What if first type H 1 N 1st influenza is attacked?

What if first type H 1 N 1st influenza is attacked?
What if first type H 1 N 1st influenza is attacked?
Doctor does the emergency call well " Four are strengthened " The middle and southern university refined professor of hospital emergency department Deng YueLin in Hunan is in the face of first type H 1 N 1st influenza that is wreaking havoc in the whole world, our emergency call doctor is preventing and controlling the points of a influenza frontline of first type H 1 N as fighting, make adequate preparations? I have proposed " four are strengthened " on the basis of summarizing and resisting SARS experiences and lessons Emergency call prevent and cure tactics,with may take place " the contact battle " . 1 strengthen, protect, wash hand to be most important to protect the intersection of we and oneself knock down first type the intersection of H and the intersection of 1 N and 1 influenza well, it is the most important thing that we work. If our medical worker can't protect oneself well, will reduce fighting capacity and self-confidence. How to avoid meaningless infection and sacrifice, the most important work is strengthened and protected. The most frequently used safeguard procedures are: Strengthen the hand hygiene at first, just wash hands, it is better to use disinfectant of fast hand to sterilize hands; Secondly wear the gauze mask, the medical workers of key sectors such as the emergency department,etc. must wear the thick gauze mask, wear the goggles or protect the gauze mask if necessary; Strengthen and ventilate and sterilize with the air in the room finally. 2 strengthens and discerns that will ask and contact the history and face numerous ordinary cold patients every day, in the work at present, how to find the real " enemy " from it ,Prevent " enemy " Slip through the net from our hands, this is since that we will face at present the greatest challenge, reflect our level and key period of the ability, so we should especially do a key measure well - -Find and diagnose the suspected patient in time. How to do? Just strengthen the differentiation of the high-risk group, find patients in the high-risk group. Contact a laboratory staff member that influenza virus infected the material of first type H 1 N, and the personnel coming back from the epidemic-stricken area. If these personnel present influenza symptom, don't adopt a casual attitude. 3 strengthens the recognition of the critical disease to a influenza patient of most first type H 1 N, through treating, the prognosis is good. World Health Organization estimates the mortality of the first type H1N1 influenza in 0.3% to 1%. Relevant report and experience to treat and cure SARS watch from foreign countries, among them the majority die of serious disease and pneumonia, breathe depletedly. So we develop fast, break with tremendous force, the unexpected hyperpyrexia to some condition ' The body temperature exceeds 39 ��) Unidentified the intersection of reason and serious pneumonia, acute to breathe poverty-stricken syndrome, the intersection of lung and bleed, septicaemia and patient of shock, pay close attention to, discern and implement the integrated control specializing in breathing and supporting early, very important to saving patient's life. 4 strengthens and treats and cures it from a lot of experiences of treating and curing SARS in early days, we learn that it is very important to rescue success rate in improving in integrated control specializing in breathing and supporting. Can offer the guarantee for the fact that we launch the further work of treatment and cure by means of what has been breathed and is supported. So once find and have difficulty in breathing and take the form of going on aggravation, should not create breathing to support as soon as possible without the least hesitation, further develop a key in a key to prevent the breathing function from being complete as soon as possible. First type the intersection of H1N1 and influenza make a diagnosis and give treatment, want some the intersection of Shanghai Communications University and the intersection of medical college and subsidiary the intersection of Rui Jin and the intersection of hospital and infectious disease department thank blue and green soup big and on First type H1N1 influenza virus breaking out recently in virus aetiology and clinical manifestation can cause the mankind ill new influenza virus, a new one that first type influenza virus H1N1 belongs to is inferior type, are belonging to and glueing the virus department, first type influenza virus genus. Because first type H1N1 influenza virus has membrane virus of bags, so sensitive to organic solvents such as ether, chloroform, propanone,etc., sensitive to heat and ultraviolet ray, but is able to bear the low temperature and dry at the same time. First type H1N1 influenza virus includes pig's influenza, bird flu and three kinds of genetic parts of influenza virus of people's influenza, have not been measured to in people and pig before this. The more important thing is this kind of new poisonous one can spread between people and people, it becomes possible that this makes first type H1N1 influenza quite popular worldwide. Manifestation and other ordinary seasonal influenza of the first type H1N1 influenza behave similarly, symptom of the acute breathing problem appears, symptom includes the following aspects at least: 1. Tears or nasal obstruction flows. 2.Have sore throat. 3.Cough, 4. Generate heat. 5.Limbs pain. 6.Have a headache. 7.Shiver with cold and tired. 8 suffers from diarrhoea and vomits. Serious complication include pneumonia, acute to breathe poverty-stricken disease and breathe depleted, etc, can cause patient death. With the above-mentioned symptoms patient should go to a doctor in time, so as not to miss best period ( thought in appearing 48 hours of symptom generally) that treat . Diagnosis of the first type H1N1 influenza 1. The sample is gathered if suspects first type H1N1 influenza virus is infected, should keep the respiratory tract sample used for analyzing as soon as possible. Under the ideal state, the best method is to develop the nasopharyngeal swab or nasal cavity the liquid to put into culture medium of virology. If the sample can't be gathered, nose of a combination and swab of the department that swallows mouth can be accepted. If patient's trachea intubate, should collect and draw the liquid in the trachea. The sample should be put in the aseptic virus transports culture medium, put in 4 degrees of C refrigerators immediately (but not the freezer) ,Either put on the ice at once or in the ice bag thus is sent to the laboratory, in order to offer prompt detection. 2.Detection means RT-PCR or virus train can make a definite diagnosis of, infect with first type the intersection of H1N1 and detection means of influenza virus only at present. 3.The intersection of diagnosis and first type the intersection of H1N1 and influenza virus to infect case infect case, can divide into, make a definite diagnosis of case, the case, suspected case most probably generally, its diagnostic standard is as follows. Make a definite diagnosis of the case: The patient trains and makes a definite diagnosis of first type H1N1 influenza virus to infect through RT-PCR or virus in the laboratory at the same time the acute breathing problem that generates heat. The case most probably: The patient presents the acute breathing problem that generates heat, RT-PCR measures influenza and Model A virus positively but influenza H1 type and Model H3 virus are negative at the same time. Suspected case: The patient presents the acute breathing problem that generates heat the following situations appear at the same time: (keep in close touch, define as, infect during this period in the patient in the 7 day with make a definite diagnosis of first type the intersection of H1N1 and patient that influenza virus infect, have, keep in close touch, within the range of 6 feet or suspected case is contacted to some extent with making a definite diagnosis of) . Be there, have 1 example first type the intersection of H1N1 and the intersection of influenza and community to make a definite diagnosis of case at least in the 7 day. Live in the community that 1st example first type H1N1 influenza makes a definite diagnosis of the case at least. Influenza vaccine usually used at ordinary seasonal influenza in treatment of the special crowd is invalid to this first type H1N1 influenza virus. First type H1N1 influenza virus separated in the laboratory recently As to neural the intersection of amino acid and the intersection of enzyme and antiviral sensitive medicine of inhibitor ' He of department Wei pitch the intersection of rice and Wei that) ,Able to bear medicines as to Buddha's warrior attendant alkane and Buddha's warrior attendant ethane. General crowd: First type H1N1 influenza still relies mainly on synthesizing and supporting to treat to the ill for infecting with at present, the antiviral therapeutic time to recommend is 5 days, recommend the dosage to be the same in recommendation dosage and ordinary seasonal influenza against virus medicine. 1.Children administration aspirin or containing aspirin medicine should include in treat, make a definite diagnosis of and age that suspected virus is infect no more than the 18 -year-old philtrum, because cause Reye syndrome to be very risky. For relieve, generate heat symptom, can recommend, use, bring down a fever medicine (to acetyl amino phenol while being other, the body of non- steroid resists the inflammation medicine) . Infect children as to greater than first type the intersection of H1N1 and influenza virus for 1 year, antiviral medicine give a recommendation the dosage give a recommendation the dosage to be same with ordinary seasonal influenza even. Infect children, recommend, use he of department Wei as to less than 1 first type the intersection of H1N1 and influenza virus of year old ' Da Fei) . Though he of department Wei authorize, use under the age of 1 children, have very much high morbidity and mortality on influenza on the basis of infant and pre-school children, use him of department treatment Wei might benefit from it infecting with first type the intersection of H1N1 and children of influenza virus. So the intersection of U.S.A. and FDA approve him of department Wei for license in urgent cases recently. It antiviral medicine recommends the dosage to be different on the basis of age: lt; March, two times a day 12mg; 3~5 month two times a day 20mg; 6~11 month two times a day 25mg. 2.Of pregnant woman administration Wei, he of department, pitch rice that Wei C grade medicines in pregnant manuals, this indicates that there is not clinical research that can prove these medicines are safe to pregnant women. Because this kind of resists influenza virus medicine's side effect to pregnant woman and his foetus unknownly, only assessing when being great than the potential risk to the embryo, foetus' potential advantage, could carry on the antiviral treatment. However, have not accepted yet that the report of the bad reaction appears in woman and their foetus against influenza virus treatment those period of pregnancy at present. It be regarded as taboo disease against drug use of influenza virus that pregnant at the same time. Because of whole body being active, he of department Wei give a recommendation, use for pregnant women further. But as medicine of sucking etc., few absorb all over, some expert recommend, pitch the intersection of rice and Wei that, exceed he of department Wei to pregnant woman too. Pitch the intersection of rice and person who suck of Wei that, give medicine route at the same time, until those have the intersection of respiratory disease and women of risk, complication of the respiratory system should be considered.


|