Du Wenhao handed her a towel: "Use this to cover your mouth when you cough." - How do you feel? ”

The young woman thanked her and took the towel to cover her mouth, and after a series of coughs, she gasped and said, "My chest hurts so badly, I cough, I can't breathe......

"When did it start?"

The man saw that his daughter-in-law was coughing badly, so he helped her, but he himself coughed badly: "I started last night, the child's mother went to the child's grandmother's house yesterday to visit relatives, cough cough cough ......, and when I got home, I began to have a fever and cough, and I came to find a doctor at dawn, I heard that Dr. Du, your medical skills are like a god, cough cough cough ......, even the doctor Qian worships you as a teacher, so I came to you." You can show the good students. cough cough cough ......"

Du Wenhao glanced at him: "You also cough very badly." ”

The man clutched his chest and said, "Yes, cough, chest pain...... Ahem, cough, please wait a while and give me a look. ”

Du Wenhao nodded, took the woman's wrist and began to diagnose the pulse, and after looking at the tongue, he said in a deep voice: "The moss yellow tongue is red and purple, the pulse is slippery, high fever and thirst, cough and chest pain, phlegm is like foam, hemoptysis is bright red, the syndrome is a hot poison closed lung syndrome, and it should be dominated by Ma Xing Shi Gantang and Reed Stem Soup." ”

Pang Yuqin next to him had already copied down the prescription according to Du Wenhao's dictation and handed it to the counter.

Du Wenhao was about to check the man's pulse, but at this moment, the woman suddenly covered her heart, held the table with one hand, bent over and opened her mouth to exhale heavily, and said hurriedly: "The child is ...... father, I ......, I can't breathe...... cough cough cough ......."

Du Wenhao leaned over and saw that the woman's face was cyanotic and very painful, and he hurriedly asked the man to help her to the hospital bed next to her and lie down. The young woman's breathing became more and more rapid, and she writhed in pain on the bed, her hands clutching at her throat, and there was a ho-ho sound in her throat. A face had turned cyanosis from suffocation.

Du Wenhao said urgently: "She can't breathe, fast!" Carry her to the backyard, Yuqin and Fei'er, and immediately prepare for laryngeal surgery! I'm going to cut open her trachea for intubation! ”

The man was also anxious, carrying the young woman on his back and following them into the backyard, Xue Fei'er instructed him to put the young woman on the operating table, take off the young woman's shirt, wash the throat with disinfectant, wipe the local infiltrating anesthetic, and then spread the disinfectant hole towel.

Tracheostomy is a commonly used medical technique in surgery, so Du Wenhao has ordered and sterilized the required instruments in advance.

The young woman's breathing became more and more difficult, Du Wenhao did not have time to wash his hands and disinfect, but hurriedly put on the disinfection gloves, used a scalpel to make a median straight incision from the lower edge of the young woman's thyroid cartilage to the sternum, cut the superficial fascia along the midline, separated the anterior thyroid muscle group, exposed the thyroid isthmus, and pulled it upward. The third tracheal ring is cut with a straight-pointed knife, the upper ring is incised with a scimitar, the incision is expanded with a dilator, an organ cannula is inserted and fixed, the inner cannula is removed, and the blood sputum in the trachea is sucked out.

The young woman's normal breathing was immediately restored, her rapid breathing gradually stabilized, and the cyanosis on her face was relieved.

Du Wenhao was very strange, he had previously judged that the young woman had acute tracheitis, but it is generally impossible for acute tracheitis to have difficulty breathing in such a short period of time. Moreover, the young woman's husband was obviously also infected, and the symptoms were almost the same, which made Du Wenhao even more uneasy, and after giving the young woman and his husband decoction, he decided to let them stay in the hospital for observation first. And asked Xue Fei'er and Pang Yuqin to wash their hands carefully with disinfectant, isolate the room, prohibit others from entering, and closely observe the situation of the young woman and her husband. Then return to the front hall and continue to sit in the hall for consultation.

At noon, Zhuang Zhixian sent a small sedan chair to pick up Du Wenhao to get acupuncture, and told Du Wenhao that the county master was going to invite him to lunch.

Du Wenhao was about to get into the sedan chair, when an ox cart came from outside, and two people jumped out of the car, one carrying a child, and the child also kept coughing. The leader of an old man took three steps and two steps into Wuweitang: "Excuse me, is my son and daughter-in-law here?" ”

Silly Fat greeted him and asked, "Your son and daughter-in-law?" Who is it? ”

"Those who came to your Wuweitang to see a doctor came early in the morning. My daughter-in-law is sick, and her name is Chunniu. ”

Du Wenhao heard it, walked over and said, "Well, it's the couple who coughed and had blood in the morning, they were hospitalized in the backyard for observation, and they were very sick." ”

"Oh, where? Can I go check it out? ”

"I suspect that your daughter-in-law's son's illness may be contagious, and you can't visit it until it's confirmed. Rest assured, they are in stable condition at the moment. It's in the backyard ward. ”

"Oops! You're Dr. Du, right? Thank you," the old man pointed to the child the man was carrying, "this is my grandson, who is also sick and coughs badly." Let's take a look. ”

Du Wenhao asked the man to put the child on the bed for examination, and the child also kept coughing, with blood in the sputum, complaining of heartache, and his pulse was like his parents, but he had not yet had serious breathing difficulties.

Du Wenhao was very strange, glanced at the man, found that his face was flushed, and asked, "Who are you the child?" ”

"I'm his uncle."

"Oh, it's not quite right for you to think about it, is there anything uncomfortable?"

The man shook his head: "No, it's just that my chest hurts a little and my head is a little dizzy. ”

Du Wenhao probed his forehead, it was hot, "Sit down!" I'll give you a pulse. ”

The number of pulses is slippery, and the moss yellow tongue is red and purple! The symptoms are the same!

Could it be that these two people were also infected? Du Wenhao's heart tightened suddenly, and he asked, "Do you know anyone else who has this disease?" ”

The old man sighed and pointed to the middle-aged man who came with the child on his back: "Alas! The child's eldest uncle just came to report in the morning, saying that ......, saying that the child had a big accident at his grandmother's house, that the grandmother had died of illness last night, that the third and fourth uncles also died before dawn, and that the grandfather and others were also very sick. When the child and his mother left the village, he was also sick, and the eldest uncle was worried, so he came to see the child's mother, they had already come to the city first, and they happened to meet the grandson who was also sick, and his uncle took an ox cart to send the child to the city to see a doctor together, and by the way, to see how the child's father and mother were. ”

The middle-aged man's expression was gloomy: "Yes, many people in the village are sick, this disease is very serious, I got sick one day, and I died the next day." More than a dozen people have died, all of whom died of illness last night. As I was leaving, I heard that several families had died. ”

What kind of disease is Du Wenhao,—— is it? If what this man said is true, so many people died in one day and night, then this infectious disease is really terrible, and the young woman just now, if she hadn't been able to tracheostomy, would have died of internal suffocation at this time! It is necessary to find out what the disease is!

Du Wenhao asked urgently: "Apart from your village, are there any people in other villages who have died of this disease?" ”

"Yes! A few days ago, some people in those villages died in one day and night, and only later did someone in our village also get sick and die of this kind of disease. ”

"What are the symptoms of the sick people in your village and other villages?"

"Hmm...... The symptoms are the same as my sister's, that is, this child's mother, the whole body is in severe pain, coughing with blood, and breathless. ”

"What about the bodies of the sick and dead? What does it look like? ”

"I haven't seen other patients, but my mother, when my two younger brothers died, there were purple-black scars on their faces, hands, and all over their bodies, and their fingernails were also black!"

- Black Death?!

Du Wenhao's heart sank to the bottom.

The Black Death is also known as the plague, especially the most serious "pneumonic plague" of the plague, and people who die of this disease will have a large area of subcutaneous hemorrhage, making the skin of the corpse purple and black, so it is called "Black Death". It is one of the most powerful infectious diseases, and in addition to being transmitted by rats, it can also be transmitted through respiratory droplets.

The Black Death ravaged Europe in the Middle Ages, with several major pandemics that claimed the lives of about 25 million people, or one-third of the total population of Europe at the time. There have also been many outbreaks of plague in China's history, causing a large number of deaths. In ancient literature, it is generally called "boil plague", "nuclear plague", "pimple plague", "big head plague" and so on.

Du Wenhao had never had experience in treating plague, nor had he ever experienced such a thing, and he really didn't know what to do if these patients were suffering from this disease right now.

Since it is suspected to be a virulent infectious disease, the epidemic area must be isolated immediately! Du Wenhao asked urgently, "Which village are you from?" ”

"Liujiawan, thirty miles outside the city."

This name is very familiar, Du Wenhao groaned slightly, and then remembered, a few days ago I went to Sankeliu Village to see a doctor in Pushan, Pu Laohan once said that he had a younger brother in Liujiawan, sick and very sick, the family was going to Liujiawan for the New Year, could it be that Pu Laohan's younger brother also had this disease?

If so, then it proves that the pneumonic plague broke out a few days ago, just not to be taken seriously! No one knew it was a terrible plague outbreak!

Du Wenhao was anxious, and hurriedly asked the old man and the middle-aged man to send the child to his parents' isolation ward in the back first, telling them not to move around casually in the house, and prescribing medicine for the three of them to decoction. Then Du Wenhao rushed to the backyard construction site to find Lin Qingdai.

Lin Qingdai is busy supervising the craftsmen to renovate the inpatient ward, and the construction has been completed for several days, and the project has been completed for more than half of the time.

Lin Qingdai was very happy to see him coming, and pointed to several two-story brick and wood buildings that had been erected on the construction site and said, "Look, the ward in the isolation area has been repaired!" The inpatient department has also been repaired for a small time, and in another month, it will almost be completed. ”

Du Wenhao said: "Very good,—— I have something urgent to tell you!" ”

Seeing his grim expression, Lin Qingdai hurriedly asked, "What's wrong?" ”

"The few newly admitted patients, I suspect that they are serious infectious diseases and must be isolated immediately, but our backyard ward does not meet the isolation conditions, you immediately sort out the repaired room to make an isolation area, and then transfer the patients to the isolation area. The quarantine area is to be isolated in strict accordance with what was said beforehand. ”

Lin Qingdai's face was worried: "Is this disease very serious?" ”

"It's so bad, you get sick and die in a day and night! The contagion was fast, and many people had died in the village! ”

Lin Qingdai's face changed, and she said in a low voice: "Is it ......, is it the plague?" ”

Du Wenhao nodded: "It's very possible, but it's not sure yet." ”