Plague, a highly contagious class A infectious disease, is most commonly transmitted by rat-flea bites.

And when the first case of plague appears, it often means that a large spread has begun.

At Sun Miao's age, this disease did not leave him with much memory, which was also due to the movement to eliminate the four evils at the beginning of the founding of the country.

But if you change the name, I believe many people will have a sudden feeling - the Black Death.

This terrible disease that ravaged Europe in the 14th century, lasted for more than a decade, and killed tens of millions of people, was the plague.

Plague is divided into many types, the most common being bubonic plague, pneumonic plague, and septicemic plague.

The septic-type plague is called the Black Death because the skin of the patient bleeds extensively and necrosis after death, and the corpse is purple-black.

And the woman in front of her, it seems, is suffering from bubonic plague now.

Bubonic plague is not as contagious as pneumonic plague, and it is usually caused by the eruption of the swollen area, and the outflow of body fluids is transmitted by human contact.

But even so, she still can't be careless, Sun Miao immediately asked the red bean soldiers to send her to the second floor observation ward where there were no patients for the time being.

The central and eastern districts were directly used as isolation wards for infected patients, and the western districts were used as isolation and observation areas for close contacts.

Before entering the isolation ward, Sun Miao skillfully put on protective clothing to ensure that if he carried the virus, he would not further infect the ordinary people of Jishitang.

Then he walked to the door of the backyard and took out the big horn from last time.

"Nurses from Jishitang, I have a few words, you don't have to come out, just stay in the house and listen to me."

There has not been a plague pandemic in Anyang City, and people don't know much about the horrors of this plague.

And it is unknown whether the plague spread by the Queen of Rats is exactly the same as the plague of the Blue Star.

I am not 100% sure whether the Blue Star therapy is effective or not, and the biggest reliance is the strengthening ability of mediation and creation.

But it is not enough to rely on yourself, if the epidemic really expands, you will not be able to do it with needles and infusions.

These things, the Red Bean Warrior can't count on.

Sun Miao first briefly introduced the characteristics and hazards of the plague, and then said: "If too many patients flood into Jishitang in the future, I am afraid that I will not be able to handle it on my own." But as long as you come into contact with a sick person, you can get infected and you can die.

"So whether or not you want to participate in the treatment this time is all voluntary, and those who wish can just come out of the room. Those who do not participate can stay in Jishitang in the future, and will not be held accountable......"

Before he could finish speaking, the doors of the wings on both sides opened at the same time, and twenty nurses rushed out.

They all changed into uniform white robes, with tightened sleeves and the same ornamentation embroidered on their chests—needles and threads around scalpels, a circle of herbs on the outside, and the word "Jishi" embroidered underneath.

This is the "nurse uniform" discussed by Sun Miao and Sister Lan at the beginning of recruiting nurses, and now it has become a landscape of Jishitang.

When the people in the room came out, they looked at each other in surprise, but immediately they looked at each other and smiled.

Cui Ying seemed to be elected as the representative of the nurses, and at this time stepped forward and saluted: "There is no need to say more, master, we are either widows, or we are poor and hard-working women."

"The master gave us a place to live a good life, and now there is a place for us, how can we stand idly by?"

"Yes, yes, if you stand by today, even if the master doesn't rush, I won't have the face to stay in Jishitang anymore."

"Sir, just tell me what you want us to do."

Sun Miao looked over one by one, these women were not without fear, some of them held their hands together and twisted their fingers, and some of them pinched the hem of their clothes and rubbed them around.

But even with fear, they still stand here, which is commendable.

The corners of his mouth raised a smile, and he was full of pride for a while: "Okay, when the rat plague is calmed down, let's get together again and reward our merits!" ”

Instruct the nurses to put on protective clothing, tell them the precautions for epidemic prevention, and let them go to the isolation ward to be on standby.

Sun Miao walked out of Jishitang, used bean sprinkling into soldiers, and conjured buckets of disinfectant, as well as a hand-pressed spray spraying machine and handed them over.

"Split up and spray the disinfectant all the way, and escort all the patients and their families to Jishitang whenever they meet them on the way."

"Yes!"

If it weren't for the fact that Lanxing was also undergoing the test of the epidemic at that time, Sun Miao, who grew up in the city, might not have been able to transform the spray spraying machine.

After taking these necessary prevention and control measures, Sun Miao immediately entered the isolation ward and began to treat the soldier's wife.

Once the plague develops, it is terrifying, but it is not without cure.

For this virulent infectious disease caused by Yersinia pestisis infection, streptomycin is an effective treatment drug discovered by modern human medicine.

Before streptomycin successfully kills the plague bacteria, symptomatic supportive care is necessary to save the patient's life.

It's easy to say, but the condition changes in real time, and sometimes the doctor's judgment time is very short, and if you miss it, it may be doomed.

When a person dies, no matter how accurate the cause is, it is useless to "treat the symptoms", which seems to be a headache and a pain in the feet, is also very important.

The mediation was launched continuously, and a branch of streptomycin appeared on the table in front of him.

"The first time I gave her a shot, I used 5 pills (1g), but when you give her a second shot, you can use two and a half sticks, once every two hours." Sun Miao took the liquid and injected the woman into a muscle.

The nurses around me took note of it.

Later, Sun Miao found Wang Dagen to do a blood test for her, as for the infection...... Any bacteria or viruses are a joke to zombies that are already dead.

"The inflammation is above level 3, and in addition, I always feel that her blood seems to be a little bit weak, or ...... Thin? ”

Sun Miao frowned: "This thin feeling will be called 'blood clotting disorder' in the future." ”

The progress is so fast, there is a tendency to disseminate intravascular coagulation in such a short period of time, and sure enough, the plague caused by the rat queen is more serious than that of Blue Star.

He took out low-molecular-weight heparin and injected it under the woman's skin.

Disseminated intravascular coagulation is the abnormal activation of the body's coagulation system by infection, resulting in a large consumption of coagulation raw materials, which in turn causes coagulation disorders.

At this time, supplementing clotting factors will not only not help, but will further worsen the condition.

Only by blocking the abnormal blood clotting in the human body and then waiting for the infection to be controlled can the root cause be cured.

Treatment of coagulopathy with anticoagulants...... It's a bit of a fight against poison with poison.

After that, Sun Miao gave a series of symptomatic treatment measures.

Equilibrium fluid rehydration and expansion.

Scopolamine hydrobromide improves microcirculation and corrects septic shock.

The cold jade sent by Lingjian Villa was even used by Sun Miao for physical cooling......

The woman's condition has finally stabilized for the time being, and the rest depends on whether the streptomycin strengthened by mediation can suppress the plague bacteria strengthened by the rat queen.

"Report, the man who came with the patient started coughing!" The Red Bean Warrior in the Quarantine Observation Area pushed the door in at this time and reported bad news.

At the same time, at the entrance of Jishitang on the first floor, there were indeed patients and their families being sent one after another......