Re: Shenzhen- A stream of children with severe encephalitis
A stream of complications caused by encephalitis, a new risk of encephalitis in children out of danger
http://www.ccvic.com Time :
2009-11-30 11:27:28
Chinese media network struggled for 13 days, this newspaper November 22 A1 Edition "A robust flow of instantaneous down 11-year-old male Tong, "reports the protagonist Xiao Yuan yesterday, 7:10 in the Urban Children's Hospital intensive care unit died
, becoming the second city reported cases of deaths in a stream.
According to Xiao Yuan of the attending doctors, 6:30 yesterday morning, Xiaoyuan heartbeat suddenly dropped to 40 times per minute, and then slowly down to "0." Medical staff immediately for emergency treatment and the use of vasoactive drugs, adrenaline, heart and lung compression recovery, Xiao Yuan's heart is stopped. 7:10 left, the Urban Group announced Xiaoyuan A stream of clinical clinically dead.
A stream of complications caused by encephalitis
The doctor told reporters that flows through the city, a clinical expert group confirmed that the death of Xiao Yuan critically ill patients diagnosed as having a stream, viral encephalitis, multiple organ dysfunction syndrome, severe pneumonia, central respiratory failure, is ultimately due to viral encephalitis caused by complications, resulting in the body circulatory failure, cardiac arrest deaths.
11-year-old Xiao Yuan is a manhole in South China in the sixth grade students in English-medium schools. November 15, because of cough, sore throat, whole body being insipid to Fuyong Tong Mei Community Health Center, injections, the next day at noon, there incontinence, confusion and later transferred to Fuyong People's Hospital for treatment. Morning of the 17th, his condition deteriorated rapidly and was transferred to the Xiao Yuan Bao'an District People's Hospital, during which there heartbeat once respiratory arrest, after transferred to Children's Hospital after the rescue, followed by a deep coma and brain death occurs.
Fortunately, the rest of encephalitis in children out of danger 
It is understood, 11 28, Municipal Children's Hospital intensive care unit also add an A flow trigger nervous system diseases in children.
Doctors said that the intensive care unit has been accumulated to receive nine nervous system in children with severe lesions. In addition to the death of Xiao Yuan yesterday, the 9-year-old and 7-year-old Xiao Yang Xiao Tang also basically were diagnosed as brain dead. Fortunately, in the intensive care unit rescue six children all turned the corner yesterday in stable condition, transferred to general ward for further treatment.
It is understood that a four-year-old thalassemia Chen, hemolysis caused by low immunity, infection and rapidly develop into a stream of severe, yesterday was transferred to Children's Hospital intensive care unit. Chen is currently a serious lung infection, anemia symptoms get worse at any time life is in danger, hospitals are emergency rescue operations.
A flow of the city appeared frequently in children with severe neurological disease has attracted a high degree of attention to the health sector.
Yesterday, the city of CDC experts have come to Children's Hospital intensive care unit and general ward patients with a stream survey in children, and took away Xiao Yuan and Xiao Yang of the cerebrospinal fluid of a flow occur in children with severe viral encephalitis the pathogenesis of research.
A stream must pay attention to the reasons for
As of yesterday, the city reported a total of 2 cases of deaths in a stream, more than 40 cases of severe cases. Cases of influenza-like virus detection results show that influenza A H1N1 influenza viruses are the advantages of the present strains of influenza, about 9 into the flow of patients with influenza A in patients with both.
Since October, the city entered a period of high flow period, and continued to rise. According to incomplete statistics, November 24 a day, six city municipal hospital and six belonged to the hospital the number of internal medicine and pediatric clinic to reach 17844 million, a record high. November 25, the city six areas, nine municipal units and some private hospitals reported a total of 10101 times the number of fever patients. November 26, city districts, 10 municipal units and some private hospitals reported a total of 13438 times fever.
City's health care system is undergoing a severe test. In order to ensure that the public can order as soon as possible treatment, municipal requirements for Health and Population Family Planning clinics in major hospitals to extend the time to increase the consulting room, District Hospital Open to all community health centers, and called on members of the public the best choice for mild Community Health Center or the nearest primary Hospital grade treatment, rational use of medical resources.
City A stream of clinical experts team, city president of the Third People's Hospital Zhou Boping that a flow of the epidemic must be given attention for three reasons.\
First, A flow is a new virus, the general population with no immunity to it, everyone susceptible;
Second, it's contagious, spread and virulence stronger than seasonal influenza, disease progress rapidly;
three in
Shenzhen and neighboring areas, a stream of the virus in 5 to 15 years of age among young people caused by a rare nervous system disease, caused by the clinical expert's attention.
Experts have warned pregnant women, 5 to 15 young people aged 65 years of age or older with chronic diseases, the foundation to be extra attention to high-risk groups to avoid being a flow of viruses to avoid illness to severe, critical care development; sustained high fever, difficulty breathing, mental status changes in patients with fever to be the first time to the designated out-patient treatment.
A stream in the global epidemic
Death more than a thousand people a week
According to Xinhua News Agency, Beijing, November 29 - World Health Organization 27, the latest news bulletin released said that the current influenza A H1N1 influenza virus in the world that have killed at least 7826 people were killed and one week (November 23 ~ November 29) died increase in the number of cases 1076 cases.
U.S. Centers for Disease Control and Prevention issued its first report on the safety of influenza vaccine, saying that these new vaccines are safe, so far there is no evidence that influenza vaccine will trigger any serious side effects. WHO has repeatedly said that the virus has not undergone any substantial variations, vaccines and drugs are still valid.
WHO says there are indications that influenza outbreak in North America, the Caribbean and parts of Europe reached a peak. American remains the highest death toll of influenza A virus in areas within a week, an increase of 554 patients died, to 5360 people. Influenza deaths in Europe within a week from 300 to at least 650 people. South-East Asia and the Western Pacific region of influenza death toll reached 1382 people. Eastern Mediterranean region and Africa influenza death toll reached 330 and 104, respectively.
WHO statistics show that the current influenza A viruses in the Southern Hemisphere and some tropical regions the level of activity has diminished.
However, the virus in India, Nepal and Sri Lanka's activities are increasing. In East Asia, influenza A virus is still very active, especially in Mongolia, reached a peak of influenza transmission.
City Children's Hospital outpatients super 5000 daily trips, Peking University Shenzhen Hospital, emergency room patients with double doors.
Yet to ease the pressure on hospitals,
(Reporter Pengbei intern WU SHU) yesterday, the reporter visited the city several major hospitals and that in the past week, a number of hospital outpatient and emergency doubled the normal amount of medical personnel working pressure surge,
especially the City Children's Hospital outpatients per day for more than 5,000 passengers.
Yesterday at 10 am, reporters at the city hall that Children's Hospital out-patient, even though the window at this time very few people queue up, but the doctor's office door and infusion areas there are still many children and parents.
Information Section, director of the hospital, told reporters this month, a week from 21 to 28 hours, Children's Hospital maintains a day, outpatient and emergency visits in 5200 ~ 5300, between 3000 have greatly exceeded the daily hospital visits doors, emergency reception capacity. Of these, nearly 1 / 3 of children concentrated in the fever clinic, general medicine out-patient clinics, medical emergency and special clinic subjects, mostly for children with upper respiratory tract infection.
To help each patient receive timely treatment, a doctor working overtime Children's Hospital at noon without a break, from 8 am continue to see 23 o'clock. Some wait long expressed its understanding of children with parents: "Although a long time, so get some, but as long as the children can rest assured that treatment is still a little."
However, some doctors said that the current city health departments have issued the district general hospital pediatric clinic guidelines for children with a stream, once the children appeared acute, severe, can be quickly transferred to Children's Hospital for consultation and rescue, please parents, do not be too担心.
Peking University Shenzhen Hospital, pediatric and emergency department doctor recently doubled the number of patients than usual. Hospital statistics show that 26 to 28, three days, the number of daily emergency room visits between 960 ~ 1100; pediatric emergency department with pediatric general out-patient up to between 550 ~ 630 people; fever clinics remained at around 300 passengers; infusion to keep the number of about 1000 times.
Today, vaccines reinvested 30000
Yesterday, the city Health and Population and Family Planning Commission Zhang Ying, director of immunization management reporter an exclusive interview revealed today, the city invested a further 30000 A flow of vaccines, as of now, the city has 280,000 A total flow of vaccines for the relevant population vaccinated. Zhang Ying said the focus on bias in the primary vaccination.
According to statistics, as of last Friday, the city has reached 121,232 the number of people vaccinated, representing the province have been vaccinated more than 30 million people, approximately one-third of the number of ranking the province first vaccination. Vaccinated population in the city, students account for nearly half of the ratio of up to 58211 people.
Zhang Ying said that the city's number of vaccines by the Guangdong provincial health departments in the deployment, according to the original plan, the Shenzhen this year, only 120,000 A flow of vaccine targets, which from October to November 50000, 11 months to December 7 million; vigorously fight for the health sector in Shenzhen, the city is currently assigned to the number of vaccines for more than twice the original plan; City, Guangdong Province, the health sector to attract more positive the number of vaccines.
According to reports, at this stage due to a flow of vaccine worry about capacity shortages, such as seasonal influenza vaccine is unlikely to have done, "think there were kinds of species." At present, the city can be a flow of vaccine inoculation for the medical group, port inspection and quarantine, customs, public security, ports, airports, public transportation and other front-line public service staff, as well as primary and secondary schools, and childcare and other educational practitioners.
When will the public put forward their own expense, a current immunization vaccines, Shi-ying said that has not yet received an instruction to inform, but according to his estimate, "Because of the limited number of next year in March before the full liberalization of vaccination is difficult." (Reporter Shun)
Experts advise
A stream infection after going to a rest
City A stream of clinical team leader Zhou Boping, said: "working, sports, tired of influenza patients who are already hypoxic symptoms worse. So, whether severe mild, a stream or seasonal influenza must be first time to rest, drinking a large number of warm water. "
Chinese Academy of Engineering, Institute of Respiratory Disease in Guangzhou, the provincial influenza Zhong Nanshan, head of the clinical group of experts also believe that no matter what kind of groups of people, the event of a fever, be sure to note stop vigorous exercise, a stream leading to the death of the most critical reason for this is combined heart and lung failure. Patients should pay close attention to their physical changes, do not delay, do not exercise to increase cardio-pulmonary pressure, do not do it stay up for medical treatment.
Press Review
November 20, the city reported the first case of Influenza A H1N1 flu deaths, the deceased was Miss Pang.
From Guangdong Heyuan Longchuan 20-year-old Ms. Pang, a man opened a clothing store in the East Gate. Luohu District People's Hospital, according to briefing, at 2:00 p.m. on November 19 about a 20-year-old young man to the hospital out-patient treatment the East Gate. At that time, the woman has emerged palpitations, chest tightness, chest pain and other symptoms. According to her, she runs a clothing store nearby, November 17 with fever, cough, sore throat, shortness of breath and other symptoms, but in order not to affect their business, she went to the drugstore to buy a cold clear self-medication. After taking a cold clear, sore throat and the symptoms have been alleviated. Despite the cough, sputum, shortness of breath and other symptoms did not improve, but did not cause her attention. Ms Pang said that his body has been very healthy, there is no basis for any chronic disease, there is no history of drug allergy. November 19, Miss Pang consciousness "not beat", and was rushed to the clinic for medical treatment.
At 15:19 on November 19, Ms. Pang was admitted to Luohu District People's Hospital. Chest showed that Ms. Pang has been a very serious lung infection, the hospital immediately for her anti-virus, anti-infection and support for symptomatic treatment. Due to the rapid progression of the disease, the doctor suspected infection of a stream, notify the District CDC to collect the pharynx, nasal swab samples for testing.
Early hours of November 20, Miss Pang difficulty in breathing, the doctor immediately tracheal intubation them. He died on many occasions, Ms. Pang was at 15:37 on November 20 died. (Reporter Zhang Yan)
To closely monitor the mental state of a child
A flow of the virus can cause brain infection or disease, this situation is currently only in Shenzhen, Dongguan, Guangzhou occur, whether the characteristics of the region has yet to be experts further argued. City Children's Hospital intensive care unit admitted over 18 children with severe A stream, of which 9 appeared in such symptoms. Consensus of experts is: the earlier the detection, treatment, the better.
City Children's Hospital, president of Chengrong said that if the child appears convulsions, coma was taken to hospital, this time the brain lesions are very serious, the best time of their treatment delayed.
It is understood that City A stream of clinical expert group has asked the medical staff a high degree of emphasis on "a headache accompanied by vomiting or convulsions," the young patients. LI Cheng-rong said that health care workers are far from their parents to understand their child's illness, hope parents will be able to find some early symptoms of brain lesions.
First, pay attention to the child's psychiatric symptoms, if the child appeared unresponsive, incoherent speech and personality and so great changes, we should pay attention to. Second, pay attention to the child's neurological symptoms, such as sudden irritability, inexplicable laughter, pranks, or drowsiness, etc., are an early manifestation of white matter lesions. (Reporter Zhang Yan)
Press Review
11-year-old Xiao Yuan normal health, height 1 meter 53, he weighs over 50 kilograms. November 15 evening 6 pm, Xiaoyuan told his father his afternoon cough, sore throat, whole body being insipid. His family took him to Community Health Center clinic, doctors fought to Xiaoyuan fever intramuscular injection needle, opened some medicine. 16, morning, Xiaoyuan fever did not retreat, Yuan father once took his son to Community Health Center infusion. Noon Xiaoyuan suddenly shouted hungry, when Yuan Dad After buying dumplings come back, Xiaoyuan actually burst out laughing. Fuyong People's Hospital in the transfer to the ambulance, Xiao Yuan has been Dudunangnang that nonsense.
Xiao Tang who lives in Pinghu, November 19 a high fever up to 38.5 degrees Celsius, his father took him to a local small clinic injections, will be his son back to school. Xiaotang connected to two days of classes, and even on the physical education lessons. November 20th home from school, mother found in Xiao Tang is also a fever, brought him to the small clinic injections. Injections on the way, the child began to cry and caused convulsions. Xiao Tang said want to sleep, parents to take their home and rest. At 2:00 on the 21st, the child drank a bowl of water to the toilet, said after the results Quemei pull out. Half an hour later, he said to pull, the parents discovered that he had pulled up points on the bed. 4:00, Xiao Tang not bring down a fever, when the parents discover that he was unconscious. His father immediately sent to the vicinity of the Xiao Tang Shan Hospital emergency rooms emergency buildings. At 6 o'clock on the 21st, Xiao Tang was transferred to inpatient rescue, still in a coma. 12:00, Xiaotang not wake up. Uncle, said Xiao Tang Xiao Tang may suffer from a stream, this sentence reminds health care workers, hospital emergency contact referral Children's Hospital.
The same day at 2 pm, Xiao Tang was transferred to Shenzhen Children's Hospital, on admission to the hospital on the family issued a notice of critically ill and was diagnosed as a stream.
Xiao Yang also have occurred in convulsions, coma was only taken to a hospital. Doctor said that at present Xiao Yang in a deep coma, breathing on his own weak, circular functions are a problem. At present, Xiao Yang basically at the life hanging by a thread state. :tiphat:
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