Song Yi

Chapter 112 Death Comes
Du Wenhao handed her a towel: "Cover your mouth with this when you cough. How do you feel?"

The young woman thanked her and took the towel and covered her mouth. After a series of coughs, she panted and said, "I have a severe chest pain, coughing, and can't breathe..."

"When did it start?"

Seeing that his daughter-in-law was coughing badly, the man spoke for her, but he himself had a bad cough:
"It started last night. The child's mother went to visit relatives at the child's grandma's house yesterday. She was coughing, coughing... and when she got home, she started to have a fever and cough. It was only after dawn that she came to see the doctor. I heard that Dr. Du is a master of medicine. Cough, cough, cough, cough, cough, cough, cough, cough..."

Du Wenhao glanced at him: "You have a bad cough too."

The man covered his chest and said: "Yes, cough, chest pain...cough cough, please wait a while and see me."

Du Wenhao nodded, took the woman's wrist and began to check the pulse. After looking at the tongue, he said in a deep voice: "Yellow fur on the tongue, red and purple, slippery and rapid pulse, high fever and polydipsia, cough and chest pain, sputum like foam, hemoptysis is bright red, The syndrome belongs to the syndrome of heat-toxin closing the lung, and Maxing Shigan Decoction and Weigan Decoction should be used as the main ones."

Pang Yuqin next to him had already copied the prescription according to Du Wenhao's dictation and handed it to the counter.

Du Wenhao was about to check the man's pulse, at this moment, the woman suddenly covered her heart, leaned on the table with one hand, bent her waist, opened her mouth wide and exhaled, and said hurriedly:
"My child's father..., I..., why can't I breathe... cough cough cough..."

Du Wenhao leaned over and saw the woman's face was cyanotic and in great pain, and hurriedly asked the man to help her to the bed next to her and lie down.The young woman was breathing more and more rapidly, writhing in pain on the bed, clutching her throat with both hands, and there was a continuous hoo hoo from her throat.A face had turned cyanotic from suffocation.

Du Wenhao said anxiously: "She can't breathe, hurry up! Carry her to the backyard, Yuqin and Feier, prepare for throat surgery immediately! I will cut her trachea and intubate her!"

The man was also in a hurry, and followed Du Wenhao and the others into the backyard with the young woman on his back. Xue Fei'er instructed him to put the young woman on the operating table, take off the young woman's shirt, wash the throat with disinfectant, and wipe the local infiltration anesthetic , and then spread the disinfection hole towel.

Tracheotomy is a common medical technique in surgery, so Du Wenhao has ordered and sterilized the required instruments in advance.

The young woman became more and more difficult to breathe. Du Wenhao didn't have time to wash his hands and disinfected. He just put on the sterile gloves in a hurry, and used a scalpel to make a straight median incision from the lower edge of the young woman's thyroid cartilage to the notch of the sternum. fascia, separates the anterior thyroid muscles, exposes the isthmus of the thyroid, and pulls it upward.

Use a straight knife to incise the third tracheal ring, then insert a machete to incise the upper ring, expand the incision with a dilator, put in an organ cannula and fix it, pull out the inner cannula, and suck out the bloody sputum in the trachea.

The young woman's normal breathing immediately recovered, her shortness of breath gradually calmed down, and the cyanosis on her face also eased.

Du Wenhao was very surprised. He had previously judged that the young woman had acute bronchitis. However, it is generally impossible for acute bronchitis to cause breathing difficulties in such a short period of time.

Moreover, the young woman's husband was also infected, and his symptoms were almost the same, which made Du Wenhao even more disturbed. After giving the young woman and her husband both the decoction, he decided to let them stay in the hospital for observation.

He also asked Xuefeier and Pang Yuqin to wash their hands carefully with disinfectant, isolated the room and prohibited others from entering, and closely observed the situation of the young woman and her husband.Then go back to the front hall and continue to sit in the hall for consultation.

At noon, Zhuangzhi County sent a sedan chair to pick up Du Wenhao for acupuncture, and told Du Wenhao County Grandfather to invite him to lunch.

Du Wenhao was about to get into the sedan chair when a bullock cart came hurriedly from outside. Two people jumped out of the cart, each of them was carrying a child on his back, and the child was also coughing non-stop.

The leading old man walked into Wuwei Hall in two steps: "Excuse me, is my son and daughter-in-law here?"

Silly Fatty went up to meet her and asked, "Your son and daughter-in-law? Who is it?"

"The person who came to Wuweitang to see a doctor came early in the morning. My daughter-in-law is sick, and her name is Chunniu."

Du Wenhao heard it, and came over and said, "Well, it's the couple who coughed and had blood in the morning. They are staying in the backyard for observation, and their condition is very serious."

"Oh, where? Can I go and see?"

"I suspect that your daughter-in-law's son's illness may be contagious. You can't visit him until it is confirmed. Don't worry, their condition is still stable. They are in the backyard ward."

"Oh! Are you Dr. Du? Thank you," the old man pointed at the child on the man's back. "This is my grandson. He is also sick and coughing badly. Please show me first."

Du Wenhao asked the man to put the child on the bed for examination. The child also coughed non-stop, with blood in the sputum, and complained of heartache. The pulse and tongue were the same as his parents, but he did not have severe breathing difficulties.

Du Wenhao was very strange. He glanced at the man and found that his face was flushed, and asked, "Who are you to the child?"

"I'm his uncle."

"Oh, you really don't think it's right, is there something uncomfortable?"

The man shook his head: "No, it's just that my chest hurts and my head is a little dizzy. Maybe it's because I just carried the child in."

Du Wenhao probed his forehead, it was hot, "Sit down! I'll check your pulse."

Rapid and slippery pulse, yellow fur on tongue, red and purple!Symptoms are the same!
Are these two also infected?Du Wenhao's heart tightened all of a sudden, and he asked, "Do you know anyone else who has this disease?"

The old man sighed, and pointed to the middle-aged man who came with the child on his back:
"Oh! The child's eldest uncle just came to report in the morning, saying... that something serious happened to the child's grandma's house. The grandma died of illness last night. The third and fourth uncles also died before dawn. Grandpa and others were seriously ill. It’s also very heavy. The child’s mother was also sick when she left the village. The uncle was worried, so he came to see the child’s mother. They had already come to the city first, and it happened that the grandson was also sick. I took the ox cart to take the child to the city to see a doctor together, and by the way, see how the child’s parents are doing.”

The middle-aged man looked sad: "Yes, many people in the village are sick. The disease is very serious. They got sick the day before and died the next day. More than ten people have died, all of them died of illness last night. I When I was leaving, I heard that some families had died again."

Du Wenhao shuddered,—what kind of disease is it?If what this man said is true, and so many people died in one day and night, then this infectious disease is really terrible. If the young woman just now hadn't known how to perform a tracheotomy, she would have died of internal suffocation at this time!We must find out what the disease is!

Du Wenhao asked urgently: "Apart from your village, is there anyone who died of this disease in other villages?"

"Yes! A few days ago, some people in those villages died overnight. Only later did some people in our village also die of this disease."

"What are the symptoms of the sick people in your village and other villages?"

"Well... the symptoms are the same as my sister, that is, this child's mother. My whole body hurts badly, my cough is bloody, and I can't breathe."

"Where are the bodies of people who died of illness? What do they look like?"

"I haven't seen other patients, but my mother, when my two younger brothers died, there were patches of purple-black scars on the face, hands, and the whole body, and the fingernails were also black!"

——The Black Death? !
Du Wenhao's heart sank to the bottom.

The Black Death is also the plague, especially the most severe "pneumonic plague" among the plagues. People who die of this disease will have a large area of ​​subcutaneous hemorrhage, making the skin of the corpse appear purple-black, so it is called the "Black Death".

It is one of the most severe infectious diseases. In addition to being transmitted by rats, it can also be transmitted through respiratory droplets.

The Black Death once ran rampant in Europe in the Middle Ages, and there were many outbreaks of pandemics, which claimed the lives of about 500 million people, accounting for one-third of the total population of Europe at that time.There have been many outbreaks of plague in Chinese history, causing a large number of deaths.

In ancient literature, it is generally called "plague", "nuclear plague", "pimple plague", "big head plague" and so on.

Du Wenhao has never had experience in treating plague, nor has he experienced such a thing. If these patients are suffering from this disease, he really doesn't know what to do.

Since it is suspected to be a severe infectious disease, the epidemic area must be isolated immediately!Du Wenhao asked anxiously, "Which village are you from?"

"Liujiawan, thirty miles outside the city."

This name is very familiar, Du Wenhao pondered for a while, and then remembered, a few days ago, he went to Sankeliu Village to see a doctor for Na Pushan. The old man Pu once said that he had a younger brother in Liujiawan who fell ill and was seriously ill. The family is going to Liujiawan for the New Year. Could it be that Old Man Pu's younger brother also suffers from this disease?
If so, it proves that pneumonic plague broke out a few days ago, and people just didn't pay attention to it!Nobody knew it was a terrible plague outbreak!

Du Wenhao was so anxious that he hurriedly told the old man and the middle-aged man to send the child to the isolation ward of his parents first, and told them not to walk around in the room casually, and prescribed medicine for the three of them.Then Du Wenhao rushed to the backyard construction site to find Lin Qingdai.

Lin Qingdai is busy supervising the craftsmen to renovate the inpatient wards. The construction has been going on for several days, and more than half of the project has been completed.

Lin Qingdai was very happy to see him coming, and pointed to several two-story brick and wood buildings that had been erected on the construction site and said, "Look, the wards in the isolation area have been repaired! The inpatient department has also been repaired for a little while, and there is another one." month, almost finished."

Du Wenhao said: "Very good - I have something urgent to tell you!"

Seeing his serious expression, Lin Qingdai hurriedly asked, "What's wrong?"

"I suspect that the newly admitted patients are serious infectious diseases and must be isolated immediately, but the wards in our backyard do not meet the isolation conditions. You should immediately sort out the repaired rooms and make them an isolation area, and then transfer the patients to the isolation area. .Strictly isolate the quarantine area according to what was said in advance."

Lin Qingdai looked worried: "Is this disease very serious?"

"It's very serious. You will die within a day and night after getting sick! The infection is very fast, and many people in the village have died!"

Lin Qingdai's complexion changed, and she whispered, "It's..., is it plague?"

Du Wenhao nodded: "It's very possible, but I'm not sure yet."

(End of this chapter)