Zhang Li was very uncomfortable, and when she heard what the emergency doctor said, she also felt that the antibiotic cephalosporin drip would get better quickly, so she urged: "Doctor, then give me water quickly, I want to get better quickly." ”

The emergency doctor made a bill, and Zhang Li had to pay the money.

Although Gu Yanan had doubts in her heart, since the doctors said that it was routine, she didn't want to say anything, but after settling Zhang Li in the infusion hall, she went to the infectious disease department to find her brother Gu Jiashu to inquire about Dai Qixian's situation.

——

Lianhai First People's Hospital, Office of Infectious Diseasesman.

Gu Jiashu had just undergone surgery and returned to the doctor's office to see his little sister Gu Yanan waiting there.

"Little sister, why are you here? Didn't you just go back to the Golden Bay Hotel for a conference? ”

"Zhang Li from the conference group is not feeling well, I sent her over, and by the way, I came to ask about Dai Qixian's situation."

Speaking of Dai Qixian, Gu Jiashu sighed slightly, "The situation is not optimistic, I have used several antibiotics, the infection has not been controlled, and now the key is to find the specific pathogen." ”

Gu Yanan estimated the time, it has been more than two hours since Dai Qixian's sample was sent to the CDC laboratory, and the PCR results of multiple pathogens of pneumonia should have come out.

Gu Yanan dialed Lu Li's mobile phone.

Lu Li was sitting in front of the computer in the laboratory staring at the results of the experiment that had just come out, "Sister Yanan, the pneumonia multi-pathogen detection kit tested Dai Qixian's specimens, and they were all negative. ”

"It's all negative?!" Gu Yanan seemed to be talking to himself.

"Legionella pneumophila, Mycoplasma pneumoniae, Rickettsia q, Chlamydia pneumoniae, adenovirus, respiratory syncytial virus, influenza A, influenza B virus, parainfluenza virus, these nine items are all negative." Lu Li explained to himself, and sighed at the same time: "The nine items of the respiratory tract are all negative, and then check other pathogen types, then there are too many, looking for a needle in a haystack!" ”

Gu Yanan remembered that the doctor had given Dai Qixian antibiotics, "The early use of antibiotics may lead to false negatives in the pathogen test, so we can't rule out the possibility of a positive in the nine items just now." ”

"Sister Yanan, what now?"

Gu Yanan looked at Gu Jiashu, "Resample." ”

Gu Jiashu agreed, "Okay, I'll go and say hello to the nurse in the ICU." ”

Gu Jiashu took out his mobile phone and was about to make contact, but the mobile phone rang first.

After answering, Gu Jiashu's brows furrowed.

"Brother, what's wrong?"

"Dai Qixian is dead!"

"What?! He's dead! ”

"Respiratory failure, rescue ineffective."

Gu Yanan was shocked, Dai Qixian was still giving a report in the conference hall in the morning, why did he die in the afternoon? What disease did he have? What kind of powerful pathogen is it infected by? Is his disease contagious? Will anyone else who attends this academic conference have problems? Is Zhang Li's illness related to Dai Qixian?

A series of questions swirled in Gu Yanan's mind, but he couldn't find any connection for a while.

Gu Jiashu patted his little sister Gu Yanan on the shoulder regretfully, "If a person dies, he must find the pathogen, go, and take you to get an autopsy specimen." ”

——

The First People's Hospital of Lianhai City, morgue.

The morgue is located on the basement level of the hospital, which is empty and cold.

Gu Jiashu personally performed an autopsy on Dai Qixian, and the pathological results of the autopsy showed pneumonia, an abscess in the lungs, and a large pleural effusion.

Pneumonia, death from respiratory failure, consistent with clinical diagnosis.

A small portion of lung tissue is removed, lung abscess, pleural effusion is aspirated, and placed in a sampling tube.

At the end of the autopsy, Gu Jiashu got the autopsy specimen and asked Gu Yanan, who was guarding the side, "Half of the specimens were given to your CDC, and I sent someone to your CDC laboratory?" Or do you bring it back yourself when you go back to work later? ”

"Zhang Li is still hanging water in the infusion hall, I want to take care of her, as for Dai Qixian's specimen, you still send someone to the disease control."

Coming out of the morgue and passing by the consultation hall on the first floor of the outpatient building, the two were stunned by the sight.

Although there are usually many people in the outpatient building, there are many people today, listening to many ambulances outside the door, many patient cars are urgently delivered, and the doctors and nurses in the emergency department are so busy that their feet do not touch the ground.

Gu Jiashu grabbed a little nurse and asked about the situation.

"Why are so many ambulances coming at the same time?"

"Someone at Jinshawan Hotel called 120 and said that many people had abdominal pain, diarrhea, and coughing up blood, and the ambulance had already sent one batch, and now they are going to pick up the second batch."

Gu Jiashu immediately participated in the emergency diagnosis of the patient who was delivered.

Gu Yanan's heart was not good, it was actually a problem with the Golden Bay Hotel.

Before Gu Yanan could react, someone in the infusion hall not far away shouted, "Someone fainted, doctors, nurses, and family members ......"

Gu Yanan subconsciously looked at the infusion hall, and a woman in red fainted on the seat with a hanging needle hanging on the back of her hand.

The woman in red is Zhang Li.

Gu Yanan sprinted over, picked up Zhang Li, and examined it carefully.

I saw Zhang Li's face pale, sweaty forehead, purple lips, clammy hands, and confusion.

It's a shock symptom!

If left untreated, it can be fatal.

Gu Yanan immediately pulled out the hanging needle on the back of Zhang Li's hand and called the doctor.

"There are no allergic blisters on the body, it is not anaphylactic shock, it excludes the possibility of drug allergy, and the number of white blood cells in the blood is high before, it should be septic shock."

Zhang Li was pushed into the emergency room by the doctor for first aid, and Gu Yanan couldn't help, so she turned to the outpatient hall to find her brother Gu Jiashu to see the situation of the newly sent patients from the Golden Bay Hotel.

In the outpatient hall, everyone is extremely busy.

Gu Yanan finds Gu Jiashu.

Gu Jiashu is auscultating lung sounds for a patient who has just been brought in.

Gu Yanan stood aside and saw Gu Jiashu's brows furrowed slightly, knowing that the situation was not optimistic.

After examining the patient, Gu Jiashu gave the doctor's order, "In addition to symptomatic treatment, give antibiotics to the new patients, this one with penicillin, this one with erythromycin, this one with azithromycin, and this one with levofloxacin......"

Gu Yanan listened to his brother's will, and wondered in his heart: The symptoms of all the newly sent patients are similar, and they are similar to Dai Qixian's symptoms at the beginning, and they are all patients sent by Jinshawan Hotel, so the cause is likely to be the same, and theoretically there should be the same treatment plan, but why is everyone's medication different?

Soon, Gu Yanan reacted that his brother Gu Jiashu was testing which drug was effective.

In cases where the pathogen is unknown, the stupid method is also a method.

Gu Yanan looked up the information of the newly delivered patients from the nurses and found that a total of 22 patients had been sent so far, of which 19 were participants of the academic conference, 2 were staff members of the Golden Bay Hotel, and 1 was an ordinary guest staying at the Golden Bay Hotel.

Outbreaks of unexplained diseases in the same place, at the same time, and in the same population are within the jurisdiction of the CDC.

Gu Yanan greeted Gu Jiashu and asked to take these newly sent patient specimens.

Gu Jiashu: "I knew that as soon as I encountered such a thing, your disease control would come to investigate, and the samples had already been collected before the patient was given antibiotics. ”

After getting the patient's specimen, Gu Yanan did not send it back to the CDC in person, but asked the district CDC staff who rushed to hear the news to send it back to the municipal CDC laboratory.

Gu Yanan himself stayed in the hospital, dealing with the situation of the epidemic while waiting for Zhang Li's situation in the emergency room.

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