“H1N1″ the four questions
Posted on November 25, 2009
Filed Under H1N1 Care, H1N1 Causes | Leave a Comment
Q: Recently, “a flow” epidemic developed rapidly in the right light the distinction between cases of severe disease and medical treatment?
Beijing Children’s Hospital, Capital Medical University, vice president of Shen Ying: From October 23, Beijing has two major children’s hospital treatment after the peak sudden, the Beijing Municipal Health Bureau immediately launched emergency plans, there are two major measures: First, Beijing has all the medical resources of all 103 pediatric hospitals in all 24-hour treatment, Children’s Hospital is open 24 hours all year round. The publicity in the media, parents and the nearest medical treatment, diversion of many patients, so we reduced the patient load 8000,7000,6000, and now down to 5,000 people, gave us a great deal to ease the pressure. At the same time we have taken measures, all the doctors, nurses, either leave or go to school, all returned to working at the hospital.
About Influenza A H1N1 influenza virus is characterized by: the universal susceptible populations, spread fast, but most patients are light, only a few patients with severe or even critically ill patients.
For the mild patients, we advocate a good rest, drink plenty of water, symptomatic treatment, because the main symptoms of mild patients in the first 3 days, fever at 38.5 degrees below, Chinese medicine treatment is better. However, at least in the New Year’s Day before the general public should avoid crowded public places to go. We believe that, if it is mild patients, close to the treatment is the best approach, because children still go to a doctor for treatment under the guidance of a doctor a reasonable observation, pairs of children, this is the treatment and prevention of influenza A better approach .
For critically ill patients, one is severe, one is critically ill patients. Patients with severe and persistent high fever, severe cough, phlegm, chest tightness, lips purple, and even sanity some changes, such as restlessness, convulsions, severe nausea, vomiting, there is the clinical manifestation of pneumonia, some patients that there are chronic diseases, in this and then won on the basis of “a flow” prone to complications. For critically ill patients, we advocate that antiviral therapy. For critically ill patients, mainly divided into two types, one is respiratory failure type, one is shock-type, complicated by multiple organ failure, need for intensive care for emergency medical treatment. We are now advocating to strengthen the early identification of critically ill patients, early diagnosis, early treatment, according to foreign and domestic experience, the former two or three days is very important, this is a window period, during which patients were observed such a situation, it is necessary immediately to the hospital for treatment .
Q: If my first day fever, is needed immediately to a hospital, or a high fever a few days later Zaiqu doctor? Because if they are to the hospital for treatment, it may not be “a flow” instead infected with the “A stream”?
Respiratory physician, director of Chaoyang Hospital, Cao Zhi, the new: To see who is a fever. If it is a baby two years old, 70-year-old, are pregnant women, or people with asthma should immediately go to the hospital, the so-called high-risk groups symptoms to treatment in the first time.
In other words, thirty or forty years old, twenty to thirty years old, able-bodied, made a fire, temporarily look is good, so there are two advantages, one may not be what the flu, and second, even the “A Stream “According to our statistics, the typical patient like up within three or four days, and had nothing to do, go to the hospital cross-infection may occur again. From another perspective, if the non-high risk of influenza at home and look at the short period of time, we can greatly alleviate the current pressure on hospitals, so that you can free up more medical resources to treat critically ill patients, was already on the people are good, but it there is a premise must be able-bodied non-high-risk groups.
Q: In the treatment, with regard to the treatment of severe cases should be given Tamiflu and other anti-viral treatment, persistent high fever for two or three days to determine when cases of severe disease. Only thus can we be in doubt, determine the treatment for severe cases later missed the best treatment is equal to the period, how to explain?
Dr. Cao Zhi, director of Chaoyang Hospital, Respiratory new: Because the flu is a new influenza, it and previous outbreaks in a number of different, reflected in the severe cases were found on a characteristic: the traditional flu high-risk populations, are not currently able to cover all of the A stream high-risk crowd. Influenza high-risk groups are mainly the elderly, children, people with basic diseases, such as pregnant women, who still is “a flow” of the high-risk groups did not find these people got “a flow” is particularly light. But there is one exception, the influenza A H1N1 influenza, a number of young people, the original in good health, got sick even after heavy, there may even be death, this phenomenon is prominent in foreign and domestic seem to have this phenomenon. This issue should be analyzed so that young people get sick, there are some heavy, will die, which may reflect more of this disease is a new strain, so the general population is not immune barrier. Fortunately, the data from the current domestic point of view, where young people got sick after the weight change, and even lead to death is very, very rare phenomenon, compared to about 50,000 cases of confirmed cases where the number of dead is higher than foreign proportion is much lower. Domestic data also needs to summarize all of this may be a new strain of the virus is somewhat related to some specific people who may be very sensitive to physical. As for why three days without fever is possible to critically ill patients? Is it because we have statistics of 1054 cases of early domestic A flow of patient information, it is important that we have to statistical variation of body temperature of these patients, the number is: onset 3 days of the time, these patients, the average temperature is 37 degrees, 3 days are basically burning all back down. Therefore, we feel that from the point of view mean that the vast majority of patients improve within 72 hours, and if 72 hours is not good, very few of these groups, it may be a potential critically ill patients. So, to say the number of fever three days there is a preliminary basis for more than 1000 cases. These people three days, the average temperature is 37 degrees, but it is not measured once a day, sometimes high sometimes low, the highest mean temperature was 37.5 degrees, is also very close to normal, and this is when we have 7-8 months to do statistics.
Q: Since the influenza A H1N1 influenza virus is indeed more in the young adults group infection, epidemiologists noted that the influenza A H1N1 influenza infection in people over 65 is not easy, and only a “mild” flu. The fact is that so?
U.S. Centers for Disease Control and Prevention Director of the Center Thomas Frieden: U.S. researchers have updated the previous influenza A H1N1 influenza virus in the population between the spread of some of the characterization that the influenza virus has the ability to attack people of all ages and in all age groups were all lethal lethal. In addition, U.S. scientists believe that the influenza A H1N1 influenza previously only a “mild” flu is not an accurate description, because severe symptoms are hospitalized You Sancheng patients are subject to “intensive care.”
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