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The author:(作者)delvpublished in(发表于) 2014/1/10 8:22:17 Foshan second H7N9 patients in critical condition， both patients have a history of exposure to live poultry
Said the children of the elderly are vulnerable populations
Yangcheng evening news reporter Huang Hancheng
6th, 4 H7N9 confirmed case informed the Guangdong 3 days in a row, avian flu can be described as menacing. 9th in Foshan first H7N9 patients thanks to a have a fever, raised her hand to greet them when, the second case in Foshan in Foshan City, Choi is still lying in a hospital ICU, breathing ventilator support. Hospital, said Choi's life is in danger at any time.
TB:
Husband home buying chicken patients culled
According to sources close to Choi, a husband, 51, a CUI family lives, Jiujiang town, Nanhai, before the onset of financial clerk at a gas station, occasionally go out for help to cheer the guests.
"Prior to the onset, Cui's three-year history of diabetes, lung problems, the last six months has been coughing. "The afternoon of 9th, first people's Hospital of Foshan City (hereinafter the city) Deputy Director Yu tieou of the ICU said.
In July 2013, Trey once and Jiujiang hospital for chest CT, found under the left lung and the right lung has cast a shadow over suspected tuberculosis, but was not confirmed. In December 2013, again went to local hospitals, according to Cui CT, lung disease increased at this time, she was recommended to tuberculosis prevention and control centre in South China Sea. The Centre wrote a CUI the drug for a month, "taking a few days later, she felt the gastrointestinal reactions severe, uncomfortable, stop".
Message from the health system of South China Sea, officials said, on December 31, 2013, the new year's Eve, Choi, a husband to the market to buy live chickens, brought home by Cui, slaughtered, and not, as earlier rumors, by Cui, come to the market to buy.
That night, the CUI in had been in poor health in a fever to 40 degrees Celsius. The next day, she went to Jiujiang, a local hospital for treatment, lost a bottle of suspension liquid, slightly fall in price after burning, Choi went home, the relatives did not pay too much attention.
On January 3, 2014, Choi, a fever again, the disease seems to be aggravating the symptoms, had to come to a city hospital fever clinic.
Confirmed:
History of heavier patients
Memories, according to Yu tieou, 3rd, Choi, a city where, had high fever of 39 degrees Celsius, accompanied by clear cough, sputum production, shortness of breath, which prompted the hospital attaches immediately into the infectious diseases Department.
After doctor rounds, considered a heavy pneumonia Cui, could not be ruled out bird flu, will introduce respiratory isolation negative pressure wards in receiving admissions the same day, and use the "Tamiflu", collecting samples sent to the CDC for influenza nucleic acid Antigen detection.
Because of the rapid progression, 3rd night, Choi has breathing difficulties, require tracheal intubation mechanical ventilation. 4th at 4 o'clock in the afternoon, Choi was transferred to ICU treatment, isolated by demand Studios on avian, the medical staff is based on standard principles of prevention, to take protective measures.
7th, from Foshan, CDC reports show that Cui H7N9 nucleic acid testing positive, was confirmed as human infection H7N9 avian influenza.
City Vice President Zhang Chengguo, said Choi, a three year history of diabetes and lung disease, which causes a H7N9 virus infection after Choi soon evolved into severe cases.
Choi, what kind of bird flu, is the result of slaughtering live poultry? According to Zhang Chengguo said: "a CUI lives near the market, avian influenza is not necessarily related to slaughter live poultry."
Condition:
Currently in critical condition life-threatening
"Her husband was a worker, so busy, what appears to be an honest man. "Yu tieou told reporters that a CUI after admitted into a hospital, two days before the family can also visit Trey in through the glass. Later an aggravation of CUI, in order to protect families, Choi, as people will just have to watch a husband in the family waiting area.
The afternoon of 9th city hospital to the yangcheng evening news reporter Zhang Chengguo, Vice President, Choi currently in a critical condition, still needed ventilators, boosting drugs to maintain blood pressure, lives are at risk at any time, "but the 8th is in a stable condition and did not continue to deteriorate."
Reminder:
Avoid consumption of cooked poultry meat
As of 9th, Guangdong has reported a total of 10 cases, 1 death cases (patients resident in Dong Guan), Foshan is informed 3 days in 2 cases. What kind of people at risk of contracting bird flu?
Deputy Chief Physician of the city hospital ICU goodwill tieou think, suffer from malnutrition, anemia, underlying diseases, such as cancer, high blood pressure people, as well as the elderly and children, more easily infected with avian flu and after infection are more likely to develop severe cases.
Foshan confirmed of two cases H7N9 patients are has live poultry contact history, on this Foshan Health Council reminded, public to avoid and poultry bird contact, if has contact, in dining water, and touch eye, and mouth, and nasal zhiqian should first for wash, also, not eat is not cook cooked poultry class of egg and meat, also not edible fatality poultry bird meat and purchased sources unknown of poultry birds products.
(Original title: second H7N9 patients in critical condition in Foshan both patients have a history of exposure to live poultry)
医生表示老人儿童是易感染人群
羊城晚报记者 黄汉城
自6日起，广东连续3天通报4例H7N9确诊病例，禽流感可谓来势汹汹。9日，就在佛山首例H7N9患者谢某已经退烧，可以抬起手来跟人打招呼时，佛山第二例患者崔某仍躺在佛山市一院的ICU中，用呼吸机支持呼吸。院方表示，崔某随时有生命危险。
病发：
丈夫买鸡回家患者宰杀
据接近崔某丈夫的人士透露，51岁的崔某家住南海九江镇，发病前在一加油站做财务文员，偶尔会出去帮忙给客人加油。
“在发病前，崔某就已经有三年的糖尿病史，肺部也有问题，最近半年一直在咳嗽。”9日下午，佛山市第一人民医院(下称市一院)ICU副主任医师誉铁鸥说。
2013年7月份，崔某曾经到九江医院照胸部CT，发现左下肺、右上肺有阴影，疑似肺结核，但当时没有确诊。2013年12月份，崔某又再次去当地医院照CT，此时肺部病变增大，她被建议去南海区结核病防治中心就诊。该中心给崔某开了一个月的药物，“服用数天后，她感觉胃肠道反应厉害，不舒服就停药了”。
来自南海卫生系统一官员的消息称，2013年12月31日，也就是元旦前夕，崔某丈夫去市场买活鸡，带回家后由崔某进行宰杀，而不是如早前传闻的，由崔某亲自到菜市场购买。
当晚，身体状况一直不佳的崔某就发烧至40摄氏度。隔天，她跑去九江当地医院挂号治疗，输了一瓶吊液，稍微退了一点烧后，崔某便回家了，亲属也没有太在意。
2014年1月3日，崔某再次发烧，病情似有加重的症状，只好来到市一院发热门诊就诊。
确诊：
此前病史加重患者病情
据誉铁鸥回忆，3日崔某来市一院时，已高烧39摄氏度，还伴有明显咳嗽、咳痰、气促，这引起了院方高度重视，随即送入感染科。
医生查房后，考虑崔某为重症肺炎，未能排除禽流感，便在接收入院当天实行负压病房呼吸道隔离，并使用“达菲”，留取标本送疾控中心进行流感核酸抗原检测。
由于病情进展迅速，3日晚，崔某便出现呼吸困难，需要行气管插管机械通气治疗。4日下午4时许，崔某被转入ICU抢救治疗，按禽流感防控要求实行单间隔离，医务人员则按照标准预防的原则，采取防护措施。
7日，来自佛山市疾控中心报告显示，崔某H7N9核酸检测为阳性，被确诊为人感染H7N9禽流感。
市一院副院长章成国表示，崔某此前便有三年糖尿病史，且肺部病变，这些原因导致了崔某感染H7N9病毒后，很快便演化成重症病例。
那么崔某到底是怎样感染禽流感的，是宰杀活禽导致的吗？据章成国透露：“崔某住在市场附近，感染禽流感还不一定和宰杀活禽有关系”。
病情：
目前病危有生命危险
“她丈夫是个工人，很忙，看上去是老实人。”誉铁鸥告诉记者，崔某入住市一院后，前两天亲属还可以隔着玻璃看望崔某。后来崔某病情加重，为了保护家属，崔某丈夫等人就只能守护在家属等候区了。
9日下午，市一院副院长章成国向羊城晚报记者介绍，目前崔某病情危重，仍需要呼吸机，用升压药维持血压，随时有生命危险，“但较8日来讲病情稳定，没有继续恶化”。
提醒：
切忌进食未熟禽肉
截至9日18时，广东共报告10例病例，其中死亡1例(病人居住地在东莞)，佛山更是3天通报2例。究竟什么样的人群较容易感染禽流感？
市一院ICU副主任医师誉铁鸥认为，患有营养不良、贫血、肿瘤、高血压等基础疾病的人群，以及老人家和儿童，比较容易感染禽流感，在感染后也较为容易发展成重症病例。
佛山市确诊的两例H7N9患者都有活禽接触史，对此佛山市卫生局提醒，市民要避免与禽鸟接触，如果有所接触，在进餐饮水、触摸眼、口、鼻之前应该先进行洗手，此外，不要吃未煮熟禽类的蛋和肉，也不要食用病死禽鸟肉和购买来源不明的禽鸟类产品。
(原标题：佛山第二例H7N9患者病危 两患者均有活禽接触史)
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