After the 80 -year -old elderly infected the flu, the lungs were "white"!Doctor: Be wary of influenza rise

The 80 -year -old Li Yuelong (pseudonym) old man who lives in Yuhua District, Changsha City appeared high fever a week ago. After hospitalization, he quickly developed into respiratory failure and infectious shock. The chest tablets indicated that the lung lesions had progressed as "white lung".

According to statistics, since May, Changsha Central Hospital (Changsha Central Hospital affiliated to Nanhua University) has received more than 1,400 patients with influenza, of which 5 are in crisis. Doctors remind that the influenza occurs mostly in winter and spring, but this summer has a rapid rise in the incidence of influenza, and citizens need to guard against it.

Liang Weijun, deputy chief physician of the respiratory intensive care room of Changsha Middle Hospital (Affiliated to Nanhua University) Liang Weijun, introduced that the elderly Li Yuedan suddenly appeared high fever a week ago, with a body temperature of 39.3 ° C. Effect.

The family members sent the elderly to the Changsha Middle Hospital (Changsha Central Hospital affiliated to Nanhua University) the next day to send a popular kidney clinic. Diseases of respiratory and critical condition.

After being admitted to the hospital, the elderly deteriorated sharply within a few hours. Respiratory failure could not be maintained by simple oxygen absorbing. At the same time, blood pressure decreased and conscious disorders. After turning into the breathing ICU, the doctor gave him a hydraulic oxidation of the nose at a high nose. The elderly still had hypoxia, shortness of breath, and blood pressure also needed to increase the drug support. "White lung", the medical team judged that the condition had developed into severe acute respiratory distress syndrome (ARDS), infectious shock.

Immediately, the tracheal intubation is given, and there are ventilator auxiliary ventilation, antiviral, antibacterial and other treatment. It has not yet been separated from danger and needs further treatment.

It is confusing that although the elderly have previous history of Alzheimer's disease and cavity cerebral infarction, no obvious abnormal immunity is found in normal immunity, and there is no chronic respiratory disease. By asking the medical history, the doctor found that the elderly's lover had experienced cold symptoms in the near future, and then the elderly also had fever and fatigue symptoms.

The next microbiological examination also found that patients with n -wa virus nucleic acid positive, combined with image data and other indicators, diagnosed with virus pneumonia caused by type A influenza, and mixed with epithelium infection and colonic infection.

It is understood that in the past 10 days, the critical patients such as the elderly such as Li Yuedan have been diagnosed with severe patients with influenza. All severe patients have been accompanied by a variety of chronic basic diseases. Therefore, after the influenza was infected, the condition developed rapidly.

Yang Hongzhong, director and chief physician of Changsha Central Hospital, pointed out that epidemic colds are common respiratory diseases in winter and spring. From the current data analysis of the hospital treatment, the incidence of influenza has a rapid rise.

"Symptoms of influenza are similar to colds, but influenza is not a normal cold." Yang Hongzhong introduced that flu virus is a kind of acute respiratory infectious disease caused by influenza virus. It is mainly transmitted through respiratory tract droplets. Direct or indirect contact spread.

Common influenza viruses are mainly type A and B. The symptoms are similar to ordinary colds, but the symptoms are severe and spread quickly, which can cause seasonal popularity. If citizens have symptoms such as fever, sore throat, nasal congestion, muscle soreness, dry cough, diarrhea, etc., they should go to the hospital to post a hot clinic for investigation in time. After diagnosis of influenza, take antiviral drugs as soon as possible to reduce symptoms, reduce complications, shorten the course of disease, and avoid blindness or inappropriate use of antibacterial drugs. At the same time, pay attention to the isolation of the home, keep indoor ventilation, pay attention to drinking more water, and observe the changes in the condition closely.

Yang Hongzhong, director and chief physician of Changsha Central Hospital of Changsha Middle Hospital, emphasized that in the high incidence of influenza, the following 5 types of people should be careful:

Children under 5 years of age, especially children under 2 years old;

2. Elderly people over 65 years old;

3. Poor immunity, accompanied by various basic diseases. In particular, there are basic diseases such as chronic respiratory systems, cardiovascular system diseases, blood system diseases, or people with immune defects;

4. Obesity group, BMI reaches more than 30 people;

5. Pregnant women.

These five types of people usually do daily protection and wear masks; wash their hands frequently, balance their diet, and exercise in moderate amounts; the influenza popular season, avoid going to the crowd's gathering places; regularly vaccinate flu vaccines every year.

(Edit ZS. Part of the picture source network, invading deletion)

Hunan Medical Chat Special Author: Changsha Middle Hospital Liang Weijun Ma Jinling

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