第二百零三章 预备(2 / 2)
我能看见状态栏
罗三观.CS
1340 字
2022-04-26
肺鼠疫从感染疾病,到发病的潜伏时间之短,简直到了匪夷所思的地步。肺鼠疫有记录的最快发病速度是30分钟——从接触患者到发病,只不过30分钟而已。而发病后,患者的情况会开始迅速恶化,并且在大约三天内死亡。从某种角度上来说,肺鼠疫甚至可以和埃博拉病毒一较高下。只不过因为鼠疫的病原体是细菌,并且许多抗生素对鼠疫有良好效果,因此才不像病毒类传染病那么吓人。
“行了,大家集合一下。”孙立恩正在胡思乱想着,这边呼吸内科的主任黄文慧已经朝着周围的医护人员发出了指令,“预防性口服环丙沙星胶囊,每隔十二小时服用一次。”
医护人员除了使用相应的防护设备以外,也需要口服抗生素进行预防性治疗。国内诊疗指南中推荐的四种预防性药物中,四环素和复方磺胺甲恶唑片的用量都比较大,而多西环素则有比较明显的肝毒性,因此黄文慧主任选择了让大家都口服环丙沙星进行预防治疗——反正院里的药房提供药物都很容易,既然都算是“劳保用品”了,那自然要选择对医护人员伤害较小的那一种。
“我和你们一起进去。”看着孙立恩等人吃下了胶囊,黄主任自己也咽了两粒胶囊后重新戴上了口罩,“洁净室那边的铺设还在做,时间不等人,我和院感商量一下,至少先让我进去看看患者的情况——让影像科那边推个床片过来,他们这个情况肯定不能到CT室去,有X光胸片也比没有强。”
孙立恩点了点头,随即道,“我和你一起进去。”
这次,孙立恩还真不是上头膨胀,而是经过全盘考虑后才作出的决定。整个治疗组里,他才是最适合进洁净室里的人——首先,首诊负责制下,治疗组里必须有医生接管这三个患者;其次,孙立恩曾经和需要隔离的患者一起在房间里待过,而且完成了多次抢救,比起组内的其他几个医生,孙立恩面对突发情况的应对能力明显更好也更全面;第三,在有呼吸内科主任协助下,孙立恩规培的身份其实更适合给人家打下手;最后的一点,他有状态栏可以用。
有了状态栏,他就能够以最快的速度监控到患者的情况变化,还能确实把这些变化应用在实际治疗中。对于肺鼠疫的患者而言,哪怕只是多了一丝助力,结果也可能是完全不同的两个极端——从死到生。
最重要的是,孙立恩已经学乖了。他比在场的其他急诊科医生都深切的体会过医疗职业暴露和院内感染的可怕之处。他自己被隔离过七天,还害的自家主任被送到了非洲,他的表侄现在还在PICU住院,目前看来堪堪保住了性命而已。
因为畏惧,所以要勇敢。孙立恩捏了捏拳头,对黄文慧主任坚定道,“我和你一起进去。”
“你不怕?”黄主任看着孙立恩的脸色,忽然笑着问道,“里面可是鼠疫,你还没结婚吧?”
“我女朋友在英国读书呢。”孙立恩差点给自己离个Flag,还好,他忍住了。“至于鼠疫……不怕丢脸,我当然怕。可是怕有什么用?我害怕了患者就能自己好起来?”他看着黄文慧认真道,“我是急诊科医生,我的工作就是用一切手段稳定住患者的情况,然后把他们转交给你们专科进行进一步的治疗。这是我的职业。”
黄主任过了一会笑了起来,笑的很有些豪放,她抬起手,稍微有些艰难的够到了孙立恩的肩膀,然后使劲拍了拍,用广东话夸奖道,“靓仔好耶!我睇好你!”
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