5-year-old girls fever in ICU for three days: brain necrosis cant be recognized by her parents

 5-year-old girls fever in ICU for three days: brain necrosis cant be recognized by her parents

But recently, a five-year-old

After a cold, but into the ICU this is how?

Five year old has a fever for three days

In the ICU, on the ventilator


After coming back from kindergarten, 5-year-old Xiao Li (not her real name) always said it was cold and adding clothes didnt work. Mother took her temperature, 39 u2103! No, the child has a fever. I think its a cold.


The next day, Xiao Li still had no fever, and her spirit was not good. Mother is not at ease, take her to the nearby hospital to see a doctor. Just as he was seeing the doctor, the child suddenly began to twitch. Fortunately, after the doctors first aid treatment, a few minutes later, the convulsion relieved. On the same day, Xiaoli was admitted to the inpatient department.

After being hospitalized, Xiaoli had a fever again and again, the highest temperature was above 40 u2103, and her reaction was getting worse and worse. At last she went into a coma. She didnt respond to what her mother called her.


On the same day, Xiaoli transferred to Shenzhen Childrens Hospital and was admitted to the intensive care unit (PICU). At this time, she was still in a coma and soon had a shortness of breath. The doctor had to go on the ventilator to help her breathe.


There was also bad news from the MRI: she had multiple brain lesions, a typical acute necrotic encephalopathy! After careful analysis, Dr. PICUs team believes that it is likely to be caused by influenza. After further testing, the culprit was found out - influenza A.

After consultation with multiple departments

The doctor worked out a detailed treatment plan for her.

Xiaolis condition is getting better

However, due to serious neurological complications during the disease, although she has now been able to open her eyes autonomously, her consciousness has not fully recovered. Not only cant speak, but also cant recognize her favorite parents.

At present, Xiaoli is still in further rehabilitation treatment

How long does it take to recover? Doctors say treatment can take months, years or even longer. In the previous cases, some children will recover, but others may be affected for life.

How can a common cold be so terrible?! Wrong! Influenza u2260 common cold! It can not only hurt people, but also be fatal!

How can we protect the children in the period of high incidence of influenza and those susceptible to influenza? First of all, we need to distinguish influenza from common cold

How to distinguish influenza from common cold?

Influenza is similar to common cold. It may have upper respiratory symptoms, such as stuffy nose, runny nose, sneezing, coughing, sore throat, etc. Compared with the common cold, influenza has more serious systemic symptoms, the main symptoms are high fever, headache, sore throat and muscle ache.

The most fatal difference is that common cold rarely has complications, while influenza is prone to pneumonia, myocarditis, encephalitis and other complications. For children, especially for acute necrotizing encephalopathy. Once such serious complications occur, the mortality rate is high.

In every winter, influenza is popular, and most people have it. In essence, it is not a serious disease. As long as you pay attention to rest and drink more water, no matter you take or dont take oseltamivir, after 7 to 10 days, the vast majority of patients will recover. The mortality of influenza is very low, generally 0.5 u2030 to 1 u2030. Even in the early stage of the new influenza A (H1N1) pandemic in 2009, the case fatality rate was only 1% to 1.2%.

So, what causes the deaths of flu patients? The main reason is influenza complications.

Influenza complications are divided into intrapulmonary complications, extrapulmonary complications and basic disease complications during influenza

Two types of influenza are active

Recently, the surveillance results of Jiangsu Provincial influenza surveillance outpost hospital show that the percentage of influenza like cases and the positive detection rate of influenza virus in Jiangsu Province are on the rise. The monitoring results in the last week of 2019 show that the epidemic value has been exceeded.

The current epidemic is mainly b-victoria system, which accounts for 2 / 3 of all disease sources, followed by a-h3n2, which accounts for about 1 / 3 of all disease sources, said permit, deputy chief physician of Emergency Communication Office of Jiangsu CDC

Generally, the influenza A epidemic will occur in the temperature of 4 degrees and 28 degrees, while the influenza B epidemic corresponding to the temperature of about 5 degrees. The current temperature is suitable for both influenza A and influenza B, so at present, both influenza A and influenza B are in the period of simultaneous epidemic in our province.

Five high risk groups

Luo Lei, director of the Department of infectious disease control and prevention of Guangzhou Center for Disease Control and prevention, said that according to the 2019 influenza diagnosis and treatment program, five groups are at high risk of influenza:

1. Children under 5 years old, especially under 2 years old;

2. The elderly over 65 years old;

3. People with poor immunity and various basic diseases. In particular, people with basic diseases such as chronic respiratory system, cardiovascular disease, blood system disease or immune deficiency have low resistance and are more susceptible to influenza virus.

4. Obese group, the group whose BMI is more than 30;

5. Pregnant and perinatal women.

The most effective way to prevent influenza

When and where the flu will arrive is not exactly predicted, but it can be prevented.

At ordinary times, we should pay attention to exercise and strengthen the resistance to disease; in the flu season, we should increase or decrease clothes according to the weather changes, reduce the number of people in public places and avoid visiting the homes of flu patients; drink more water to keep the respiratory tract and throat moist; wear masks when going out, wash hands first when going home, and ventilate the room frequently. These are all effective measures to prevent influenza.

But once a year, the flu vaccine is an effective method recognized by the medical community

Generally, it takes about 2 to 4 weeks after vaccination to produce antibody with protective level. Therefore, it is recommended to vaccinate before the end of October every year, so that protective antibodies will be produced at the peak of the epidemic. If there is no time to vaccinate in October, the whole epidemic season can also be vaccinated.

It should be noted that the protective effect of any vaccine is not 100%. Due to the special reasons of individuals, such as low immune response ability, individual recipients may fail in immune response. In addition, if the vaccination has been in the incubation period of influenza, the disease will still occur after vaccination.

Influenza vaccine + pneumonia vaccine is double insurance

After influenza vaccination, the protection rate for healthy adults can reach 70-90%, for children from 6 months to 3 years old 73.2%, and for children from 3 to 5 years old 52.9%.

Why is the protective effect of influenza vaccine on children aged 3 to 5 lower? The main reason is that their immunity is not as high as that of adults, and their chances and frequency of contact with the outside world are higher than that of children under 3 years old, so the risk of infection is relatively high.

In addition, the elderly can be vaccinated against pneumonia in addition to influenza vaccine.

A meta-analysis of the literature on influenza vaccination in the elderly shows that the elderly can reduce pneumonia and influenza related hospitalization by 25% to 53% after influenza vaccination; compared with the elderly who received influenza vaccine alone, the lung related hospitalization rate and mortality rate of the elderly who received influenza vaccine and pneumonia vaccine decreased by 11%.

In a word, the patients with influenza should be treated as early as possible. In the early stage of influenza, antiviral drugs such as oseltamivir can be taken to reduce the occurrence of influenza related complications.

(function() {(window. Slotbydup = window. Slotbydup| []). Push ({ID: u5811557, container: ssp_, async: true});}) ()); source of this article: responsible editor of Modern Express: Li Chao