Re: Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)
[Source: Chinese Province of Zhejiang Department of Health, full page: (
LINK). Automatic translation from Chinese.]
Zhejiang Province, two new cases of human infection with H7N9 bird flu virus
Release date :2014-01-10 / Source: Ministry of Health and Family Planning Commission
January 10, 2014
...
2, Liu XX patients, male 30 years old, currently residing in Ningbo area. January 9 was diagnosed human cases of avian influenza H7N9 infection, is now critically ill in a hospital for treatment of Ningbo.
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It seems that this patient was discharged -
Translation google
Ningbo, the first case of human infection with the H7N9 avian flu patient's life diary
China Ningbo Net at 06:51 on March 7, 2014
Yesterday, the city's first case of human infection with the H7N9 avian influenza patients --- Anhui membership Liu has experienced 54 days of life and death struggle, discharged.
Avian influenza virus was negative after 12 days
"The evening of 10 January, he transferred to our hospital from Zhenhai, with professional jargon is very critically ill patients, the lung is almost completely white." Second Hospital intensive care unit director Xu Zhaojun clearly remember the scene that day. That day, angels are armed, wear N95 masks, wearing gowns, wearing surgical cap and protective glasses, wear shoe covers. Since then, Liu accompany one of life and death reached the checkpoint.
Make artificial liver to filter and clean inflammatory cytokines. The first three days of continuous 72 hours replacement plasma.
One after another, the patient suddenly bilirubin rises to 129 (normal is 20 or less), abnormal liver function. Xu Zhaojun carefully review the associated drugs, decisive withdrawal Fortunately, three days after the return to normal.
The first four days the patient to urinate stop row. An entry examination commenced phase found in the blood of the hemolytic bacteria, the bacteria were also detected inside the catheter, Liu's body at the moment there is the bird flu virus.
Battle kidneys started. Every two hours for a cycle, according to UF out of the waste, drainage out of the liquid, as well as excrement, blood pressure and dryness of the skin combined with rehydration, fine-tuning the total liquid to ensure that fluids homeostasis.
After 12 days, the bird flu virus negative index patients, and lung infection under control.
Diarrhea, fever, intestinal bacteria imbalance
Good physical fitness is also a major struggle with the disease capital. Nutritional preparations by jejunal tube, intravenous inflows, but Liu still lost more than ten kilograms.
From a medical perspective, one more pipe is inserted, there will be more chance of a re-infection, especially in frail patients can not withstand the infection is more frustrating. After human H7N9 avian influenza virus infection index was negative, anti-infection has become a priority.
January 22 rounds doctors discovered a bulging belly Liu. Subsequently, he was in January 24, February 3 severe diarrhea, up to a day to pull out eight times. Doctors believe a while back for their lives with a lot of antibacterial drugs, resulting in intestinal bacteria imbalance.
A few days later, diarrhea stopped.
"Every day is doing what Paul's first-choice questions. Lung infection under control, but also protect the kidneys, the next step is to recover his fitness as soon as possible." 许兆军 said Liu has been in a state of calm, which is a light coma. This has the advantage of at least two points, when one is conscious sedation compared with lower respiratory frequency, can effectively protect his lungs; second is to reduce the impact of mood swings in the treatment process.
But there are disadvantages sedation --- gastrointestinal motility, functional recovery slow.
February 7 am, Liu Xu Zhaojun again waited at the bed, turn off the sedation pump, always keep from 9:00 to 17:00.
"Thanks to social concern for me."
Spontaneous breathing, eating, a little bit of a return to normal life.
That survived from that moment, Liu eager to return to normal life a little bit stronger up the idea.
"I want to drink, I'm thirsty!" He gestures to express this common, but wishes.
Then, as long as doctors go rounds, Liu pointed to a variety of pipe on him, asking over and over again when it can unplug.
February 8, unplug the ventilator.
February 9, hemodialysis catheters, catheters, deep vein indwelling tubes, arterial piezometer have been unplugged.
February 11, tube also pulled out. Earlier, in the case of the stomach intubation, a teaspoon for two consecutive days by a nurse slowly fed a teaspoon of rice Liu. Good to see him eat, digest well, the doctor made this decision.
Young and lively nature were revealed, a little bit of life regression.
Liu was a little recall the entire process: he had bird flu, referral, and several critically ill, the family has been on the bench outside the intensive care unit, clothes and sleep to keep for a long time, half an hour every afternoon Hours to visit him regularly.
One day in mid-February, on the radio, he learned that the first case of human infection with the H7N9 avian Zhejiang flu patients cured. In pen and paper with the doctors, he admitted that after two homes trio, one negative and soon discharged, one person could not survive. And he himself is Ningbo's first infection, luckily alive. He is also known for treatment, the hospital medical expenses spent fifty or sixty million.
One day he recovered, on at 14:00 on February 19 transferred from the Intensive Care Unit of Respiratory Medicine.
After two weeks of follow-up care, tracheal incision closed, recovery of limb function.
Yesterday, the reporter on the 17th floor of the Second Hospital ward to see him wearing a pair of black-rimmed glasses, facial handsome, vibrant young face.
"Thanks to social concern for my special thanks Xuzhu Ren and his team." He typed these words on a smart phone. "Chicken, chicken on the bloodshot." This is the cause of his eyes.
H7N9 bird flu, changed his fate, but also changed his family's life, and changed a lot of households, and the pace of life in Ningbo city.
Up to now, a total of Ningbo people infected with H7N9 avian influenza reported in 15 patients, of which 9 cases discharged, two cases of critically ill patients are still hospitalized. Reporter Jiang Qing Luo Yang Wei Ning Correspondent
zhttp://news.cnnb.com.cn/system/2014/03/07/008004864.shtml
