On April 20th, Ms. Zhang, the first serious patient with H7N9 avian influenza found in Tongling this year, left the hospital where she had been hospitalized for more than 50 days and returned home with the blessing flowers sent by the medical staff of the Municipal People's Hospital. Ms. Zhang's son told reporters that her mother struggled many times and miraculously left the hospital alive. Their whole family was full of gratitude to the hospital and made a banner for the Municipal People's Hospital when they left the hospital.
On February 25th this year, 58-year-old Ms. Zhang, who lives in Guantang New Village, was admitted to the Infectious Diseases Department of the Municipal People's Hospital because of fever, dizziness, fatigue, diarrhea and cough. Combined with the patient's contact history with poultry before the onset, the infectious diseases department immediately reported to the hospital, and the hospital immediately organized expert consultation. It is considered that human infection with H7N9 avian influenza cannot be ruled out, and the detection of H7N9 nucleic acid of influenza A virus must be carried out immediately.
On the morning of February 27th, a report came from the Municipal Center for Disease Control and Prevention: Ms. Zhang was positive for H7N9 nucleic acid of influenza A virus! The Municipal People's Hospital quickly convened an emergency meeting on bird flu prevention and control, announced the launch of an emergency plan, and set up a rescue and treatment team composed of hospital leaders, heads of relevant departments, experts and backbones.
On February 27, the patient's blood pressure dropped, his heart rate increased obviously, and he was in a coma, and his condition was extremely critical. In the evening, Sun, director of the Department of Respiratory Medicine of the First Affiliated Hospital of Anhui Medical University, and director of ICU came to the Municipal People's Hospital for consultation. Two authoritative experts in the province agreed with the hospital's treatment and rescue plan for people infected with H7N9 avian influenza.
During the hospitalization rescue treatment, the patient's condition was aggravated repeatedly, and multiple organ dysfunction such as septic shock, acute respiratory failure, gastrointestinal dysfunction and renal dysfunction occurred, and complications such as empyema were secondary.
The medical staff in the rescue treatment group stayed up all night and closely observed the patient's condition for 24 hours. The expert group conducts consultation every day and adjusts the treatment plan in time. "Every time my mother is dying, our family members are outside the hospital, and from time to time we hear a burst of hurried footsteps. Later, we learned that more than 10 medical staff participated in each rescue. " Ms. Zhang's son said that although they were very nervous during the rescue, they were grateful to see that the hospital did its best and did its best.
After nearly a month's active treatment and careful nursing, Ms. Zhang's condition improved obviously, her body temperature gradually dropped, her breathing difficulties eased, and she was separated from the ventilator and passed the critical period safely. On March 30th, after three consecutive negative reviews of influenza A (H7N9) nucleic acid, the hospital held another big consultation, and the patient was transferred from the isolation ward to the infection department for further treatment.
From April 13, the patient's body temperature, heart rate, blood pressure, pulse oxygen and other indicators were normal, which met the discharge standard of "Diagnosis and Treatment Plan for Human Infected with H7N9 Avian Influenza" and was discharged on April 20.
According to Dr. Lu, director of the ICU of the Municipal People's Hospital and head of the intensive care unit for people infected with H7N9 avian influenza, the mortality rate of severe patients infected with H7N9 avian influenza is very high. This patient is the first successful case in Tongling City. This successful rescue has provided valuable experience for Tongling City to treat patients with severe avian influenza.
Medical staff reminded that birds carrying the virus and their excreta and secretions may be the main source of infection for people infected with H7N9 avian influenza virus. Everyone should avoid direct contact with live birds, birds or their droppings in daily life, especially sick (dead) birds. In the process of food processing and eating, it is necessary to "separate raw food from cooked food" and "avoid cross-contamination". If touched, be sure to wash your hands with soap or hand sanitizer as soon as possible. (Tongling News Network)
(1) Which schools in the United States recognize HND courses of Beijing Institute of Technology?
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