Re: China: 2009 HFMD; Cases and death toll on the rise
Re: China: 2009 HFMD; Cases and death toll on the rise
Source:
http://news.163.com/09/0518/03/59ILTV9T000120GR.html
Google translation:
Dongguan boy suspected HFMD death
2009-05-18 03:42:00 Source: Nanfang Dushi Bao (Guangzhou) 0 cell phones keep abreast of the news
By 1 month, 9-year-old Xie Le premature death yesterday. He began May 14 with fever, on the 16th came to Dongguan Dalang hospital out-patient clinic intake until 8:20 yesterday morning, his condition deteriorated suddenly, and then was sent to Dongguan City People's Hospital puji branch, and ultimately died death. Dongguan City, according to Hand, Foot and Mouth Disease Clinical Expert Group initially identified five experts, the cause of his death is suffering from a heavy hand, foot and mouth disease. Last night, the reporter interviewed the provincial Ministry of Health and CDC who have not yet received the relevant report said.
Fever sent to hospital after two days
Dongguan City People's Hospital stand puji branch of the door, and his wife broke down in tears as谢志明. They said that the beginning of May 14,精神不振on small family, and a little fever. "After吃了药has not improved," said谢志明, 9:00 am on the 16th, they send their children to Dalang hospital out-patient clinic intake. Materials in the medical records of reporters to see the child at the time the body temperature to 37.9 ℃, who does not appear herpes, the doctor diagnosed "pharyngitis," and anti-infection, such as infusion therapy.
16 pm, the mother found骆平Tsui, the children took place hands and feet twitch and teeth unconsciously, body temperature did not drop, but there are signs of rising. "12 o'clock that evening, we went to the hospital Dalang,"骆平Tsui said, "At that time, doctors measured the body temperature is 39.2 ℃ said, but he has not called hospital, fighting a needle, but also no mention of hand, foot and mouth disease . "
6:00 the next day,谢志明once again hold their children to hospital emergency department Dalang. Doctors find that there is fever, body temperature at 38.4 ℃, no cough, no respiratory difficulties and convulsions of the phenomenon, followed by infusion therapy. 8:20, small family suddenly showed cyanosis, difficulty in breathing, poor spirit, was living close to the pediatrician, the doctor to consider an emergency consultation with severe hand, foot and mouth disease, immediately contact Dongguan City People's Hospital puji Branch, transfer treatment.
Zero-zero when the transfer of respiratory heart rate
City People's Hospital in Dongguan Branch issued puji "seriously ill, critically ill notice" on the issuance of the notice is served, "at 9:25 on May 17." During the previous five minutes, small family Dalang was sent to hospital the ambulance puji branch.
Pediatrician reception to thank Zhi-Chao said: "The children to the hospital when the heart is already zero, zero-breathing, body temperature is low-grade fever, 37.4 ℃, then we are to rescue, CPR done, but no effect. Then we have to save to 11:31, the formal declaration of death of children, and we also continue to save nearly 30 minutes, only to abandon the treatment. "
Reporters at the hospital issued a "death certificate (the family of the deceased)" to see small family of the final diagnosis as "hand, foot and mouth disease (severe), encephalitis, brain? Pulmonary hemorrhage, metabolic acidosis, respiratory arrest heartbeat stop CPR after the multi-system failure, "the cause of death was" multi-system failure. "
Experts
"Consistent with the severe symptoms of hand, foot and mouth disease"
After the incident, Dongguan City, hand, foot and mouth disease expert group members, Dongguan City People's Hospital Kwong-yu, director of pediatric sub-accepted reporters. She said that in the hospital to thank family, the city of five experts in the expert group has carried out consultation and initial diagnosis of severe hand-foot-mouth disease.
"Our diagnosis is based on treatment guidelines issued by the Ministry of Health found that children with severe symptoms of hand, foot and mouth disease and the symptoms are consistent with." Sub-Kwong-yu said, "First of all, children with only 1-year-old age of 9 months, and treatment guidelines that are suffering from severe hand, foot and mouth disease is one of the conditions under 3 years of age; the second, sustained high fever, he had burned the three days; Third, the adverse circulatory system, when he had cold hands and feet have been; the fourth, respiratory difficulties, when he had the tracheostomy tube to help breathing a; and blood sugar, blood pressure is not normal; Finally, we film and found that there is the shadow of the lungs, there are signs of pulmonary hemorrhage. At the same time, hands and lips have herpes . "
It is understood that in accordance with the provisions of the State Ministry of Health, all hand, foot and mouth disease deaths, the provincial disease control departments have the need for confirmation. Sub-Kwong-yu said that the city is only a preliminary group of experts identified as the heavy hand, foot and mouth disease, but whether the EV71 virus, also found the provincial disease control departments. Xie music if the ultimate cause of death was identified as the heavy hand, foot and mouth disease, he will be the first case this year in Dongguan City, hand, foot and mouth disease deaths.
Parents
"The main responsibility of the hospital misdiagnosed"
For my son's death, his wife谢志明believe that the primary responsibility rests with the hospital misdiagnosis Dalang. Lang believes that large hospitals, have suggested that the early morning of 17 hospitalized children with family members but did not accept, and his wife have denied谢志明.
16 o'clock yesterday, the reporters came to the hospital Dalang, a responsible person surnamed Xie, said the early morning on the 17th, Xie Dalang music to the hospital, doctors had to mobilize the families of hospital patients but the families do not accept.谢志明at the scene immediately to refute: "How can hospital called ah? Then hit a bottom pin is called, I asked 'Why not play bottle', and that doctor said 'too late now'." The reporter in the hospital the medical records of materials issued, and no hospitalization associated with the proposed text. Dalang hospital also failed to provide evidence to prove that.
Subsequently, the official said, the hospital is not entitled to Long Hand, Foot and Mouth disease confirmed. The reporter has learned that in April this year, Dongguan City Health Department has announced the city's 30 fixed-point hand, foot and mouth disease in the hospital admission, and among them Dalang hospital.
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(This article Source: Nanfang Dushi Bao) netease
