Pengcheng, the sound of 120 ambulance tore the night sky.
A fever patient was sent to the hospital for treatment. Various symptoms were highly suspected of being infected with new pneumonia.
After the patient was sent to the hospital for relevant tests, the nucleic acid was negative, but the "big white lung" presented by lung CT silently told everyone that it was a patient with new pneumonia.
Epidemiological screening, close contact population isolation, recent whereabouts determination... Countless troubles.
However, in a short time, Pengcheng has been used to dealing with relevant things and began to gradually complete each work in a very short time.
The four words of being orderly reflect a kind of quality.
Doctors and nurses are responsible for the diagnosis and related treatment of patients in the ward. After admission, the patient''s blood oxygen saturation dropped precipitously. After oxygen inhalation was ineffective, he went on a non-invasive ventilator.
However, noninvasive ventilator can not guarantee the patient''s blood oxygen saturation. Intubation is performed after a few hours, and ventilator is used to assist breathing.
The diagnosis of severe pneumonia is clear, but the cause is unknown. Is it new pneumonia or Staphylococcus aureus infection?
Unable to determine temporarily!
Soon the patient developed severe acute respiratory distress syndrome complicated with multiple organ dysfunction.
Heart failure, respiratory failure, liver function injury, coagulation dysfunction... Countless problems are coming.
The director of ICU isolation ward did not think the patient was a new type of pneumonia, although the large white lung on the film looked 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 pneumonia. Plus respiratory failure and circulatory failure.
The key is that respiratory failure and heart failure are accompanied by liver failure and kidney failure.
Director ICU is not sure whether the patient is infected by another unknown virus, so the condition is more serious than other patients with new pneumonia.
Or a variant of the new pneumonia virus!
This is very important. The director of ICU will report it immediately.
Report the patient''s case, organize the whole hospital consultation, start symptomatic treatment according to the process, and wait for the opinions of the top expert group.
The doctors in Pengcheng people''s hospital were a little uneasy.
What I fear most is that the virus will mutate. The existing new pneumonia virus has been very powerful and almost perfect. It is said that it will also attack the heart, brain, urogenital system and so on.
There are even reports that taste will be lost, teeth will fall off, and they can cross the blood-brain barrier
If the virus mutates again, the consequences will be unimaginable.
Although the existing detection methods have increased from 300 cases per day to tens of thousands since the outbreak of Tianhe epidemic, once we have to face the mutated virus... If everything has to start again
It''s speechless to think about it.
The case was reported and the two consultations began at the same time.
In the doctor''s office of the intensive care unit of Pengcheng people''s Hospital, several directors left at home sat together and listened to the inpatient general report on their medical history.
On the Internet, Wu Mian is squinting at the case from 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 the information.
The patient has just been hospitalized and some examination results are in front of him.
Although it was judged by imaging that it was a new type of pneumonia, Wu Mian looked through the cases little by little.
"Don''t you think so?"
"The progress of the disease is too rapid." Wu Mian sighed. "All of a sudden, the whole body organs fail. If the mutated virus causes it, it will be miserable. Just a little better, the virus will mutate... It shouldn''t be."
Chu Zhixi glanced at Wu Mian.
My brother''s eyebrows were locked, and the smile that finally appeared on his face these days disappeared.
This is an "accident", but RNA viruses will always mutate. If it is a mutated virus, the problem faced by the anti epidemic work, which is already a hell of difficulty, will be comprehensively upgraded again.
The patient''s medical history is very simple. Recently, there is no obvious inducement for chest tightness and asthma, 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 sent to the hospital by 120 ambulance and his temperature was measured at 37.8 ℃.
After hospitalization, the patient''s condition deteriorated rapidly. It took only one night from the reduction of blood oxygen saturation to noninvasive and invasive ventilator assisted breathing.
Organ failure began early the next morning.
The nucleic acid test was negative, but the imaging test was positive, and other blood tests did not have much significance.
It cannot be ruled out and is highly suspected of new pneumonia, but the patient has no epidemiological contact history. What is the cause? It bothers every medical staff.
The ICU ward of Pengcheng first people''s hospital was discussing nervously.
"I don''t think it''s a new type of pneumonia," said an old white haired professor.
"I don''t think it''s a new type of pneumonia." thousands of miles away, Wu Mian sat in front of the computer, squinted at the imaging data, and said in a deep voice.
"Judging from the pathogenesis of patients with new pneumonia, the disease process of patients is faster and more fierce."
"Director Liu, could it be another virus?" one asked.
"I don''t know, but in a short period of time, COVID-19 nucleic acid detection and antibody detection have been done for 3 times. The results are all negative." director Liu said, "in a very short time, the patient has multiple organ failure, and I don''t know if you have noticed. There is a large area of rash on the patient''s body."
"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 conjunctival congestion and other symptoms. B-ultrasound shows splenomegaly. What do you suspect? If it''s 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 new pneumonia." Wu Mian also hesitated.
After all, that CT film is so similar to the film of new pneumonia that it is almost the same.
"Another thing is that patients have delirium and brain symptoms." Wu Mian said, "only a few patients with new pneumonia will have brain nerve symptoms in critical illness. Come, as a world-famous neurosurgeon, give me your opinion."
……
"I just watched the video. The doctor in the isolation ward of ICU reported that the patient had delirium and had been injected with 20mg diazepam intravenously in a short time.
Although it is mentioned in the guidelines for new pneumonia, only a few patients have neurological symptoms, "director Liu said," so I suggest other tests. "
……
"Many diseases can have similar conditions, and we need to do other tests," Wu Mian said softly.
Chu Zhixi can feel his brother very nervous.
If the genesis level virus mutates so quickly, the whole anti epidemic situation will become extremely severe.