Re: Shandong discovered the first confirmed case infected by H7N9 bird flu
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http://m.bandao.cn/wap/?module=news&id=2140829 article quotes vegetarian Granny with no exposure, discusses triage situation in hospitals and the fact that masks are only being used after evaluation and also that they are using 0.5%chlorine disinfectant for used thermometers.
▲ Jiaozhou Road Municipal Hospital Center injection room, more flu patients. Reporter Wang Xiaoqiang, Shandong Province, confirmed its first case of H7N9 bird flu, the island city more stringent prevention and control. 25, the reporter went to the hospital fever clinic visits, some patients with flu-like symptoms after more concerned about immediately to the hospital, but some has been dragging until sicker. Day, the reporter followed by a 70-year-old elderly fever treatment, she had a fever for four days, always worried to go to the hospital the hospital will be left on their own medication at home, but it finally dragged into pneumonia. The doctors advise whether avian flu or the common cold, should be timely medical treatment, early detection and early diagnosis and treatment.
Body temperature over 38 ℃ send fever clinics "these days fever patients, and some go directly to the fever clinic." Reporter went to the 401 hospital outpatient hall, triage at the staff member said. Although Castle does not monitor cases of bird flu, but the reporter saw, outpatient nurses are wearing masks. "Shandong Province is now diagnosed the first patient, we want to strengthen prevention and control." The medical staff.
"I have some fever, which department to go see." Triage Department said a man walked his two days have been uncomfortable, some dizziness, get up in the morning, I feel some fever. A man said he fever, medical staff rushed from a close "sterile" taken out with the thermometer and handed him the box of the words. "First take your temperature." After five minutes, the man took out a thermometer and to the medical staff. 37 degrees, to the pulmonary clinic staff, outpatient patients with a temperature over 38 ° C, they will give the patient wear a mask, and then sent them to fever clinics. The reporter saw the man run out the thermometer, medical staff thermometer placed in 0.5% chlorine disinfectant. Used up have to disinfection to prevent cross-infection. "
Subsequently, the reporter came to the pulmonary clinic. Reporter saw respiratory outpatient medical clinic inside, this place also has a triage. Experience fever patient, we will give him to wear a mask, if the temperature exceeds 38 ° C, and let them go fever clinic. "At the triage nurse said. The "fever clinics opened, few patient admissions here, today morning admissions of more than twenty." Staff said generally appear directly after the fever to fever clinics, they rarely have temperature over 38 ° C.
Granny fever for five days before a doctor <br /> interview with reporters, a lady came in. "These two days have been a fever." The old man said, her surname to any 70-year-old. Hear the fever for the elderly, health care workers first put on her mask. "There is no history of exposure to poultry?" No, I'm older, usually do not how to eat meat, eat vegetables, has been a long time do not eat chicken. "Any Granny known. "Fever for a few days?" From the last Sunday I began to fever, burn 38 ° C at the time I eat paracetamol, Monday fever, but Tuesday fever, sudden temperature was 40 ° C yesterday, I finished morning after the drug to a 37 ° C. But at noon the temperature to the 38 ° C "any old woman said she is fever, headache, cough but no runny nose is not.
Subsequently, the medical staff to the old lady measuring body temperature, the old man's body temperature was in the 38.2 ° C, measured temperature, the medical staff gave her listened to heart and lung. "Listen lacks the problem, but the fever for so long, or to be a check." Fever clinics doctors Zhao Xing opened to the elderly blood routine examination and chest X-ray examination.
"What are pneumonia, from the film case, the left lung inflammation." Elderly done after inspection, Zhao Xing looked at the film said. Dragged too long, and now the situation is more serious, first hit the bottle it. "
Heard of their condition, any Granny look of surprise that she went out with friends before travel back did not rest well on Saturday went to Zhongshan Park to see the cherry blossoms, it is a very cold day, she wore less, frozen with. "These days, they have been advised me to go to the hospital, I am afraid to hospital after the doctor left, they had not to go to the hospital on their own medication at home."
The suspected illness as soon as possible treatment <br /> According to reports, the province first case of H7N9 bird flu since that is catching a cold, can carry the past, taking drugs such as Banlangen missed the best treatment until six days after the onset of admission time.
"The public has a cold is best to timely treatment, especially in patients with fever." Interview with reporters, the doctor said, according to the Ministry of Health issued the people infected with H7N9 avian flu, bird flu is generally manifested as flu-like symptoms such as fever, cough, sputum less, may be associated with headache, muscle aches and general malaise. Patients with severe progression of the disease, more severe pneumonia in 5 to 7 days, mostly sustained in body temperature above 39 ℃, difficulty breathing, may be associated with hemoptysis sputum; quickly progressed to acute respiratory distress syndrome, sepsis, septic shock , even with multiple organ dysfunction, some patients may appear mediastinal emphysema, pleural effusion.
Currently diagnosed patients, mostly elderly, this is also related to the awareness of the elderly. "Doctors said the elderly ill often easy to drag, drag then visit so often miss the timing of treatment to delay treatment.
"Early detection, early diagnosis, early treatment is the key." As the designated hospital for the province of human infection of H7N9 avian influenza at the provincial level, the Provincial Chest Hospital Dean tall Sichuan, the suspected symptoms within 2 days, treatment drugs is still very , after two days, the effect of drug treatment greatly reduced. If the suspected disease, the patient should be approaching the hospital.
Text / reporter Wei Lili (Source: Peninsula Network - Peninsula Metropolis Daily) [Editor: Li Minna]
