Urumqi, an H7N9 patient pull through
Badaowan who lives near the family did not show symptoms of infection
www.ts.cn Tianshan August 20, 2014 09:23:59
Asian Heart Network (Reporter Chen Feng were combined photo coverage) at 13:00 on August 19, the Sixth People's Hospital of Xinjiang Uygur Autonomous Region isolation ward, the patient Lao Jin throat "snoring" sound getting louder and louder, his hands unconsciously to pay close attention to the bed rails, two feet Rocker up. With fiber electronic bronchoscope, the doctor from the Lao Jin Song Guoping skillfully drawn a lot of airway sputum. "Snoring" sound disappeared, Lao Jin face a comfortable look, his hands gently flat, eyes slightly narrowed, "and so he can from the ventilator, they basically leave the hospital." Song Guoping said.
In the sixth full treatment Autonomous Region People's Hospital, the 53-year-old Lao Jin patients with H7N9 bird flu has finally turned the corner.
Sudden high fever confirmed cases of influenza
Lao Jin, who lives near Urumqi Badaowan, in a unit as welders. 3 months ago, the family had gone to the market to buy back the 20 chickens to raise, Lao Jin has been responsible for cleaning the coop, chickens there have been no signs of illness.
August 3, Lao Jin sudden cough, sputum symptoms, in the absence of obvious incentive, the temperature quickly rose to 39.6 ℃. Thought it was a cold, Lao Jin on the nearby community health service centers in accordance with the "upper respiratory tract infection," accepted the anti-inflammatory treatment at home.
August 7, the temperature dropped to 37.7 ℃, but the old gold and diarrhea, bloating, and no significant improvement after treatment.
August 8, Lao Jin accompanied by his family to Urumqi, a top three hospital, was diagnosed with left lung infection. Despite been receiving treatment, symptoms may Lao Jin continues to increase, progression to severe pneumonia, also appeared in septic shock and other complications.
August 16, Lao Jin Sixth People's Hospital was transferred to the autonomous region, "the time of admission, the patient due to lack of oxygen, the body has purple, deep coma." Hospital respiratory center, severe ICU director Song Guoping recalls, "patients there have been heart failure, respiratory failure, septic shock, electrolyte disorders and other illnesses, hospital preliminary judge for suspected bird flu patients, immediately launched the emergency plan. accordance with the prevailing situation, the survival rate of less than one percent of his. "
Hospital while the organization in accordance with the requirements of bird flu isolation treatment, while the patient sputum submission to Urumqi City CDC. The next day Urumqi CDC Reply diagnosed H7N9, the hospital immediately for medical illness echelon consisting of patients for specialist treatment.
Health care lianzhouzhuan pull through
"Twenty-three hours sleep a day." From Saturday to now, 宋国平 and is mainly responsible for the doctors, nurses have not returned home, "the patient's condition was too serious, a little negligence might defeat death." Breathe a Zhang Jianfeng, deputy director in charge of Lao Jin and Song Guoping with illness, once every 2-4 hours suck phlegm, every two hours observing ECG and respiratory machines, each half-hour to make different drip treatment, 24 hours lianzhouzhuan without interruption.
Under the joint efforts of the medical staff, Lao Jin has finally turned the corner. By chest X-ray showed that when a large area of Lao Jin admission lung consolidation have been improved, a large area of consolidation shrink or even disappear. Now, although because of endotracheal intubation can not speak, but write their own thoughts on the old gold from time to time in the nurse brought in WordPad. This allows the isolation ward has been waiting outside, can only be observed through the camera's family was finally relieved.
Family members of patients with asymptomatic
According to Song Guoping introduced, usually considered the source of infection was likely to carry the H7N9 avian influenza virus in poultry. Although patients Lao Jin did not eat poultry at home, but the environment is likely to exist coop H7N9 avian influenza virus, in its sweep through contact with poultry faeces, secretions, or cleaning the house, the dust raised by possible respiratory tract infections.
According to reports, in accordance with current incidence of H7N9 avian influenza in the country, the majority of sporadic cases, individual families have appeared collective onset of the phenomenon. The Lao Jin's family, in addition to the individual who has appeared throat discomfort, has been taking the cure, other people not infected with H7N9 avian influenza virus symptoms.
Most people can heal after infection
World Health Organization has said, H7N9 avian flu virus is "one of the most deadly influenza virus." -26 January 1 this year, China's total of confirmed cases of human infection with H7N9 avian influenza 96 cases, deaths.
"H7N9 virus infection itself is not terrible, as long as good health, a better immune system, like other viruses like colds, most people can heal, so no need to panic." Autonomous Sixth People's Hospital respiratory center, severe ICU director , H7N9 treatment team leader Song Guoping said.
宋国平 said that the bird flu virus generally sensitive to heat, low temperature resistant to heat 65 ℃ 30 minutes or boiling (100 ℃) can be inactivated two minutes or more. However, the virus can survive for one week at low temperature, at 4 ℃ in water or the presence of glycerol, the activity can be maintained for more than 1 year.
In the week before the onset of contact with birds or live poultry markets have been to the crowd; children, the elderly, pregnant women and other immunocompromised populations; suffering from hypertension, diabetes, patients with chronic obstructive pulmonary disease, chronic bronchitis and other underlying diseases and old, have is a high risk of H7N9 infection. Song Guoping reminder, usually pay more attention to, try not to go to the point of sale of live poultry, less crowded place to go. In the daily diet, be sure to pay attention to separate raw and cooked.
Song Guoping said that the current treatment for bird flu, effects of drugs still oseltamivir, peramivir, zanamivir three drugs, Radix, capsules, etc. Lianhuaqingwen only with auxiliary conditioning, do not have therapeutic effect.
The key is early diagnosis treatment
According 宋国平 introduction, patients infected with H7N9, the general performance of the flu-like symptoms such as fever, cough, sputum less, or accompanied by headache, muscle aches, diarrhea and other symptoms, incubation period is usually 3-4 days. More in the incidence of severe pneumonia occurred 3-7 days, the temperature continued at above 39 ℃, difficulty in breathing, may be associated with hemoptysis sputum. Often rapidly progress to acute respiratory distress syndrome, sepsis, septic shock, multiple organ dysfunction. "So, once again had a history of contact with live poultry flu symptoms, be sure to go to regular medical diagnosis, do not delay treatment time, resulting in delaying disease because of critically ill patients with H7N9 infection mortality rate of 90%."
"H7N9 and H1N1 treatments have different emphases, but more critical is for the prospective treatment of complications." Li Autonomous Region Sixth People's Hospital, said the hospital in 2009 to fight when a stream has accumulated rich experience. "it is also valuable experience, so we promptly restore the patient's life. "