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Thursday, April 25, 2013

Patients admitted to hospital before the seven-day history of fever


2013-04-26 02:38

Yesterday, the Provincial Health Department to inform the media, the province introduced new case of human infection with H7N9 avian influenza.
Which is the city's second case of human infection of H7N9 avian influenza.
Choi patients, aged 56, who lives in the Central Plains District of Zhengzhou City, is currently in critical condition, in treatment of Zheng sophomore Affiliated Hospital isolation.
According to the Zheng sophomore Affiliated Hospital Respiratory experts, provincial members of the Group Xia Xi Zheng said, is significantly different from other cases, Choi had no significant history of poultry exposure.
Patients who lives in the Central Plains area, before admission, the highest temperature reached 39.7 ° C Choi, who lives in the Central Plains road workers in a community, readme fever symptoms on April 17 had reached 39.7 ° C, the maximum temperature.April 18, 19, he went to the city center hospitals and the forest cottage community health service centers for treatment, no significant improvement in symptoms.April 20 cough, sputum, throat itching and other symptoms, April 22 Zheng sophomore Affiliated Hospital for treatment.
By CT imaging, it is found that the lungs infection, bilateral pleural thickening; mycoplasma, chlamydia test is negative.
The hospital initially diagnosed as severe pneumonia, and check in the treatment of the hospital respiratory intensive care unit. City CDC initially specimens test results are negative, and subsequently sent to the provincial CDC detected again, the final test report positive, identified as infected with the H7N9 avian influenza virus.
B
Have high blood pressure, coronary heart disease and other diseases, very difficult to treatment
After diagnosis, the hospital set up a leading group of treatment, medical treatment group, drawn from the respiratory department and intensive care unit experienced medical staff involved in treatment, the hospital itself, including myself, Director of Respiratory and ICU director three provincial-level members of the Group. "
Choi 8-year history of hypertension, cerebral infarction and coronary heart disease history, the 30-year history of smoking and drinking, the basic situation is very bad, which brought a great deal of difficulty to the treatment.
C
No significant history of poultry exposure, but their place of residence in the corridor often hanging bird cage
Zhengzhou Municipal Health Bureau data show that patients living conditions for urban residential building homes, floor the first floor of two buildings, and the only channel - Public corridors, corridors in addition to channel the rest is closed.
Family often hanging at the top of the corridor 78 Birdcage (including pigeons and birds), one week before the onset of the hospital two backyard poultry (chicken), after Community Board ordered the slaughter.
The basic patients once a day to a nearby vegetable market to buy food, the vegetable market currently no live poultry around the residence Jan. dead migratory birds and wildfowl.
Xia Xi Zheng said, according to patients and their families , before the onset of no significant history of poultry exposure and found H7N9 epidemic, but also in domestic, Choi special attention in this regard and to keep their distance, with poultry and poultry products.
Implementation of the disinfection of disease control department of the patient's living environment and the contaminated area
The reporter was informed that the disease control department to carry out epidemiological survey of patients, close contacts have been taken under medical observation measures. Health Watch contact medical staff in the patient treatment process. The patient's living environment and the contaminated area to carry out disinfection measures.
Guidance of the Central Plains area, Jinshui disease control departments of close contacts within the jurisdiction of the follow-up investigation, the implementation of the close contacts under medical observation measures and temperature measurement reporting on the forest cottage community health service centers cases treatment area and the Second Affiliated Hospital of Zhengzhou University cases treatment area terminal disinfection.