Jiangsu reveals bird flu patients of father and son rescue the process The cause of disease is not quite clear so far

Jiangsu reveals bird flu patients of father and son rescue the process The cause of disease is not quite clear so far
Jiangsu reveals bird flu patients of father and son rescue the process The cause of disease is not quite clear so far
Jiangsu reveals bird flu patients of father and son rescue and pass the cause of disease for 07:52 on March 19, 2008 not quite clear [Let me say something ] so far [shop: Big,medium-sized and small ] source: Xinhua Journalism Website - Xinhua Daily accepts in the second hospital ICU ward of Nanjing condition of patient Lao Lu that treats and cures obviously takes a favorable turn, show the gesture of the victory cheerfully. The websites of department of public health of Jiangsu Province revealed the rescue process of patient of two cases of bird flu in Nanjing of last the end of November for the first time yesterday, where but the land surnamed father and son causes the etiology to come from, it is still a mystery. The moustache expresses a Vice Chief dawn to say while interviewing by reporter yesterday: It does not have any basis that the Yellow Mud Roasted Chicken arises in the so-called bird flu misfortune spreading in the society. Xiao Lu generate heat condition worsen will it be will it be will it be 3 o'clock afternoon November 27 2007 suddenly in hospital, live the intersection of Nanjing and the intersection of city and little Lu of urban area come into the People's Hospital of Jiangsu Province with mother. The 24 -year-old guy present, generate heat already 4 day, take medicine by oneself with ordinary cold and outpatient service disappear and take a favorable turn. Mother who becomes the doctor worries, bring son to province the People's Hospital to do the detailed inspection. The doctor of the infectious disease department has done multiple inspections for Xiao Lu. The blood is like the index normally. The display of the X-ray photograph, the lung has a flaky shade under the left. Then, the doctor is by " generates heat and waits to look into " Accept the hospital. In hospital that night, Xiao Lu swallows aching, cough, with suffering from diarrhoea. Will it be morning next day, blood the intersection of routine,etc. and several items checked and did not find the obvious change. Cough and aggravate in the afternoon, with foam a kind of phlegm uncomfortable in chest. What made the doctor not expect is, before dawn on the 29th, Xiao Lu's condition worsens sharply, have difficulty in breathing. Night doctor call for the intersection of respiratory medicine and doctor, implement, rescue jointly immediately, coordinate, move into X-ray machine the ward through the intersection of hospital and total guards' room, have patted on the X-ray chest slice again for Xiao Lu by the sick bed. Getting slice of this chest, doctors have given a start - -Xiao Lu's left lungs all appear white on the chest slice! Sun PeiLi, associate professor of treatment of respiratory medicine, has rescued a lot of critical patients successfully. She is just on duty on the the morning of the 29th, learn that needs her to hold a consultation, gets to the ward of infectious disease department immediately. The youth on the sick bed has difficulty in breathing, the condition is critical, there is a life danger at any time. Rescue the poverty-stricken patient of breath in the ward of infectious disease department, lack the essential apparatus. Looking at still quite some childish patients at the moment, the grandson banks up jasmines with earth and promotes and rises strong aspiration in the heart - -Must bring these young life back to life! She apply Xiao Lu change ward, ICU of respiratory medicine, over to, make, responsible for doctor by her, the intersection of group and organization, expert of respiratory medicine, treat and cure. "Several decades in the work of respiratory medicine, I have never met the so critical patient of the condition. " Sun PeiLi recalls. 10 o'clock past 29, Xiao Lu change the intersection of respiratory medicine and ICU over to behind the ward, condition worsens constantly, worsen the high speed, have gone beyond her imagination greatly. What disease is this? It is infected with that it is the lung that the surface is seen, leucocyte deficiency disease, can have a long times even if it is serious septicaemia. The patient's condition development can't be explained with septicaemia. Is it SARS? But this kind of pneumonia is generally infected by the virus caused. Xiao Lu lives in the unit building of central urban district of the city, review lesson and plan to upgrade from junior college student to university student in the examination at home, have not gone out in the history. What lived at home together did not include strangers together with him, there is his mother. No matter in the infectious disease department, or at respiratory medicine, the situation before having illness coming on to Xiao Lu, the doctors have all inquired, have not found any may be infected with the dangerous factor of the strong infectious disease in detail. Many kinds of treatments can't be effective soon, it is depleted that the patient exceeds 4 internal organs functions, the hospital organizes many department experts to hold a consultation promptly immediately. Then, relevant department's experienced doctors of the hospital are gathering together constantly, hold a consultation, implement, rescue, each draw, come back in the hand patient from Death. Rescue a couple of days while being continuous, Sun PeiLi no silk strand purpose. She knows, this is a tough battle never met of she from the doctor margin. However, she does not see the rival's appearance clearly. Lift two X-ray photographs and stare again, Sun PeiLi's heartbeat is accelerated suddenly. Film making two times, time is only one day apart, the condition changes so fast. Associating it with the courageous and upright foam secretion in patient's angry way, the grandson banks up jasmines with earth and puts through the telephone which is infected with the disease head of the department Li Jun, she asks director Li Jun to hold a consultation quickly, must help to confirm whether it is an infective disease or not. Make a definite diagnosis of and meet an urgent need expert panel members as the hygiene of Jiangsu Province for the first people's bird flu in Jiangsu, Jun Li participate in, organize the intersection of province and hygiene meet an urgent need, drill synthetically outside several day. Carry on the exercise of the script: A pair of mother and daughter have been infected with bird flu, Beijing, Jiangsu, Hong Kong, Macao 4 link, reply promptly under the circumstances that emergency of Ministry of Public Health is run and commanded. 17 o'clock past 29, Jun Li come back to hospital, feel that suspect non- bacterial pneumonia hold a consultation, and thought of bird flu. It was November of 2005 that the first people of continent of our country are infected with for case report time of high pathogenic bird flu. In November by 2007, 12 province reports find the epidemic situation, report the total number of cases is 24. Report 4 together in January - May of 2007. In two quarters of autumn of summer of 2007, there is not a bird flu report in all parts of the country. Will this be person's bird flu of first of Jiangsu Province? Li Jun exhorts, must do well and infect protecting. In the morning of the 30th, as soon as Li JunGang comes to the emergency drill scene, Li JunGang find the province CDC (Center for Disease Prevention and Control) immediately Director Wang Hua tells her suspicion, asks to measure the etiology to the case of this example. Then, two people phone to arrange to sample and inspect by ready samples at the same time. On the same day, it is highly on the alert that the ward of division of respiratory disease of the People's Hospital of the province is entered quietly. Doctors and nurses treat and cure the post to adjust, the safeguard procedures of infectious disease are all put in place. Outside the ward, quantity, clinic of Japan, exceed province the People's Hospital of Wan, still turn round. At noon on December 1, in the respiratory medicine ICU ward, the patient presents many internal organs once again depletedly. Expert, president Wang Hong of respiratory medicine come to floor manager personally to rescue patients. At 13 on the 1st, the expert holds a consultation to assert, this patient accords with " unidentified reason pneumonia case " in this courtyard of courtyards Diagnosis. At 45 past 14, this institute carried on the straight newspaper of network, and inform the situation in Jiangsu Province, Nanjing and drum block 3 grades of CDC. No. 172 Jiangsu Road, Nanjing is Center for Disease Prevention and Control of Jiangsu Province. In the past few years, to unidentified to cause to screen fast pathogenic sample, it is one that central lab this work that train content basically. At night of December 1, the light of Jiangsu Province CDC laboratory is well-illuminated all night. Several classification samples of patient entered and measured the procedure at the same time. At 20 past 18, staff members adopt the nuclear acid to amplify the test method and begin to measure. At 22 o'clock at that night, the administrative leader of one liang of hygiene in Jiangsu Province, Nanjing, two grades of hygiene meet an urgent need and do, the expert panel of two grades of bird flu, the province Relevant personnel such as the People's Hospital,etc., concentrate to the province CDC promptly. Analyze and discuss this patient's condition under the management of chief of Jiangsu Province department of public health Guo XingHua. At 45 past 23, Jiangsu Province CDC laboratory measures and finishes. Does the result reveal, do the birds flow? Coerce <<�H 5N1 nuclear acid masculine gender. The experts discuss to assert, this case is infected with the high pathogenic bird flu case for the first person in Jiangsu Province. Correlated with the requirement, the affirmation conclusion of the first bird flu case of the province according to the country, must be measured and makes by China CDC national influenza central lab. Find bird flu and suspected case, must report to Ministry of Public Health within two hours. Xiao Lu, all rescue measures proved ineffectual to pass away, looked for persons who kept in close touch promptly The hour hand points to 30 past 2 am on the 2nd, the epidemic situation report sends out to Ministry of Public Health in the form of faxing. The meeting determines, start " people are infected with the high pathogenic bird flu emergency preplan " immediately, in accordance with the regulation, abide by the procedure, the norm launches replying promptly. Dispose at the same time, find out all with the person who keeps in close touch patient immediately, observe medical science; The provinces, cities and autonomous regions 3 grades of CDC investigate relevant epidemiology jointly; Establish and deal with problems arising from an accident the group, deal carefully with patient's remain; Open bird flu facing social masses and prevent from propagating. At 40 past 3 am on the 2nd, the patient because the condition is overweight all rescue measures proved ineffectual to leave human world. At 5 o'clock in the morning, transport the car of the case sample to roll the province CDC away from to China CDC national influenza centre, march on towards Beijing. At 18 o'clock, the case sample was sent to the national influenza central lab of Beijing, measured and checked that very night, result and Jiangsu Province CDC find the result identically, thus judge, these case behaves and is infected with high pathogenic bird flu and made a definite diagnosis of the case. Judge the result is reported to to World Health Organization immediately. On December 3 nightfall, the departments of public health of Ministry of Public Health, Jiangsu Province announced this epidemic situation to the society at the same time. It is about 5 o'clock before dawn on the 2nd, end and sterilize and enter the procedure to patient's remain and ward. Investigated and spreads out with epidemiology of person who keeps in close touch patient on this day morning too. 62 lists of persons who keep in close touch offering doctors and nurses service for patient are quoted quickly, medical science is observed at the beginning in the hospital. And 7 relative's mobile phones kept in close touch with the patient are turned off completely, the households locks, can not all contact at one time. Two grades of municipal or district CDC flow and transfer personnel to look for everywhere, the residents committee of the street participates in together. Several distinguished personages transfer personnel and wait in the funeral parlor day after day. In the morning of the 3rd, Lao Lu who loses the son bitterly appears in the funeral parlor. From slight cold symptom appearsing to the death, 8 days altogether, the son 1.74 meters in height walked forever. He and wife think late how often cremate the son's remain. Flowed and transferred personnel to work choosing one's words carefully, gained and cooperated at last. Father Lao Lu generates heat in the afternoon of December 4 of birds' influenza made a definite diagnosis of too quickly, it is said that it is a bit uncomfortable to leave the son's Lao Lu's health in grief, at about 19 o'clock, staff members phone to inquire concernedly twice. At 30 past 21, Lao Lu's wife makes a telephone call to the city CDC and says, Lao Lu generates heat, the body temperature measures 39 ��. Lao Lu explain generate heat because weariness and has a bath and catch a colding. The staff members of great vigilance all the time, the telephone of the office of putting through Municipal Health Bureau and meeting an urgent need at once. The health bureau leads Lao Lu of the decision to send to fixed hospital of infectious disease - -The second hospital of market isolates and treats and cures. At 10 past 22 on December 4, 120 ambulances are parked downstairs of Lao the Lu 's silently, stand with Lao Lu city CDC Deputy Director Lu XiaoJun who meets by the car many times, put through Lao Lu's telephone, ask him to wear the gauze mask and go downstairs together with wife, go to the hospital by ambulance. Prior to Lao Lu married couple to reach province the People's Hospital doctor Sun PeiLi that the institute of city two waits for and meet Lao Lu. "Did I get the disease as my son? If yes, don't manage " Lao Lu says choking with sobs to doctor of grandson of the familiarity. Sun PeiLi and doctor, hospital present lead and all say: "You can unquestionably be cured! All doctors are confident, you should be confident! " Admitted to hospital, Lao Lu gets the overall physical examination and treats and cures. Made CT inspection that very night, checked biochemistry, made the analysis of vim and vigour. President Zhao Wei assumes command in person, the head of the department of organizing the acute department of infectious disease, digesting the department, ICU ward separately etc. makes up and rescues the group together. Use the successful experience of treating and curing severe acute respiratory syndrome for reference, work out and rescue the scheme. Night, the intersection of province and department of public health, leader, expert of Municipal Health Bureau, wait for old Lu's inspection result in hospital. Scenes of display, CT of chest, Lao pairs of lower the intersection of lung and pneumonia Lu change, and with generally bacterial to learn, display, accord with seriously with viral the intersection of pneumonia and image. Diagnose as tentatively " Second lower lung pneumonia " . At 40 past 8 on the 5th, the province CDC laboratory measures the result to obtain. The fluoro quantitative PCR is measured in the laboratory: Peculiar gene of first type influenza virus, H5 are inferior type and N1 inferior type peculiar gene is positive; NASBA measure first type H5 getting inferior influenza virus peculiar gene positive, accord with people, infect in the high pathogenic bird flu laboratory and diagnosed. Diagnose people bird flu national case whether stipulate,if you can't have cases relevant, take place in before, the provincial expert panel can confirm the subsequent case. At 30 past 9 on the 5th, the expert panel of province and city holds the joint conference, every subject clinical expert and disease accuse of expert's fully discussing to judge, Lao Lu behave bird flu make a definite diagnosis of case. Immediately, the case of Lao Lu entered the straight newspaper of network. On December 6, China CDC national influenza centre checks measuring to the respiratory tract sample of the case, result and province CDC measure the result identically. On December 7, Ministry of Public Health announced the newly-increased case of this example. Sift and check the activity orbit of one month of the father and son promptly It is surnamed father and son before a case appears in the land, our country had not made a definite diagnosis of family's gathering bird flu case. In November of 2005, it is surnamed elder sister and younger brother's case to congratulate in Hunan Hunan pool county, the chicken contacted the history with dying of illness. Because the girl 12 years old can not gather to the necessary sample, fail finally to assert it is bird flu. The definite diagnosis of gathering people's bird flu of family of Nanjing, is for the first time in our country. People generally pay close attention to a question, does this gathering epidemic situation of family have " successors of people " ? There are no clear poultry to contact the history in this gathering epidemic situation of family. Then, where does ill virus of father and son come from on earth causing the land? After Lao Lu's condition is made a definite diagnosis of, the bird flu epidemic situation of Nanjing is replied and upgraded once again promptly. Medical science observes the number of people and expands to 83 after exposing to the persons who keep in close touch. Where activity orbit of one month before the father and son have illness coming on, went in 2 weeks before onset, have wiped out something, wait a moment and is investigated, classify as a string clue after meeting anything, go one by one and find out possible exposing is dangerous. But all links are looked for, has not discovered the problems. The drum block CDC director Zhu XiaoYan tells reporters, after the first case died of illness ,The related departments catch birds in range of a kilometer of patient's radius of home, find whether it carries the virus. The relevant department still leaves for the market of farm produce that 4 poultry's wholesale market, two cases have been before having illness coming on and has dinner in the place, sell, manage to the poultry of Nanjing, the poultry of market of farm produce, wild bird take the detailed investigation of the poisonous state. Measure poultry and environmental the intersection of sample and 699 totally, result have positive. 83 persons who keep in close touch all remove medical science to observe on December 12. Where do father and son cause the etiology to come from in the land, is it still a mystery? ? The health minister goes to Nanjing to command at night, the patient escapes danger Gorgeous flowers are setting off the smiling face, and the president takes a group photo, take a group photo with the doctors, take a group photo with the nurses Smile and excitement before Lao Lu recovers and leaves hospital on December 25, 2007, print in the heart of doctor, nurses forever. Time pushes forward to December 5, 2007, admitted to hospital 7 o'clock the next day, it is coughed that Lao Lu was light, there is no phlegm, it does not have obvious change that the lung is checked. At 10 o'clock, blood and oxygen saturation lever drops, chest CT slice reveals lung pneumonia two times is obviously aggravated. At 12 o'clock, the body temperature rises to 39.9 ��. Deal with after the and a half hours to the ill, the body temperature is still maintained at 39.2 ��. At that night, Lao Lu's spirit is dispirited, breathe depletedly the I type. On the same day, Ministry of Public Health has already to medical expert panel reached Nanjing. Country, clinical expert of province and city make up and unite the expert panel together, hold a consultation every day, discuss the condition, is adjusting and improving the healing solution constantly in research. At 22 on the 5th, Chen Zhu, minister of Ministry of Public Health, got to Nanjing from Beijing, held the forum that very night, hear reports. In the morning of the 6th, Chen Zhu comes to the second hospital in Nanjing, visit patient and medical personnel, and converse with the medical personnel in ICU ward through the on-the-spot video and express thanks to them on behalf of Ministry of Public Health. 7 days later, Lao Lu's condition is steady progressively. After being admitted to hospital for 10 days, Lao Lu's condition is taking a favorable turn constantly. While fully recovering and leaving hospital on the 25th, measure the result 6 times already continuously negatively in its laboratory. The fight of bird flu of people in Nanjing is spoken highly of a doctor participating in treating and curing Lao Lu and told reporters, Lao Lu is that one is lucky. As the first patient's close contact person, his condition has been obtained and finds early, and prevent from taking medicine promptly one days before having illness coming on. After being admitted to hospital, have got the treating and curing meticulously of numerous experts even more, has also employed specific immune serum in time. The treatment of the epidemic situation of this bird flu in Jiangsu Province, it is definite to get the height of the expert of World Health Organization of on-the-spot study of Nanjing, national relevant organization expert of coming. Look back to the fight of this people's bird flu, the feeling of great waves of sheep of Jiangsu Province CDC Deputy Director is, the whole working formation is plenty of in order, scientific and exact, all moves according to the norm of emergency preplan. The moustache of Vice Chief of department of public health of Jiangsu Province is expressed and stated frankly dawn, the mankind has a lot of mysteries not solved to the understanding of high pathogenic bird flu virus at present. However, we can be promoting the urgent adaptibility to response constantly. The case has appeared, we can discern fast, and have a calm experience that deals with, succeeds in treating and curing. Dexterous It is red dawn to lack army's border red (Responsible editor: Zhao Jian)


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