Zhou Ce and Liu Tangchun's swaggering to attract firepower still had some effect - at least Sun Lien completed the pre-filling and connection of the dialysis machine with his hands and feet.

"Alright, well, let's rest. The cunning Liu Tangchun watched Sun Lien finish his work, waved his hand to stop Zhou Ce's words, "If we continue to talk about it, the two of us will be torn alive by the nurses." ”

"I've wanted to tear that mouth of yours for a long time. Hu Jing walked over in a nurse's uniform and stepped forward to hold Hu Jia's hand. The head nurse was dissatisfied with Liu Tangchun, "A handful of old people, why are you so toothy?"

"If I hadn't been able to say anything, Hu Jia would have rushed in a long time ago. Liu Tangchun spread his hands, "I also have no choice but to understand, long live understanding." ”

Hu Jing pulled her niece behind her and warned this uneasy little girl with her eyes. Turning to Liu Tangchun, he said, "Director Liu, according to the regulations, this kind of patient's care should be carried out by qualified and voluntary nurses from the nursing department. Hu Jing said, "I am the head nurse of our department, I am married and have children, and I am also a party member." Therefore, I should go to the nursing first, and then wait for the nursing department to transfer personnel in place to hand over the person. She looked at Liu Tangchun and asked in a loud voice, "Are you okay?"

"No comment. Liu Tangchun shook his head, and then asked, "But ...... Xiao Sun is handling it well now, and it won't be your turn for the time being, right? Otherwise, wait a little longer, as soon as the results of the initial examination come out, we will transfer the patient to the designated hospital. This also reduces the risk of exposure......"

"Mr. Liu, the patient's condition may not be transferable now. Sun Lien interrupted Liu Tangchun's speech, "There is basically no room for parameter adjustment on the ventilator, but her blood oxygen saturation still can't go up." ”

Wu Fenmei's condition is complex and extremely dangerous. Avian influenza H7N9 has caused severe pneumonia and high fever. Severe pneumonia, on the other hand, triggers systemic inflammatory response syndrome (SIRS). The three main comorbidities of systemic inflammatory response syndrome, shock, DIC, and organ failure, have all been manifested. If the police find the patient's family, I am afraid that the emergency room has issued several critical illness notices in a row.

Yes, it has been more than two hours since Wu Fenmei was admitted to the hospital, and her family has not yet been found. All rescue measures in the emergency room up to now have been carried out with the help of the four-level emergency response mechanism and the authorization of the Medical Section. The hospital and the doctors are all sharing huge pressure and risk - in case Wu Fenmei is not saved, and the family is the kind of bastard who gets into the eyes of money. In the next period of time, I am afraid that the Fourth Central Hospital will be tossed by the doctors again.

Therefore, Liu Tangchun has been thinking about transferring Wu Fenmei to a designated hospital for treatment. On the one hand, he had to consider the adverse effects of the closure of the emergency room of the Fourth Central Hospital, and on the other hand, he also needed to avoid some risks for his medical staff as much as possible. It doesn't matter if the risk comes from the disease itself or another incurable disease.

"Let's take a look. Liu Tangchun's face was a little ugly. Such severe and complex patients should be managed by the ICU, who are more experienced in life support and critical care. But now the only person who has direct access to patients is Sun Lien. The guys in the hospital office said they didn't "borrow" the equipment needed to re-inflate the compressed gas cylinders. It has to be borrowed from the Level 4 Biology Laboratory in the Academy. The most optimistic estimate is that it will take about an hour to complete the inflation work.

Director Liu...... "Lao Wu, a policeman stationed in the hospital, also came, and he said to Liu Tangchun, "The identity of the patient has been found." ”

"Oh, there's good news. Liu Tangchun raised his eyebrows, "Is the family here?"

"Family ...... Can't come. Lao Wu cried with a sad face, "The suspected avian flu that was admitted to the second hospital before was her wife." The old couple has no children and no daughters, and their nearest relatives work in Shanghai. I'm going to have to come back tomorrow afternoon. ”

When Sun Lien heard this, he suddenly felt a cold sweat break out from his back.

He is not a man of courage and infall. The reason why Sun Lien dared to come to see patients with a mask in the first place was because so far no cases of highly pathogenic avian influenza have been reported from people to person.

There are some types of human influenza that can be transmitted to poultry and pigs at the same time, and can spread between pigs and birds, causing the virus to mutate rapidly. In the process of mutation, low-pathogenic avian influenza with the classification of H7N9 appeared in the poultry population. This avian influenza is not a very virulent type for birds, but it is extremely fatal for humans. According to general statistics, patients infected with H7N9 avian influenza have a mortality rate of up to 30~60.

According to Sun Yat-sen University's 13-year virus origin-tracing investigation, the genes of the H7N9 avian influenza virus that are occasionally circulating in China come from wild bird populations in Zhejiang, Jiangsu, Shanghai and South Korea. The spread of this variant has been latent after wild birds have come into contact with poultry and have become highly pathogenic to humans.

But perhaps because of the nature of the virus, this strain has a weak ability to spread from person to person. Although there have been occasional reports of cases of co-infection among family members, there is still no evidence that H7N9 avian influenza can be transmitted from person to person – all of the reported cases of family members sharing the disease have a history of exposure to poultry.

Sun Yat-sen University's virus research report also supports this view. Based on the experience gained from the study of H5N1 avian influenza, the avian influenza virus needs to have three mutations at the key amino acid sites of HA in order for the avian influenza virus to be "droplet transmission". Among the H7N9 viruses they isolated, there were only two H7N9 viruses that mutated at this key amino acid site. In other words, from the perspective of virus structure, the H7N9 virus does not have the possibility of droplet transmission.

And this is the reason why Sun Lien boldly entered the clean room. H7N9 is unable to transmit from person to person, or is very weak from person to person. Before other doctors could determine what the patient was sick with, Sun knew that she had been infected by the bird flu virus, which was very transmissible by droplets.

But now, Sun Lien suddenly thought of a very dangerous possibility.

Viruses mutate. The patient's family has no children and no daughters, and the old couple who get along with each other day and night almost get sick at the same time. This had to make Sun Lien start to worry. If...... If the virus really mutates, then it may spread to itself through droplets - no wonder the status bar warns itself with such obvious cues!

"Report this to the CDC immediately. Liu Tangchun immediately made up his mind, "Report the situation to the Second People's Court and ask them to raise the level of protection." Call the municipal party committee and government and ask them to immediately raise the level of the emergency response mechanism......" Liu Tangchun glanced at his department and the surrounding medical staff, "Contact the affiliated hospital and ask them to accept patients with stable vital signs." Contact the critical care department and let them vacate the negative pressure ICU and transfer all the patients who cannot be transported. ”

Hu Jing's face sank like water, and she had already heard what Liu Tangchun wanted to do. As she listened, she pulled out her phone and pressed it quickly on the screen.

"Contact the Medical Department......" Liu Tangchun sighed deeply, "announcing the closure of the emergency department." All emergency medical staff are under quarantine and observation, and no one is allowed to leave the hospital without the permission of the director and the higher authorities!"