing Zhen Zhen's father's condition with the attending doctor, an emergency call from the hospital called the attending doctor away.
When the attending doctor received the call, his face became obviously nervous, and after a while, the doctors and nurses of the hospital changed into biosafety protective clothing, and the atmosphere of the whole hospital became tense.
There are cases of virulent infectious diseases in the hospital! This is Nan Zhiqiao and Ye Zhenzhen's first reaction when they see the hospital scene at this time.
The two were about to find a doctor and nurse to ask about the situation, when Nan Zhiqiao's mobile phone suddenly rang.
At first glance, the caller ID is a familiar Beijing number, which is the internal working number of China's CDC.
It's three o'clock in the morning, and having a work call at this time must not be a trivial matter.
Ten minutes ago, the National Influenza Center received a report from the Center for Disease Control and Prevention in Y City that a patient with avian influenza was confirmed in Hospital H in Y City, and the patient is currently being treated in the intensive care unit of Hospital H.
The National Health and Family Planning Commission is preparing to set up an emergency response team, composed of experts from hospitals and disease control, and Nan Zhiqiao happens to be on the list of expert group members on the CDC side.
It is now the National Day holiday, and in the event of a public health emergency, all relevant personnel must be urgently assembled, and Nan Zhiqiao happens to be in H Hospital in Y City at this time.
Nan Zhiqiao told the situation on his side, and at the same time asked the command center of the emergency response team to transmit all the relevant information.
When Ye Zhenzhen heard the news, her first reaction was her father, who had been admitted to the intensive care unit, but after thinking about it again, the time was wrong, my father had just entered the hospital for only an hour, and the various specimens collected from my father had not yet had time to be sent to the Y City Center for Disease Control and Prevention, and the cause had not yet been determined, and the news said that the avian flu patient must not be my father.
Nan Zhiqiao read the news from the command center of the emergency team, and it turned out that this avian flu patient was a young man in his twenties, whose name was Fang Shinan, who had a severe cold and fever yesterday afternoon and went to the outpatient clinic of Hospital H to see a doctor.
The outpatient doctor of Hospital H diagnosed Fang Shi Nan with severe pneumonia and recommended hospitalization.
Heather was transferred directly from the outpatient clinic to the inpatient department for routine anti-pneumonia treatment.
Because Hospital H is a national influenza surveillance sentinel hospital in City Y, patients with symptoms of influenza will be randomly collected from nasopharyngeal swabs and sent to the Center for Disease Control and Prevention in City Y for influenza virus testing.
Fang Shi Nan said in the outpatient clinic that he had fever, cough, and runny nose two days ago, and the symptoms became more and more serious, until yesterday afternoon he began to cough up blood, and his body was really uncomfortable, so he asked for leave to come to H Hospital.
Based on Fang Shinan's description and symptoms at the time, the doctor collected a nasopharyngeal swab for him and sent it to the Y City CDC along with other specimens of suspected flu-like cases.
Because one of the samples sent for testing, that is, the case of heather, is a patient with severe pneumonia, the hospital hopes to release the results as soon as possible.
The Y City Center for Disease Control and Prevention worked overtime overnight to test the batch of nasopharyngeal swab specimens sent, and in the first PCR experiment, the specimen of calfin heather was positive for influenza A virus, and then the influenza virus subtype was identified, and the specimen of calfin was H5N1 positive.
H5N1 is avian influenza, and humans infected with avian influenza are called human cases of avian influenza.
After it was determined that Fang Heather was infected with a case of human avian influenza, the CDC of City Y quickly reported it and notified Hospital H at the same time.
The news reached the national CDC, and an emergency command team was set up immediately afterward, and the news soon reached Nan Zhiqiao.
That's the whole process.
The fact that Nan no Qiao was an expert in the emergency response team for the avian flu incident quickly spread to Hospital H.
Hospital H found Nan Zhiqiao and cooperated with all the work needs of Nan Zhiqiao.
Nan Zhiqiao looked at the entire epidemic report, thinking of the flocks of dead birds seen on the seashore and islands during the day, and speculated that the avian influenza virus on Fang Heather may be related to these dead sea birds.