Via Guangzhou Ribao, a long, important August 11 report—too long for me to excerpt adequately on TypePad. But Zhong Nanshan, one of the great figures of Chinese medicine, is now on the case. This excerpt is a Google translation. Use Google Translate or Google Chrome to read the whole report: Son had fever patients are negative for H7N9 screening temporary. I've very slightly edited some computer artifacts out of the report, like "patients" for "patient."
Guangdong confirmed one case of human infection with H7N9 avian influenza 96 close contacts of 95 people without exception.
According to the Provincial Health Department on August 10 briefing, Huizhou found one case of suspected human infection of H7N9 avian influenza has been confirmed. From the evening of 9 patient had Huizhou Central People's Hospital transferred to the First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases treated, the patient's condition was still critical. 96 close contacts, there are 54 medical observation lift, 42 need to continue medical observation. The son of nine patient with low fever evening, body temperature 37.8ºC, 10 am screening H7N9 was negative, with no fever, chest X-ray and blood examination was normal. The remaining 95 close contacts caught no exception.
Boluo suspected case confirmed yesterday
Guangdong Provincial Health Department reported on August 10, Guangdong Province confirmed case of human infection of H7N9 avian influenza.
Patient Moumou, female, 51 years old, who lives in the town of Huizhou City, Yokogawa Hedong Road market towns, market towns in the Boro job market poultry slaughter. Patients with a high fever a week on August 3 at noon to Huizhou Central People's Hospital for treatment, "the fever investigation because of" admitted to hospital. Evening of August 9 Go First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases.
August 9, the Guangdong Provincial Center for Disease Control reports of test results in patients infected with human H7N9 avian influenza virus nucleic acid positive. August 10, the Chinese Center for Disease Control laboratory human infection of H7N9 avian influenza review virus nucleic acid positive. Guangdong Provincial Health Department based on expert clinical manifestations, laboratory and epidemiological findings, etc., to diagnose the infection of H7N9 human cases of avian influenza confirmed cases. First Affiliated Hospital of Guangzhou Medical University, Institute of Respiratory Diseases, is to organize the rescue, the patient's current condition is still critical.
Zhong Nanshan, patients go to the Institute hosted consultation call.
Sent by the provincial health department of the province Huizhou human infection of avian influenza H7N9 clinical expert consultation and assessment, in order to further improve the patient's treatment work, decided to transfer the patient to the First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases treated. 9 at 10 pm, First Affiliated Hospital of Guangzhou Medical University, with a car sent by ambulance carrying patient ventilator leave Huizhou Central People's Hospital, on the 10th morning arrived safely call the Institute. Patient to the hospital immediately after the chest CT, and stay at Critical Care Medicine. 10 morning, academician Zhong Nanshan personally presided over the largest hospital-wide consultation to develop a treatment plan. Call the Institute established a critical care medicine to the Lord, including hospital infection Branch, Department of Radiology, Department of Infectious Diseases, Department of Pharmacy, and other multi-sectoral experts composed of specialized rescue treatment team, working hard to save the patient. Patients are still in critical condition, vital signs were still stable, conscious.
Patients condition:
Cardiopulmonary resuscitation has been severely damaged by four days
Academician Zhong Nanshan, 0:05 yesterday morning, the patient is connected to the Institute by the call of Guangzhou, directly into the ICU, examination revealed sub-type or heavier, had severe pneumonia, also called ARDS (Acute Respiratory Distress Syndrome). Outstanding performance is very low oxygenation index, normal is 300, which is two days of her index two were 80,77, not to 100; Zhong Nanshan team recently concluded 111 cases of human infection of H7N9 avian influenza in patients with oxygenation index, oxygenation index average is 114. "The patient's condition is worse."
First, two ventilation lung function is ventilation, Zhong Nanshan said the patient's ventilatory function is poor, high concentrations of oxygen into the body can not use, indicating that her lung inflammation, fibrosis and other diseases badly, serious virus damage to lungs. Huizhou Central Hospital on the 6th had their endotracheal intubation, and yesterday, the patient has reached four days by artificial respiration.
In the rest of the report, we learn that Moumou Chen in Huizhou had presented with heart failure, pulmonary edema, and pink frothy sputum. She is conscious and damage is "very mild" to her brain, muscles, kidney and liver.
Zhong Nanshan is telling healthcare workers to double the use of Tamiflu in such cases, and be ready to use intravenous peramivir. He says the patient is "now quite typical of severe H7N9, white blood cell count is low, really heavy condition, future situation, the current can not say, only to go all out."
