Saturday, August 4, 2012

Cholera of Jiangsu is guided panically Expert: Cholera is not terrible Can defend managing

Cholera of Jiangsu is guided panically Expert: Cholera is not terrible Can defend managing
Cholera of Jiangsu is guided panically Expert: Cholera is not terrible Can defend managing
500)this.width =500" align =center vspace =10 border =0>, following epidemic situation of cholera of Anhui, Jiangsu take place the intersection of cholera and epidemic situation too recently, Huaian a 19 students of middle school confirm, infect, it is reported this is to report cholera epidemic situation together largest in number of people in recent years. Cholera of Jiangsu initiates panically, the expert is not terrible when pointing out cholera, can defend managing. Jiangsu cholera guide panic the intersection of expert and cholera, can prevent from, can it cures cholera to be arising from taking in the cholera vibrio and one kind acute to suffer from diarrhoea, infect while being terrible. Pollute directly or travel through taking in water and food polluted through the excrement - mouth. Serious cholera, characteristic its happen suddenly acute swimming skill suffer from diarrhoea, can dehydrate seriously and renal failure cause death. Cholera is a kind of extremely fatal disease, children and adult are all very ill. Expert: Cholera can prevent from, can cure intestinal infectious disease high to take place season, including was attacked by the extra torrential rain continuously not long ago autumn, the big flood takes place in some cities and counties, the masses should do a good job of the prevention of intestinal infectious diseases such as cholera,etc. actively. Should pay attention to drinking clean water polluted, don't drink the unboiled water while drinking the boiled water, and then wash hands before a meal, it is unnecessary the stream washes rice, washing the vegetables and washing the bowl disc,etc.. Don't eat dying of illness, drowned poultry domestic animal, non- raw drinking water products, eat few or not eat the food cold and dressed with sauce as much as possible, it is must with eat clean clean water washing or peel, take melon and fruit, to be raw. The leftovers leftovers are eaten after heating completely. The rubbish will be put at the appointed place, will want the water accumulation of landfill in time, remove the excrement and urine, rubbish, in order to lack the mosquitos and flies and multiply, should pay attention to dealing with animal's corpse in time. Which cholera needs making to check 1, blood to check total number of erythrocytes and blood count to press, accumulate, increase, it can reach 15- 60* 109 / L the leucocyte for, classify and count neutral cells and big monocyte to increase. Serum sodium, potassium is reduced, more obvious after the infusion, but most chloride is normal, erupt the depleted one blood urea nitrogen of renal function simultaneously and rise. 2,Check and gather the patient fresh excrement and urine or vomit to hang and drip the direct mirror to examine in bacteriology, it is obvious, take the form of, shuttle back and forth bacterium that form take exercises fast, slide dye the mirror examine and see and arrange and take the form of shoal of fish's blue negative vibrio of leather, present one kind of sports of meteor under the dark visual field, can inhibit with peculiar serum. Fluorogenic antibody check, can the result produces to 1- 2 hours, the rate of accuracy is up to 90%. 3,5 days can appear after being ill while checking the antibacterial antibody in serology, reach the peak in two weeks, so serum antibody drip and spend 1 2 week after being ill: More than 100 or double serum antibody result prices increase 4 times of the above and diagnose meanings. Other immunity that if enzyme unite are absorbed and tested, killing the vibrio is tested and can also be adopted according to the circumstances. Daily the intersection of treatment method and cholera of cholera die in early days reason mainly caused by desiccating seriously low the intersection of blood and the intersection of capacity and shock and serious supersession nature acidosis, so in time and supplement liquid and electrolyte appropriately, it is the key of making satisfactory curative effect. (1)Commonly used liquid kind: 541 liquids: Include sodium chloride 5g, hydrogen sodium 4g carbonic acid, chlorine potassium 1g in every 1000ml solution. The electrolytic density of this liquid is similar to electrolytic density that the stool loses, it is the iso-osmotic solution, treat the first-selected liquid of dehydration of cholera at present. If add 50% of the glucose 20ml into this solution 1000ml, in order to suck 541 liquids of candy, can prevent the hypoglycemia. Other: 2: A brine lye (2 physiological saline and a 1, hydrogen sodium solution of 4% carbonic acid) , the physiological saline and diarrhoea treat the liquid (each liter includes glucose 8g, sodium chloride 4g, sodium 6, 5g acetic acid, chlorine potassium 1g) . The salt of oral fluid infusion: Include glucose 20g, sodium chloride 3, 5g, hydrogen sodium 2, 5g carbonic acid, chlorine potassium 1, 5g in each liter. (2)The concrete method of fluid infusion: Can give oral fluid infusion to the light, medium-sized patient, should give intravenous fluid infusion to the serious disease patient first, wait for shock to correct, after the general situation is improved, and then change into oral fluid infusion. Intravenous fluid infusion is at the beginning therapeutic, take physiological saline as the fast vein to instil first, use 541 liquids instead after rebounding in blood pressure, can also adopt or take turns using suffering from diarrhoea to treat liquid, 2: 1 brine lye,etc., fluid infusion quantity and speed should make and according to intensity of desiccating. 24-hour fluid infusion quantity is greater than 8000ml for 3000- 4000ml, 4000- 8000ml and respectively the light, medium-sized and heavy-duty patient. Fluid infusion quantity can also consult blood plasma proportion to calculate, the normal value of blood plasma proportion is 1, 025, rise 0, 001 each time, the adult is 4ml/kg in conformity with fluid infusion quantity. 40% of its total amount of infusion should be input during 15 minutes, the surplus is finished during 2 hours. The sodium content of the patients of children excrement and urine is relatively low, and higher in potassium amount content, it is relatively serious to desiccate, the condition is developed very fast, the hypoglycemia incident goes into a coma, the brain edema, with low blood potassium disease, so should correct and desiccate and supplement potassium in time. According to the weight of condition, 24-hour fluid infusion quantity is 100- 200ml/kg, the baby can increase appropriately. In 15 minutes at first, every minute fluid infusion 20- 30ml, every minute fluid infusion 10ml of infant and pre-school children of children over 4. Calculate according to the intersection of blood plasma and proportion, proportion rises 0, 001 each time, infant and pre-school children's fluid infusion quantity is 10ml/kg, 40% of its total amount is input during 30 minutes, the surplus is finished in 3- 4 hours. At time when in the course of intravenous fluid infusion (especially fast fluid infusion) ,Should notice observing the condition to change, for instance the recovery situations of skin mucomembranous dry intensity, skin elasticity and blood pressure, pulse, urine quantity,etc., adjust fluid infusion amount and infusion speed at any time. If the patient presents the acute lung edema or symptom in heart failure, should stop the infusion immediately, and deal with correspondingly. (3)Antibacterial treatment: The antibacterial treatment can shorten and rush down to spit one and arrange the fungus one, reduce suffering from diarrhoea amount and disease-carrying rate, the daily medicine is as follows: Tetracycline, the intersection of adult and 0, 5g each time, 4 times a day, obey 3 day even. Promise Fluorine sand star (Fluorine has impractical piperazine) ,The intersection of adult and 0, 2- 0, 4g each time, 3 times a day, obey 3 day even; Children daily 30- 40mg/kg, divide into for 3 times and take orally. Compound sulfanilamide methyl different evil thiazole (compound new promise is bright) ,The adult is 2 slices each time, 2 times a day; Child calculates daily 50mg/kg according to SMZ, divide and take orally twice, even obeys for 3 days. It is used that the person who lacks urine is careful. Such as the persons who are able to bear medicines to tetracycline, can use doxycycline, the dosage 200mg on the first day, 100mg each time instead, or obey 300mg at once, curative effect is satisfied, and can be used for having patients that renal functions damaged safely. Chloromycetin, paromomycin, pyrrole piperazine sour other quinoline promise ketone medicines all but Adopt. The prevention and treating every summer of cholera, airport, the customs should quarantine strictly in coming from all personnel in the epidemic-stricken area, every medical unit sets up the enteric diseases clinic, find the patient isolates for treatment immediately, carry on the isolation and quarantine to the suspected one. Cholera person who keep in touch quarantine, it isolates issue to be 5 day, isolate issue do excrement and urine, train, three can relieve and isolate while being negative. Prevail, carrier, person who contacts cholera and suffer from diarrhoea patient must produce for zone time of epidemic disease, should offer medicines to carry on prophylactic treatment. Should the broad masses cooperate with the country to cholera actively? Fei Hui �� Quan �� consults Yan's bits Shen in straitened circumstances � cut Pian, ���� of river, hand in �� cough barium footpath between fields Niu �� enemy wake up detailed Song raise �� of Hu Liang garden, block Jia with the intersection of Xuan and night � Mu YanXiao just; A hoop of tip wine of Jia �� Guo entangle the intersection of �� and routed �� and the intersection of and � take off the intersection of and �� take wing mountain only one [Guo numerous and disorderly �� Jia? The treatments 1 of cholera, scrape therapy treatments are in places such as patient's shoulder neck, back, front, coercing the rib,etc., dip in vegetable oil (colored oil Wan) with smooth the intersection of porcelain and spoon Shave it from top to bottom, it is degree to present purpureal with some skin. Contribute to declaring open collateral channels, eliminate the pathogenic factor and go out, lighten cholera symptom. 2,Law uses 200 ml of Chinese liquor to treat and cure and have a cramp, add 15 grams of camphor, shake evenly, daub the hard place of contraction having a cramp, then exert oneself to rub and have analgesic effect of pressing or otherwise. 3,The needle pitches the treatment (bleed the treatment) The patient breaks out in earlier stage at cholera, four limbs are not ice-cold (blood vessels thoroughly) ,Aim at the nail to cover to the first joint (from top to bottom) with the disinfecting needle The middle part is exerted oneself one bundle (pay attention to appropriately, ache, do not impair one's health) Unlock immediately, use hand brush arm and finger that pitch just until bleeding hard at once, use the paper (hygiene) Wipe off, then then pitch other fingers, the serious one can pitch the toe, rubed with the hands with hands finally, four limbs will become hot at once, the feeling suffering from abdominal pain disappeared immediately. (Be careful! ! !!!Although this law gets instant result, don't use this law frequently, because often prick the hand and point, will be used to, so, when cholera break out, can only pitch with the needle, but the first, 2 kinds of methods fail, can not play any function, so, it is not the emergency, you had better not use this law ----Do pay attention to! !) 4,The alum, the alum has another name called alums, it is a refinement product of the alunite. The alum cold flavor is sour and astringent, have stronger convergence function, Chinese medicine thinks the alum detoxifies insecticidally, dry and wet to alleviate pruritus, arrest blood and stop rushing down, clearing away heat subdues the efficiency of the phlegm. The research in recent years verifies, the alum also antibacterial, resist function such as the vaginal trichomonad. Disease of spitting blood etc. that some Chinese medicine treats high lipoprotein blood disease, duodenal ulcer, pulmonary tuberculosis with alum.


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