Chapter 163: Occupational Exposure
The night shift actually passed very slowly. Xu Yourong looked at the case after returning to the duty desk. And Sun Lien was snoring in the lounge, he was really tired.
Time passed bit by bit, and the time had reached 9:45 p.m., just 50 minutes after the patient was admitted to the Fourth Central Hospital.
"Didi! Didi!" The cardiopulmonary monitor in the clean room suddenly sounded an alarm, Xu Yourong was stunned for a moment, and then hurriedly threw down the materials in his hand and rushed into the clean room.
"What's going on?" In the clean room, Zhong Yu was busy checking Anonymous's vital signs. Xu Yourong pushed open the room and walked in, striding closer to the hospital bed. Just as she was inquiring about the situation, she suddenly saw Zhong Yu's surprised face.
"Get out!" Zhong Yu threw down the flashlight in his hand and began to push Xu Yourong without hesitation. "Get out now!"
Xu Yourong was taller than Zhong Yu, and all she wanted was to determine the patient's situation as soon as possible, so she simply turned around and bypassed Zhong Yu, who didn't know what nerves she had, and rushed to the bedside. With just a glance, she saw the reason for the alarm, Anonymous's body temperature was rising rapidly, and the current body temperature had reached 38.1C.
"Get out quickly!" Zhong Yu grabbed Xu Yourong's arm, "Why did you come in without a mask?!"
Xu Yourong realized that something was wrong, she hurriedly took out a mask from her pocket and was about to put it on, and at this moment, the cardiopulmonary monitor on Anonymous's body screamed again. Her oxygen saturation was rapidly decreasing, and she was making a strange "cough" sound in her throat.
"Sputum suction!" Xu Yourong was about to withdraw back enough space to facilitate Zhong Yu's suction, but Anonymous suddenly coughed violently. Pink blood mixed with phlegm spurted out of her slightly open mouth. sprayed on Xu Yourong's white coat and also on her face.
Sun Lien was called up by the panicked nurse Xiao Guo.
"Brother Sun, Brother Sun, wake up. Xiao Guo stood on the ground and easily woke up Sun Lien, who was sleeping on the top bunk, "Something happened!"
"Huh?" Sun Lien crawled up with sleepy eyes, "What's wrong?"
Xiao Guo was dying, and seeing that Sun Lien seemed to be a little confused, he simply ripped Sun Lien off the top bunk, "Doctor Xu may be infected." ”
"Infected?" Sun Lien suddenly had a stirring spirit, "What's the situation?"
Xu Yourong is doing disinfection work in the clean room. The pink liquid and phlegm sprayed on Xu Yourong's face may have carried a large number of germs. After being exposed to a possible source of infection, healthcare workers must clean and disinfect themselves as soon as possible. Using the oxidation potential water provided in the clean room, as well as soap and alcohol gel, Xu Yourong quickly completed the basic cleaning work. And Zhong Yu was directly driven out of the clean room by Xu Yourong after completing sputum suction.
"I'll take a blood from the patient later, and you can send the sample to the laboratory department. Xu Yourong threw his white coat into a yellow biocontaminant garbage bag. After tying the bag, he said to Zhong Yu, "Let the laboratory department make a four-point ...... for blood coagulation."
"What's the matter?" Sun Lien strode over, he looked at Zhong Yu with a worried face and asked, "What's wrong?" Xiao Guo asked me to get up in a hurry just now, and I didn't explain the situation clearly. ”
"There was a patient who had difficulty breathing and had severe pneumonia, but his body temperature was not high when he first arrived. Zhong Yu took a few deep breaths and forced himself to calm down. "But just now, the body temperature suddenly rose rapidly, and it was past 38C. When Dr. Xu came in to check on the situation...... No masks were worn. ”
"It was my mistake. Xu Yourong's voice came from the door of the clean room, and then she added, "The patient has just coughed up blood. Blood splattered on me, and I may have developed an occupational exposure. ”
"Call someone from the hospital to come. Sun Lien immediately understood the seriousness of the situation, and thanks to the hospital's unsparing publicity, he made a decision immediately. "Please Director Liu come to the scene immediately and let the hospital bring two sets of protective clothing when he comes. ”
Zhong Yu and Xiao Guo were still digesting Sun Lien's arrangement, while Sun Lien put on the N95 protective mask that Xiao Guo brought, and after confirming that Xiao Guo and Zhong Yu were still wearing masks, they pushed open the door of the clean room.
The red pattern quickly covered Sun Lien's retina. The status bar warned Sun Lien in an almost hysterical way, and behind the door of the clean room that was pushed open, there were almost all big red letters in the air, "Warning, high risk of transmission." ”
This is a new situation. Sun Lien smiled bitterly twice in his heart. Xu Yourong is a colleague in the same treatment group as himself, and when facing occupational exposure, the fastest way to confirm safety is not to wait for expert assessment, but to let himself take a look at the status bar. It's a pity that this kind of thing can't be said directly, and he doesn't plan to explain it in detail, just thinking about taking a look at it and deciding what to do later.
But this kind of action looks ...... in the eyes of those around him It's a little weird.
Xiao Guo stretched out his hand to grab Sun Lien, but he didn't expect Sun Lien to push the door open and only pause slightly, and then went into the room.
"Brother Sun!" Xiao Guo was frightened now, the patient's body temperature was 38C, and he also had severe pneumonia. In addition, with the activation of the city's four-level emergency response mechanism, the patient should be sent to the second hospital for isolation and treatment. But in the treatment group, Dr. Xu was exposed, and Brother Sun, who took good care of himself, actually got into it. What can I do?" "What are you doing?!"
"What are you shouting about?" Sun Lien's dissatisfied voice came out of the room, "I'm here to take over the patient, what should you do!" Sun Lien paused, and his tone raised a little more, "What are you still stunned for?"
Xiao Guo and Zhong Yu glanced at each other, nodded to each other, and turned their heads out of the rescue room. Xiao Guo is big and suitable for moving some things. So he ran directly to the courtyard office on the third floor, while Zhong Yu stood at the door and called Liu Tangchun.
"What are you running in for?" Xu Yourong checked his body to confirm that the blood stains had been washed, and then he found a disposable sterile gown and put it on his body. She is already in a state of exposure, in fact, it doesn't matter much whether she wears a sterile suit or not, but now that the clothes on her body are wet, wearing a dress outside, Xu Yourong can feel a little more comfortable in her heart. "This patient may have bacterial severe pneumonia ......"
"It's not just pneumonia. Sun Lien glanced at Xu Yourong, and after a slight pause, he turned to the inspection report in his hand. "This is most likely a case of human infection with avian influenza. ”
A boulder in Sun Lien's heart was put down by more than half.
The status bar above Xu Yourong's head is clearly written, "Xu Yourong, female, 31 years old, has more adrenaline secretion." Except for some hyperadrenaline secretion due to the stress state, Xu Yourong actually didn't have anything.
The status bar on the patient's head is a little more direct.
"Wu Fenmei, female, 57 years old, H7N9 avian influenza infection, severe pneumonia, refractory hypoxemia. ”
Human infection with avian influenza is a very serious infectious disease. In China's infectious disease control system, the severity of human infection with avian influenza is almost equivalent to that of type ** pneumonia. Every suspected patient must be immediately reported to the regional and provincial CDC, and a throat swab sample must be sent to the CDC for testing. If the first confirmed patient in the province is confirmed, the provincial CDC also needs to send the sample to the national CDC in the capital, and the NCC will convene a team of experts to reassess the patient's condition.
The second hospital has closed the entire emergency department because of the admission of a suspected patient. The fact that the emergency department of a tertiary hospital can be closed shows how serious the epidemic of human infection with avian influenza is.
Although Sun Lien does not need to rely on the CDC's testing, he can know that the patient in front of him is indeed infected with avian influenza. But it didn't really help him. Before being diagnosed by the Center for Disease Control and Prevention, he still had to be quarantined and observed with Xu Yourong. According to the requirements of the hospital's work, Xu Yourong needs to leave the work environment immediately. The next treatment, I'm afraid it can only rely on him and Zhong Yu, it is said that Xiao Guo did not enter the clean room, and he should not need to be isolated.
The staff of the hospital office reacted quickly, Xiao Guo rushed into the rescue room with three sets of positive pressure protective suits, and the security guard who followed behind him carried gas cylinders in his hands. Liu Tangchun had a calm face and walked in with Xiao Guo.
"Nonsense!" After hearing about Sun Lien's actions, Liu Tangchun's face turned black like the bottom of a pot, "Sun Lien, you heartless thing! Xiao Xu is exposed, just accept isolation and intervention, what's the use of you putting yourself in?!"
Sun Lien was called "Lien" by Director Liu for nearly a week, and now he suddenly heard Director Liu call his full name, he naturally knew that Liu Tang's spring was unclear. But Sun Lien can't always say, "I'm here to see the status bar." He could only explain, "The patient's condition is unstable, and since it is a patient admitted by my treatment team, I must be allowed to fight it first." ”
"This is a hospital! It's not a place for you to be a lonely hero!" Liu Tangchun waved his fist, "When you come out when you have nothing to do, Lao Tzu must have skinned you......"
“...... Then fill in the straw and hang it at the entrance of the hospital. Sun Lien picked up the second half of the sentence very familiarly, "Director Liu, I'll talk about skinning me later." When you let the comrades of the hospital come in, bring the tools of throat swabs. ”
Liu Tangchun raised his eyebrows, "What do you mean?" Lao Liu actually didn't think that the matter was serious, he was just annoyed by Sun Lien's "reckless" behavior. Bacterial pneumonia, even if it is infectious, it should be no problem to use some antibiotics in the future.
"This patient's temperature has risen to 39.2C. Sun Lien glanced back at the data on the monitor, "Severe pneumonia, refractory hypoxemia, decreased white blood cells, platelets, neutrophils......" He paused and continued, "Considering that the Second Hospital admitted a suspected avian flu patient yesterday, I doubt this...... Anonymous is also avian influenza. ”u