Li You's Tang Dynasty

Chapter 311 Zhao Lingling is an Epidemic Expert
"Oh, it's really strange. According to your description just now, the plague septicemia produced in your place is mainly plague septicemia. This septicemia plague is also called plague septicemia. The infected blood travels everywhere in the body. cause.

Septicemic plague may also be caused by bubonic plague, but some patients with septicemic plague do not have symptoms of lymphatic swelling.After the onset of septicemic plague, bleeding spots will appear everywhere on the skin, and eventually the whole body will be covered with black spots and die. This is the origin of the "Black Death".

If left untreated, it may take less than a day for such patients to die from infection, and the mortality rate is close to [-]%.The body fluids of patients with septicemic plague contain a large number of pathogenic bacteria. If there is close contact with them, including caring for patients and handling corpses, direct infection may occur. "

Zhao Lingling sat on the bed and said with great interest.

Just now when Li You and Tang Shiyun came to Zhao Lingling's bedroom, Zhao Lingling was sleepy at first, but when Zhao Lingling heard the question about the plague, she immediately became interested.

After finishing these words, Li You was startled when he heard the three words, and blurted out: "Black Death!"

"That's right. It's the Black Death. It is the most lethal type of plague. The Black Death has had three major pandemics around the world. Each of these three epidemics lasted for decades or even hundreds of years. The first pandemic The Eastern Roman Empire began in AD 541 and swept across the entire empire within a year.

In the following six years, the epidemic spread to the former Western Roman Empire and Gaul, and crossed the ocean to attack the British Isles. The Near East and Asia also fell one after another.

This pandemic, which lasted for more than 60 years, is called the Justinian Plague. It is conservatively estimated that the epidemic caused at least 2500 million deaths in Europe.Constantinople was the epicenter of the outbreak, which at its peak killed between 5 and 1 people a day.

The second pandemic, later known as the Black Death, occurred in Europe in the 14th century, after the three Crusades that preceded it caused widespread movement of people and rats.

In 1241, Batu, the grandson of Genghis Khan, led the Mongolian cavalry to fight for many years, which also caused a large-scale movement of military personnel. The trade between Eurasia and Europe under the territory of the unified empire further strengthened the continuous and extensive exchanges between personnel. Everything laid the groundwork for the subsequent pandemic.

In October 1347, the plague began to spread from Sicily on a large scale. Rat fleas adsorbed on trade fur and black rats moving with the crowd were probably the main source of infection.

By the end of the 14th century, there had been three major epidemics and several minor epidemics in total, causing 8500 million deaths worldwide and 2000 to 3000 million deaths in Europe, which was almost half or even three times the population of Europe at that time. [-]/[-].

The last time was in our country. However, during the third plague epidemic, medical workers from all over the world went to Hong Kong, the center of the epidemic area. It was here that Yersin and Shibasaburo Kitasato isolated the plague. The pathogen of the plague sounded the clarion call for mankind to conquer the plague.

However, although we have gradually got rid of the plague of the Black Death epidemic, small-scale epidemics and sporadic cases still occur from time to time even today.At present, the only country in the world that can claim to have successfully eradicated the plague is the Japanese country that defeated the plague through its own efforts.

It's just that it's unbelievable that thousands of people die a day because of the Black Death where you work. Could it be those backward African countries in the Congo? "

Li You didn't explain his position to Zhao Lingling, but asked anxiously: "Then Miss Zhao, how should we eradicate the Black Death?"

"We already have a vaccine, a dry live vaccine of the EV avirulent strain. This vaccine can effectively prevent the Black Death.

However, if you are unfortunately infected with this disease, you should isolate it immediately and report the epidemic. The most basic thing is to eliminate the source, kill the rats, and prevent the epidemic from spreading further.

To cure the Black Death, a large amount of streptomycin is needed. Streptomycin is a specific drug for the treatment of various types of plague.The dose should be increased in severe cases. "

"Can this cure the Black Death?" Li You showed a surprised expression.

But Zhao Lingling on the side said: "How can it be so easy, the black disease is very serious, so if the elderly and infirm are infected with this disease, don't treat it, just give up..."

"Streptomycin is not enough?" Li You frowned.

"Of course not!" Zhao Lingling said slightly: "The real treatment of the Black Death requires bed rest, maintaining heat supply, and supplementing enough fluids. For patients with high fever, use physical cooling drugs.

If restlessness or significant pain occurs, a sedative may be given.Patients with severe symptoms can be treated with glucocorticoids for a short period of time, but during treatment, they must be treated with effective antibiotics at the same time.

If there is significant difficulty breathing, ventilator treatment is required.

Thousands of people can die a day in your place. You don’t need to guess. You can’t have the above-mentioned drugs, so I suggest that you don’t treat the elderly and weak, and don’t save people with severe symptoms.

Divide the patients into three categories, mild, moderate and severe, rescue the mild and moderate patients, isolate the severe patients directly, and burn them after death.! "

"Hey!" With a sigh, although Li You couldn't bear it, Li You knew that what Zhao Lingling said was true, now is no longer the time to be sympathetic, only the strong can survive, and He could only bring back [-] kilograms of medicines. Li You didn't know how many people these medicines could save.

"Miss Zhao, I want to buy a lot of EV avirulent strain dry live vaccine and streptomycin, can you help me?"

"Sister Lingling, you can help brother!" Tang Shiyun also begged Zhao Lingling.

"I can help. One of my seniors belongs to a drug company. The things you want are not banned drugs. Of course you can help, but the things are a bit expensive. You have to prepare money."

"Good money is not a problem, I can do as much as I want, but I don't have much time, can I go to meet your senior brother now?"

"Now...?" Zhao Lingling thought for a while and said, "It's true that the epidemic waits for no one. If you wait one more day, many more people will die. So I'll make a phone call first to see if my brother is asleep now. If he agrees, I can take you to see him."

"Thank you Miss Zhao!" Li You let out a long sigh of relief.

When Zhao Lingling went to make a call, Li You touched Tang Shiyun's little head and said with a smile: "You are really my little lucky star, without you, I don't know what to do when I come back this time .it's good now!"

Speaking of which, Li You took out a jade bracelet from his bosom, put it on Tang Shiyun's hand directly, and said, "For you!"

(End of this chapter)