7 januaryShenzhenAnother case of h7n9 avian influenza was confirmed, and the number of h7n9 avian influenza cases in shenzhen increased to two. Both patients are currently admitted to the third people's hospital in the city. Yesterday, the city's three houses informed the patient about the treatment: the first patient may be transferred to the general ward next week, the second case is still in critical condition, and lung disease continues to develop。
First case: next week or transfer to common disease room
Mr. Ou, 39, was diagnosed as the first case of h7n9 avian influenza in shenzhen on 19 december 2013, when he was in critical condition and suffered from multiple organ failure. Yesterday, after three weeks of treatment, as described by the head of the city's h7n9 team of experts in avian influenza control and prevention and treatment, zhou bopin, the patient's condition is now relatively stable, and most of the pneumonia has disappeared, removing breathing machines, awakening minds and being able to move and eat. However, there are still some complications, such as drug allergies during the course of the process, intravenous embolisms in the lower limbs, as well as uncontrolled ischaemics and infections in the deep, but vital signs remain stable。
The director of the communicable diseases district of the three houses of the city, yuan jing, told journalists that patients were suffering from a three-and-a-half-degree disease, and that there were a number of emergencies in the course of treatment due to, inter alia, their allergies, but that, as a result of the group's daily consultations, medical staff monitored the situation 24 hours a day, it was possible to ensure that changes in the patient's condition were handled in a timely manner. If there is no accident, it is planned to transfer the patient to the general ward next week and after some period of rehabilitation, consideration will be given to discharge。
Second example: treatment as simple as possible
On 7 january, mr. District of the second patient was transferred from the pooan district people's hospital to the third people's hospital in the city, where he was diagnosed as suffering from h7n9 avian flu, severe pneumonia, respiratory distress syndrome, respiratory failure and treatment with no respirator. Yuan jing told reporters that patients are currently in critical condition, that lung disease is still developing, that there are low fevers, that breathing is now assisted by a respirator, and that there is no intubation for the time being
Yuan jing indicated that, compared to the first case of h7n9 avian influenza, the second case of lung disease changed significantly but did not show “superbacterial” infections and sepsis, as in the first case. If intubated later, viral infections may occur。
On the basis of previous experiences with sars, h5n1 avian influenza and the first case of h7n9 avian influenza, yuan jing told journalists that, in order to avoid drug-induced after-effects in the course of treatment, the group has adhered to a principle for the treatment of the second patient: treatment is as simple as possible and unnecessary drugs are used as possible. In addition to regular daily check-ups, medical personnel closely monitor patient changes on a 24-hour basis, observe patient signs and react in a timely manner when conditions arise。
City 3th house:
Why is acute pneumonia when people are found with h7n9 avian influenza? Yuan jing indicated that first, the virus itself was highly pathogenic; the secondary virus was prone to pneumonia and had some connection to lower respiratory receptors, but the specific mechanism for causing the disease was not very clear. “h5n1 avian influenza is also highly pathogenic. In clinical terms, h7n9 is more likely to be infected than h5n1, but the symptoms are lighter than h5n1 avian influenza.”
Yuan jing indicated that the three houses of the city were ready for the possible spread of h7n9 avian influenza. At present, all the sub-plastered rooms in the infected buildings of the three houses of the city are vacant and can be used for the treatment of patients. At the same time, there is a reserve of duffy, breathing machines, etc. Used in hospitals to treat patients. If cases continue to spread, hospitals should be able to respond. (journalist, quayuan)
