Sleepless Doctor

Latest website: Pengcheng, the sound of 120 ambulances tears the night sky.

A fever patient was sent to the hospital for treatment with various symptoms highly suspected of being infected with a new type of pneumonia.

After the patient was sent to the hospital for related tests, the nucleic acid was negative, but the "big white lung" revealed by CT imaging of the lungs silently told everyone that this was a new type of pneumonia patient.

Epidemiological screening, isolation of people in close contact, confirmation of whereabouts in the recent period... countless troubles.

However, within a short period of time, Pengcheng had become accustomed to dealing with related matters, and began to gradually complete each task in a very short period of time.

Being able to do these four words in an orderly manner reflects a kind of quality.

Doctors and nurses are responsible for the diagnosis and related treatment of patients in the ward. After the patient was admitted to the hospital, the blood oxygen saturation fell off a cliff, and after the oxygen was ineffective, he was put on a non-invasive ventilator.

However, a non-invasive ventilator cannot guarantee the patient's blood oxygen saturation. After a few hours, the tube is intubated and the ventilator is used to assist breathing.

The diagnosis of severe pneumonia in the patient is clear, but the cause is unknown. Is it a new type of pneumonia or a Staphylococcus aureus infection?

Can't determine temporarily!

Soon the patient developed severe acute respiratory distress syndrome with multiple organ dysfunction.

Heart failure, respiratory failure, liver damage, coagulation dysfunction...numerous problems are oncoming.

The director of the Icu isolation ward does not think the patient is a new type of pneumonia, although the large white lungs on the film look so conspicuous.

According to the experience of Tianhe City, similar patients can be diagnosed directly by imaging.

But he still had doubts.

The patient's condition progressed rapidly, just like the new type of pneumonia. Plus respiratory failure and circulatory failure.

The key is that respiratory failure and heart failure are also accompanied by liver failure and kidney failure.

The director of Icu is not sure whether the patient was infected by another unknown virus, so the condition is more serious than other patients with new pneumonia.

Or maybe there is a variant of the new pneumonia virus!

This is very important. Director ICU will report this matter immediately.

The patient's case is reported, the whole hospital is organized for consultation, the symptomatic treatment is started according to the procedure, and the opinion of the highest expert group is awaited.

The doctors at Pengcheng People's Hospital were a little nervous.

The most feared thing is that the virus will mutate. The virus of the new type of pneumonia is already very powerful and almost perfect. It is said to also attack the heart, brain, genitourinary system and so on.

There are even reports that the sense of taste will be lost, teeth will fall off, and the blood-brain barrier can be crossed...

If the virus mutates again, the consequences will be disastrous.

Although the existing detection methods have increased from 300 cases per day to tens of thousands of cases since the outbreak of the Tianhe epidemic, once you have to face the mutated virus... everything has to start all over again...

It makes me speechless to think about it.

The case was reported and the two consultations started at the same time.

In the doctor's office of the intensive care unit of Pengcheng People's Hospital, several directors who stayed at home sat together and listened to the general report of the medical history of the hospitalization.

On the Internet, Wu Mian was squinting, looking at the case sent by Pengcheng.

"Brother, the patient's imaging data looks like a new type of pneumonia." Chu Zhixi said with certainty.

"Indeed." Wu Mian nodded and flipped through the information.

The patient has just been hospitalized, and some of the results of the examination are in sight.

Although it was judged by imaging to be a new type of pneumonia, Wu Mian still looked through the cases a little bit.

"You don't think so?"

"The disease has progressed too quickly." Wu Mian sighed, "All of the organs fail all of a sudden, if it is caused by a mutated virus, it will be terrible. Just a little improvement, the virus will mutate... Ordinarily it shouldn't be."

Chu Zhixi turned her head and glanced at Wu Mian.

The elder brother's brows furrowed, and the smile that finally appeared on his face in the past few days disappeared.

This is an "unexpected" incident, but RNA viruses will always mutate. If it is really a mutated virus, the problems faced by the anti-epidemic work that is already hell-level difficulty will be fully escalated again.

The patient's medical history is very simple. She has chest tightness and wheezing without any obvious cause, as well as fever, chills, chills, cough and other symptoms.

A few days ago, the patient's chest tightness and asthma worsened, and he felt persistent chest pain. He was taken to the hospital by a 120 ambulance, and his temperature was measured at 37.8°C.

After hospitalization, the patient's condition deteriorated sharply and progressed rapidly. It took only one night to go from the decrease of blood oxygen saturation to the non-invasive and invasive ventilator-assisted breathing.

The organs began to fail early the next morning.

The nucleic acid test is negative, but the imaging test is positive, and other blood tests are of little significance.

New pneumonia cannot be ruled out and is highly suspected, but the patient has no history of epidemiological contact. What is the cause? Troubled every medical staff.

The icu ward of Pengcheng First People's Hospital was discussing nervously.

"I don't think it is a new type of pneumonia." said a gray-haired old professor.

"I don't think it is a new type of pneumonia." Thousands of miles away, Wu Mian said in a deep voice, sitting in front of the computer, squinting at the imaging materials.

"Judging from the onset of the new type of pneumonia patients who have been admitted, the patient’s disease progresses faster and more fierce."

"Director Liu, is it another virus?" one person asked.

"I don't know, but I have done 3 new coronavirus nucleic acid tests and antibody tests in a short period of time, and the results are all negative." Director Liu said, "In a very short period of time, the patient experienced multiple organ failure, and I don't know about you. Have you noticed that there is a large area of ​​rash on the patient."

"rash?"

...

"Girl, it is mentioned in the medical record that the patient has a rash all over the body." Wu Mian frowned, "and there are symptoms such as conjunctival hyperemia. B-ultrasound shows splenomegaly, what do you suspect? If it is not during the epidemic."

"Emmm... many diseases can cause similar situations." Chu Zhixi hesitated and replied.

"Yes, so we can't make a hasty diagnosis of multiple organ failure caused by the new type of pneumonia." Wu Mian also hesitated.

After all, the CT film is almost the same as the new pneumonia film~www.wuxiaspot.com~ almost the same.

"Another point is that patients have delirium and brain symptoms." Wu Miandao, "Only a small number of patients with new pneumonia will have neurological symptoms in the critical period. Come, as a world-renowned neurosurgery expert, you Give me an opinion."

...

"I just watched the video. The doctor in the icu isolation ward reported that the patient had delirium and had been given 20mg diazepam intravenously within a short period of time.

Although it is mentioned in the guidelines for new pneumonia, only a very small number of patients have neurological symptoms. Director Liu said, "So I suggest other inspections. "

...

"Many diseases can have similar conditions, and other tests have to be done." Wu Mian said softly.

Chu Zhixi could feel that her brother was nervous.

If the Genesis-level virus mutates so quickly, the entire anti-epidemic situation will become extremely severe.