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China - Shanghai - Flu two months of continuous growth unrelated to H5N2 influenza virus

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  • China - Shanghai - Flu two months of continuous growth unrelated to H5N2 influenza virus

    Translated Google

    Shanghai is the flu two months of continuous growth, said David unrelated Planning and H5N2 pandemic influenza virus

    Post reporter Chen Sisi Hu Baoxiu
    Chu Li Yan Jing Wei intern Li Xiaojun

    With frequent alternating cold and warm air in winter, accompanied by several days of fog and haze days, a number of comprehensive three city hospitals usher in a wave peak attendance, where the proportion of patients with cough and fever for nearly two months to increase, The length of time the peak continuation of treatment, involving patients breadth etc. than in previous years.

    H5N2 avian influenza virus strikes? Influenza A (H1N1) and angry?

    Raised public concerns about the high incidence of influenza, which, Municipal Health and Family Planning Commission said the current stable influenza control, a flow of rumors credible, Shanghai Public Health Center also responded, "H5N2 subtype of influenza A virus has been found in poultry in different countries, but found cases of extraordinary circumstances. "

    It has three wheels flu symptoms

    Post reporter yesterday rushed to Yan Chai Hospital, a number of East Hospital, Xinhua Hospital, Children's Hospital, Fudan University Children's Hospital, Children's Hospital Medical Center and other comprehensive pediatric hospital interviews, each of the three major hospital experts concluded this round of flu patients characteristic symptoms: patients of all ages are involved, where a higher proportion of small nursery children; attenders overall body temperature is high, the vast majority of more than 39 ℃, a higher proportion of patients with sustained high fever repeatedly; door emergency peak duration than in previous years long, from mid to late October last year continues today.

    Experts believe that the peak seen easing and treatment related to three factors: First, because the weather again, when the temperature is high and sometimes low; second is due to air pollution; Third, treatment of children with growth in the birth rate has risen.

    "End date of January 8 exam, the night before I went to the hospital with his son hanging water, fear of aggravating his cold impact test these days." Mr. Wang said, Minhang District, the son of a cold almost a week, he had gone with his son Wanyuan Road twice Hospital of Fudan University. Let Mr. Wang trouble is that every time wasted most of the day must go to the hospital, the doctor who is too much.

    Less than 8:00 on Sunday, Mr. Wang took his son to the hospital for the first time. At this point several registered pediatric hospital's lobby windows are lined up. I ask, Mr. Wang did not know, some people around 6:00 to line up. Mr. Wang to get the registration form, is already more than 420 numbers.

    Mr. Wang told the Post reporter, at that time, the first floor to the third floor of the hospital waiting area are overcrowded, mostly parents of children with fever. Doctor too long, some parents to reduce children waiting time, often deployed together both parents. Dad went to registration, waiting time is coming, my mother was with child hurried over.

    As the patient too much, Mr. Wang did not wait until the last round at noon, he had to first bring the child out to lunch. Grab wait to accompany the child to read medicine physician, is already more than 14:00.

    With this experience, the second child to the hospital, Mr. Wang simply choose the evening. But even at night, in the pediatric hospital is still a lot of kids, with fewer doctors on duty at night, so they have spent watching the disease more than three hours.

    Fudan University Children's Hospital statistics show that since mid-October last year, amounted to about 7,500 daily outpatient hospital visits, respiratory (cough, asthma) and digestive (diarrhea, vomiting) and other medical patients increased particularly evident since last December , outpatient services continue to rise, the peak value of 8300 person-day outpatient infusion patients in 1300 passengers / day, medical staff face great pressure.

    Three factors caused attendance rate seen easing

    According to the Xinhua Hospital Emergency Department volume January 1 to January 7 this year, since statistics show the week: This year increase of 37.7% over the same period last year the amount of the emergency door, which was particularly evident pediatric growth, representing an increase of 48%. Which, on December 30 last year hit a hospital outpatient and emergency highs, reaching 16,171 people in a single day, surpassing last year's summer peak treatment capacity, and this year on January 6 Mon day, one-day emergency door volume reached 16,020 people, close to the hospital record.

    Martin smiled Xinhua Hospital, medical director of pediatric analysis, said hospital outpatient and emergency treatment of patients with presents three major changes since last winter. "Compared with the past, visiting the peak from mid to late 10 early last year, now, in November and December has been in treatment since the peak months, until January of this year, the amount of data is still no emergency door downward trend." It its introduction, previous winter peak period, the amount of hospital emergency door for two weeks to a month later, it will decline. In addition, he also pointed out that the patients in the clinic, the children, a high proportion of pupils patient population; in patients with cold and fever, body temperature is higher than in previous years, basically reached or exceeded 39 ℃.

    Children's Medical Center in Pudong same experience peak attendance.

    Statistics show that: since mid-December last year, the hospital maintained a daily average volume of outpatient and emergency visits in 5300-5500, the highest peak had once reached 5700 people. Yuanban official pointed out, "The reason for treatment to ease the peak long overdue, first, because the weather again, when the temperature is high and sometimes low, the immune system is already poor children, lack of capacity to resist, easy to repeated respiratory infections and a lot of fever, cough, some parents do not trust a child, one has the disease will come to the hospital; second is due to air pollution, haze days whenever severe cases, respiratory nosocomial infections occur in children significantly increased; Third, in recent years, the proportion of infants born in growth, the proportion of children will be a corresponding increase in visits, daily hospital emergency door in 2005 was only about 3,000 people, nearly two years to Japan are beyond the emergency door volume 5,000 passengers. "

    Children were significantly increased in adult patients

    Comparison of patients with pediatric patients, adult symptoms since this winter colds, fever, cough appears there was a marked increase.

    Yesterday, the hospital emergency room on the first floor of the East is not spacious area filled attenders infusion, a connecting door emergency aisle seats have been placed infusion, though, so the infusion area or from the emergency zone extends to the outpatient hall. Before outpatient dispensary district, nearly 50 seats arranged in three rows, packed. In the emergency department within the door, the patient is still lined up outside the door waiting.

    According to Zhang Meiying introduce emergency nurse, emergency points in three shifts, 24 hours reception, near the 10th, due to fluid volume surge, the original emergency infusion of 70 seats in short supply, but to increase the use of alternative outpatient infusion lobby area, the total infusion increased to 130 seats.

    Oriental Hospital statistics: nearly two weeks, both houses of the North-South East District Hospital emergency full amount, the total daily emergency houses of 1300 people, has reached the highest in almost three years.

    Zhang Meiying said that now the minimum daily amount of emergency have about 830 people, from the beginning of the end of December last year, due to a cold fever patients to seek treatment, young people began to increase. From treatment data, last December before the emergency medical admissions per month to more than 7,000 people, after entering December, treatment volume increase, has risen to 10,000 visitors per month.

    "Round influenza virus particularly stubborn."

    Even with 30 years of emergency physicians, hospital emergency medical director of East Bai Jianwen quite on the flu-like symptoms or anxiety. "The admissions of patients with fever, the virus particularly stubborn, strong and repeated often happens, turn cold." 白建文 said, watching from the treatment of illness, patients come for treatment on a cold fever, cough, emphysema, etc., most blood is not high, not in terms of conventional antibiotics, but patients taking oral medication, the disease has not eased the next day referral, high fever, and most of them were diagnosed as viral influenza patients In three or four days with bacterial infections, if not combined with antibiotic treatment, fever and acute respiratory symptoms difficult to alleviate, to avoid burning down only by the infusion of complications, which led to an emergency infusion volume surge.

    Referred to the emergency patients continued to show growth, Bai Jianwen director believes that this with the seasons, the temperature continued instability and haze related to the influenza virus and with people of different impression of the common cold, drink only water, and more still does not alleviate the symptoms of physical rest, need medical treatment.

    Yan Chai Hospital Respiratory director Jiang Handong yesterday also revealed: increased since the hospital is particularly evident in patients with winter colds, regular outpatient 250-300 person / day, but on January 2, the 3rd two days, outpatient suddenly soared to 500 people / day, a morning registration number reached 300 people, where people of all ages there.

    Number of hospital outpatient prolonged night time

    Because the treatment of patients continues to grow, recently a message on the microblogging, micro-channel coil crazy pass. The message said: "The new round of strikes virus H5N2, influenza virus symptoms: Similar to the common cold early, but in repeated high fever, you try not to bring the baby to the parents in public places, wash their hands, avoid contact with poultry and more Eat vitamin C ...... "In this regard, infection Lu Hongzhou, director of Shanghai Public Health Center, said that since the beginning of winter, our country has reported many cases of human infection with H7N9 cases, the virus is mainly spread through the respiratory tract, contaminated items and water, there are The bird flu virus could spread to humans. However, H5N2 and H5N1, H7N9 and other avian influenza viruses do not cause human disease, the public need not panic.

    In addition, in response to treatment for two months since the peak, many hospitals to take measures to deal with peak diversity, in addition to increasing the power of the night outside the emergency room doors, waiting while improving the environment, counseling patients.

    Oriental Hospital from the end of December last year, the amount of emergency contingency plans that start the emergency response to a surge of at least 5-6 daily to ensure emergency physician visits.

    Normal pediatric hospital opened clinics and attending residency overtime, deputy director of the physician-patient amateur strengthen peak attendance management. Pre-hospital outpatient department and doors do to build real-time traffic monitoring information system, health care linkage, in close contact with the medical department and the nursing department, according to patient flow, timely reinforcements start ward mechanism to alleviate patient stress. Outpatient clinic waiting area while re-adjust, change centralized waiting waiting for the partition. While encouraging sub-period medical appointments, booking priority registration, priority treatment.

    Children's Hospital, Children's Hospital Medical Center and a number of clinics also have to extend the night time, registration time delayed 1-2 hours, night time basic outpatient specialist doctor continued into the wee hours.

    zhttp://epaper.dfdaily.com/dfzb/html/2014-01/09/content_854975.htm
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