Shanhai City is a small city, and Jiangxing Town in Shanhai City is a small place, although it is on the seaside, there is no tourism.

The town hospital in this small place had already admitted more than 20 similar cases from morning to evening on August 2: fever, fatigue, cough.

Mild cases are suspected of catching colds, and severe cases are suspected of pneumonia.

When Dr. Huang Lin, who was on night duty in the emergency department, was treating an 18-year-old patient named Shen Haoxuan, she immediately sensed that something was wrong when she heard the patient clearly say that she had been infected by a middle-aged uncle coughing on the bus.

It's like an infectious disease outbreak.

So Huang Lin became vigilant and looked at the similar cases admitted to the hospital throughout the day in the medical record system.

The middle-aged uncle in Shen Haoxuan's mouth is indeed a 43-year-old patient who was admitted to the internal medicine department from the emergency department at 8 o'clock this morning, Wang Guoxin.

The more Huang Lin looked at the new hospitalization records of the kingdom, the more uneasy her heart became.

Zhang Bo, the doctor on duty, made a preliminary diagnosis of "right lower pulmonary pneumonia" on Wang Guoxin.

Wang Guoxin's condition is quite serious, with a body temperature of 39.5 °C ~ 41 °C, cough, coughing up dark brown sticky sputum, occasional hemoptysis, and coughing up suspected erosive slough, which is considered to be lung inflammation and rotting tissue. With fatigue, body aches, a distinct crackle on the back of the right lung, and a chest x-ray showing a 6 cm × 8 cm patchy heterogeneous indistinct shadow in the lower field of the right lung, the inflammation is severe but not specific.

He said that he had been coughing for a few days, and this morning he started to feel very uncomfortable, coughing up more phlegm, and had hemoptysis, so he was scared and came to the hospital to see him.

At that time, Dr. Zhang gave the patient three major routines, liver and kidney function tests, etc., and the blood routine showed that the white blood cells were significantly elevated. Based on the results of the X-ray chest X-ray in the emergency department, Dr. Zhang considered it to be a bacterial infection of the lungs, and immediately gave the sputum and blood for bacterial culture, followed by empirical medication, intravenous cefuroxime sodium for anti-infection, phenosulfonethylamide hemostasis, sugar saline rehydration support, and oral acetaminophen for antipyretic.

The patient's body temperature list made Huang Lin's heart churn, although oral antipyretic drugs were taken, the patient's body temperature did not drop, and it remained above 39 °C.

"I hope it's just that I'm sensitive." Huang Lin immediately called the inpatient department to find out about Wang Guoxin's current condition, but his heart sank to the bottom of the ice cellar.

The nurse on duty gave her feedback that the patient's symptoms such as cough, sputum production, and hemoptysis were significantly aggravated, and his spirit was even more sluggish......

Huang Lin felt that this was not like ordinary pneumonia.

Dr. Zhang may have misdiagnosed......

The internship experience in college told Huang Lin that if it is a tertiary hospital, it is a very common thing to admit forty or fifty pneumonia patients a day; But for Jiangxing Town Hospital, 20 pneumonia patients a day is too much, and she is also very aware of this after graduating from her bachelor's degree and working here for several years.

Wang Guoxin was the first case of pneumonia admitted today, and the second case appeared at about 3 p.m., and then there was a surging outbreak after 7 p.m.

Through her hands, she has already admitted 18 cases of pneumonia! Coupled with Shen Haoxuan's statement......

"It could be a contagious atypical pneumonia."

Huang Lin told another doctor on duty in the emergency room, Zhao Yutao, who was in charge of surgery, about reporting the situation.

The town hospital is small, and there are two doctors in the emergency room.

"Epidemic!?" Zhao Yutao, who is middle-aged, frowned when he heard this, "The weather has been hot and humid these days, and it is normal to have a few more pneumonia patients than usual." ”

Once the epidemic is reported, whether it is true or not, there are many things. Especially now at night, Zhao Yutao is a little reluctant.

Zhao Yutao has always liked this Huang Lin very much, she is a famous college student, from the medical school of Dongzhou University, she is young and vigorous, and she always likes to make trouble. "The first case you mentioned will be transferred to the city hospital for treatment, our conditions are limited." He also had to persuade.

"Brother Zhao, this time is really unusual." Huang Lin insisted on his judgment, "I want to invite people from the city disease control to come." ”

She immediately called the Hospital Infection Management Office and the Ministry of Medical Education, and reported it as "infectious atypical pneumonia" in Class B infectious diseases, and it was not a single case, but an outbreak had already occurred.

"The incubation period of the first patient should be more than five days and there are prodromal symptoms, but after the fever this morning, the disease progressed very quickly. Another patient suspected of being infected by the first patient was also like this, and he had hemoptysis within 6~7 hours! ”

Huang Lin said very seriously, and also made it clear about the seriousness, and asked the side to report it immediately.

There is a time limit for reporting the epidemic situation of infectious diseases, which is 2 hours for Class A infectious diseases and 24 hours for Class B and C infectious diseases.

When there is an outbreak in Category B, it will be reported according to the time limit and manner of Category A.

But that can also be within two hours. Huang Lin was really worried that the Ministry of Medical Education would delay it and report it an hour later.

Every minute counts now, and every minute of early COVID-19 measures can save an extra life.

The response of the Ministry of Medical Education was quite quick, and it was 20:32 on the evening of August 2 when I called the Municipal Center for Disease Control and Prevention.

Huang Lin returned to his post after making a report, and also admitted the 21st case of pneumonia, then the 22nd case, and the 23rd case......

When the number of cases quickly exceeded 30, Zhao Yutao panicked, and the hospital's infectious disease department also panicked, and all the nurses understood that something was wrong.

At the same time, the Municipal Center for Disease Control and Prevention immediately made arrangements for this public health emergency, requiring Jiangxing Town Hospital to do a good job in isolating patients and protecting the safety of medical staff.

"Oh, good, good." When He Feng received a call from the center, the family was eating dinner at home, "I'll leave now." ”

His wife is also from disease control and understands this, but her seven-year-old daughter Niuniu is not very happy: "Dad, why don't you leave after eating." ”

"Dad is going to do things, you listen to Mom." He Feng stroked his daughter's head, and then left to leave.

To do disease control is to race against time, and where there is a suspected epidemic, this has long been the norm of his life.

In the dark night, He Feng got into the epidemic prevention and control car that came to pick him up, and his deputy Li Wen immediately handed him a stack of documents, which were the "Infectious Disease Report Card" filled out by the reporting doctor Huang Lin, relevant patient medical records and personal reports. He Feng looked carefully page by page, and the more he looked at it, the heavier his heart became......

The town hospital could not complete most of the pathogenic antibody testing, and there was no CT equipment, and half a day was too short.

But He Feng agrees with Dr. Huang Lin's clinical judgment that this is not like ordinary pneumonia.

At this time, Deputy Li Wen answered the phone and said in a cold voice: "Team Leader He, there are thirty cases in Jiangxing Town Hospital." ”

"Isolate the entire hospital immediately." He Feng's nasolabial folds were slightly wrinkled, and he said resolutely: "The patient's cough and vomit can't leave Jiangxing Town, let the center send the equipment in, and everyone must do three-level protection." If we don't do it this time, we may have to apply for a block...... Jiangxing Town. ”

He paused for a while, and after all, he didn't say anything about the unlucky "blockade of Shanhai City".

Hopefully, it's just a false alarm, and hopefully it's through close contact with the sick person and inhalation of the droplets they cough up that it can be transmitted.

Hope...... The epidemic area will not be very large......

The uneven road made the car a little bumpy, He Feng looked out the car window at the street that was receding in the dark night, and the faces of his wife and daughter flashed in his heart.

Niuniu, Daddy may not be home for a few days this time.

Said the robot Vali

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