43nike9485qt
ORANGE EKSTRAKLASA
Dołączył: 26 Paź 2010
Posty: 812
Przeczytał: 0 tematów
Ostrzeżeń: 0/5 Skąd: England
|
Wysłany: Pią 23:44, 18 Mar 2011 |
|
|
Information relating to atypical pneumonia (SARS)
4280 cases, 206 cases of death, followed by Hong Kong 1637 cases, 187 patients died. Patients currently known is the main source of infection, incubation period of 2 to 12 days (usually 4 to 5 days). Pathogen carrying conditions, the proportion of latent infection and other infectious source of infection is not clear. Transmission to close the main droplets can also be spread through contact with respiratory secretions. Generally susceptible people, close contacts of patients is the main risk populations, there are hospitals and family aggregation, the proportion of medical staff up to 1 / 4. Incidence in each age group can be, but the young adults (20 to 49 years old) dominated, accounting for 80% and the mortality is generally 5% to 15%, less than 1% less than 25 years of age, 25 and 65 years of a 6% 15%, more than 65 years of age up to 50%, in general so far, the vast majority of people have died because of sARS with other diseases, and most of the elderly. 4 The main clinical manifestations acute onset, fever (body temperature higher than 38 ℃) as the first symptom,[link widoczny dla zalogowanych], mostly for heat, for 1 to 2 weeks,[link widoczny dla zalogowanych], with occasional chills, respiratory symptoms and signs of obvious, may have cough, mostly dry cough, little sputum, sometimes blood stained sputum, and often respiratory catarrhal symptoms supreme. May be associated with headache, joint pain, body aches, fatigue,[link widoczny dla zalogowanych], chest pain, and diarrhea. Severe cases, rapid breathing, shortness of breath, or progress to acute respiratory distress syndrome. Obvious pulmonary signs, some patients can be heard and a little dry, wet mouth rales, or signs of pulmonary consolidation. 5 laboratory and X-ray examination is not high or lower WBC, with bacterial infection can be increased, the majority of patients with severe leukopenia. Different degrees of lung slices patchy reticular infiltrates shadow or like change, and some patients progress rapidly, showing the shadow of a large sheet, and often multi-leaf or bilateral changes, shadows dissipate slowly absorbed, patients with pulmonary shadows Signs and symptoms can be inconsistent. 6 diagnosis, treatment and prevention of the SAILS is a new human infectious diseases, so far, including a review of the investigation, it is only knowledge of it six months. SAPS etiology,[link widoczny dla zalogowanych], immunology, pathogenesis, propagation, and other popular features required further study. So to the sA diagnosis, treatment and prevention has brought great difficulties. Although four months, foreign scholars reported late in the 1 to 2 hours to detect the SARS virus if infected, but the practical application of a technology needs to be done to get a lot of preparatory work. WHO is now working with several major research laboratories with SARS clinical diagnostic test, the current polymerase chain reaction (PCR) has high specificity but poor sensitivity; enzyme-linked immunosorbent assay response (ELISA) for detection of serum antibodies to the virus [gM and a mixture of I, but needs 21 days after the illness to appear reliable positive results; immunofluorescence (IFA) for the determination of IgM, but also need to lO days to illness a positive result, and the equipment and technical requirements for high; cell culture is a very demanding on the application of the experimental conditions, and it was only to prove the existence of a live virus. Recently found that only 40% of clinically diagnosed cases, 30% of similar cases, while other non-SARS groups have 14% of the coronavirus detected to be investigated, therefore, the negative results are not able to rule out the presence of the virus SAILS. So far, the reported cases of diagnosis is still based on epidemiological history, and the clinical manifestations, blood and x-ray examination. There is no particularly effective treatment, the clinical principle, according to the treatment of pneumonia and viral infections, including: general treatment, mainly bed rest and avoid fatigue and severe coughing; symptomatic treatment, use anti-inflammatory drugs, high fever are secondary to physical cooling, antitussive and expectorant, oxygen; anti-viral therapy; critically ill patients using corticosteroids, breathing machine, etc.; prevention and treatment of secondary bacterial infection can be used macrolide, fluoroquinolone antibiotics and other applicable; can use of Chinese medicine and enhance the immune function of drugs. Since there is no corresponding vaccine can only be the prevention of respiratory infectious diseases principles. The first is isolation of patients to treatment, especially to strengthen the protection of health care, while other close contacts be isolated for observation. Second, public education to improve sanitation, to enhance personal hygiene, keep working, living and learning environment of air circulation; proper nutrition, maintaining a good lifestyle; to avoid tension, stress and fatigue; avoid unnecessary movement and assembly. Important place for the necessary disinfection, enhance disease prevention and awareness, if found to have fever (over 38 ℃), dry cough, headache and other symptoms due early hospital, and found that isolated the source of infection and timely treatment.
More articles related to topics:
[link widoczny dla zalogowanych]
mbt zapatos Anesthetic management of pituitary tum
[link widoczny dla zalogowanych]
Post został pochwalony 0 razy
|
|