资阳市疾控中心 发表于 2024-7-5 10:46

39℃!突然高烧不退,杭州女子以为是感冒,一查人蒙了...

<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=1605251010513" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010513"><!--    付费贴-->    <div class="preview_article ">            <!---->    <section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; line-height: 2em; font-family: 微软雅黑; outline: none !important;"><span style="outline: 0px; font-size: 17px;">王女士今年39岁</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; line-height: 2em; font-family: 微软雅黑; outline: none !important;"><span style="outline: 0px; font-size: 17px;">一家人住在富阳农村</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; line-height: 2em; font-family: 微软雅黑; outline: none !important;"><span style="outline: 0px; font-size: 17px;">为了让孩子吃上土鸡蛋、土鸭蛋</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; line-height: 2em; font-family: 微软雅黑; outline: none !important;"><span style="outline: 0px; font-size: 17px;">每年都会在家旁边的竹园里养上几只鸡鸭</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; line-height: 2em; font-family: 微软雅黑; outline: none !important;"><span style="outline: 0px; font-size: 17px;">给正在长身体的孩子补一补</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; font-family: 微软雅黑; outline: none !important;"></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: center; background-color: #ffffff; line-height: 2em; font-family: 微软雅黑; outline: none !important;"><span style="outline: 0px; font-size: 17px;">但没想到这些鸡鸭</span></section><section style="text-align: center;">却给她带来了一场&ldquo;灾难&rdquo;</section><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 578px; height: 384px; vertical-align: baseline;" src="https://pic.app.jiuquhe.com/FojHZQNPHeibher3EhglDWZYHnR5" /></p><section style="margin-right: 8px; margin-left: 8px; outline: 0px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff; text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><strong style="background-color: #4e84d8; color: #ffffff; letter-spacing: 0.544px; outline: 0px; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">突然开始发热</strong></section><section style="margin-right: 8px; margin-left: 8px; outline: 0px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff; text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><strong style="background-color: #4e84d8; color: #ffffff; letter-spacing: 0.544px; outline: 0px; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">&nbsp;</strong></section><section style="outline: 0px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section style="outline: 0px;"><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px;"><span style="outline: 0px; color: #000000; letter-spacing: normal; text-align: start; white-space-collapse: preserve; font-family: 微软雅黑;">前几日,王女士<strong style="outline: 0px;">突然开始发热</strong>,她还以为是自己受了风寒引起的,头也痛得厉害。于是,找出来家中常备的布洛芬,一连吃了几天,可药效并不明显,症状还加重了,出现了畏寒发抖、呼吸困难等情况。</span><span style="outline: 0px; color: #009fc7;"><strong style="outline: 0px;"><span style="outline: 0px; letter-spacing: normal; text-align: start; white-space-collapse: preserve; font-family: 微软雅黑;">&ldquo;整个人气很急,一动就喘得厉害,体温到了39℃。&rdquo;</span></strong></span><span style="outline: 0px; color: #000000; letter-spacing: normal; text-align: start; white-space-collapse: preserve; font-family: 微软雅黑;">王女士不敢再耽误了,马上到富阳区第一人民医院发热门诊检查。</span></span></section></section></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;">一查,确实有多项指标异常:<strong style="outline: 0px;">C-反应蛋白达到186.40mg/L(正常值0<strong style="outline: 0px;">mg/L</strong>&mdash;10.0mg/L);</strong>胸部CT提示左肺感染性病变,胸腔积液。医生立即给王女士安排到感染科住院进一步治疗。</span></section><section style="outline: 0px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><section style="margin: 10px auto; outline: 0px; display: flex; justify-content: center;"><section style="padding: 1px 15px; outline: 0px; font-size: 16px; color: #ffffff; background-color: #4e84d8; text-align: center;"><span style="outline: 0px; font-size: 17px;"><strong style="outline: 0px;">结果显示是&ldquo;鹦鹉热衣原体&rdquo;</strong></span></section></section></section><section style="outline: 0px;"><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; text-align: center; line-height: 2em;"><img class="rich_pages wxw-img" style="outline: 0px; vertical-align: baseline; visibility: visible !important; width: 661px !important;" src="https://pic.app.jiuquhe.com/FrQ_1N5_ToNfGm1JtYQWhQci0HBn" /></section><section style="margin-right: 8px; margin-left: 8px; outline: 0px;"></section><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px;"><span style="outline: 0px; color: #000000; letter-spacing: normal; text-align: start; white-space-collapse: preserve; font-family: 微软雅黑;">住院期间,医生发现王女士的血氧饱和度只有93%(正常值97%&mdash;99%),并伴有呼吸困难的情况。</span><span style="outline: 0px; color: #009fc7;"><strong style="outline: 0px;"><span style="outline: 0px; letter-spacing: normal; text-align: start; white-space-collapse: preserve; font-family: 微软雅黑;">在了解到家中有家禽饲养时,医生完善了相关检查,特别送检了相关衣原体等检查,检查结果显示是&ldquo;鹦鹉热衣原体&rdquo;。</span></strong></span></span></section></section></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;">好在医生经验丰富,王女士一来就给予了奥马环素针抗感染治疗。与其他细菌性肺炎相比,鹦鹉热肺炎,发展较快,对青霉素类、头孢类、阿米卡星,甚至高级抗菌药物如碳青霉烯类和万古霉素等常用药物均不敏感,<strong style="outline: 0px;">而奥马环素属于四环素类药物,对于鹦鹉热衣原体感染有奇效。</strong>经过多天的治疗,王女士的病情终于趋于稳定,血氧饱和度也从原来的93%恢复到99%。</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;"><span style="outline: 0px; color: #009fc7;"><strong style="outline: 0px;">&ldquo;你这次肺炎相当厉害,如果再拖几天可能会危及生命!&rdquo;</strong></span>医生指着王女士的CT片说道,&ldquo;这次肺炎的病原体明确了,是鹦鹉热衣原体肺炎,是一种进展速度极快的疾病,和你家中养的鸡鸭有关。&rdquo;所幸在治疗后,病情已慢慢好转,目前王女士已康复出院。</span></section><section style="outline: 0px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><section style="margin: 10px auto; outline: 0px; display: flex; justify-content: center;"><section style="padding: 1px 15px; outline: 0px; font-size: 16px; color: #ffffff; background-color: #4e84d8; text-align: center;"><span style="outline: 0px; font-size: 17px;"><strong style="outline: 0px;">什么是鹦鹉热衣原体肺炎?</strong></span></section></section></section></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;">医生介绍,鹦鹉热是由鹦鹉热衣原体引起的<strong style="outline: 0px;">人畜共患传染性疾病</strong>。鹦鹉热衣原体是一种胞内革兰阴性病原体。虽然是叫鹦鹉热,但是广泛寄生在鸟类(尤其是鹦鹉、鸽子)及哺乳类动物体内,因此鸡鸭禽类甚至家畜也可以引起。</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;"><img class="rich_pages wxw-img" style="outline: 0px; vertical-align: baseline; visibility: visible !important; width: 656px !important;" src="https://pic.app.jiuquhe.com/FoutQhRFfHaPU9ZGMzU3tlz14k_v" /></span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;">人类感染鹦鹉热衣原体的潜伏期为5&mdash;19天,长者可达21天。鹦鹉热第一周可以出现<span style="outline: 0px; color: #009fc7;"><strong style="outline: 0px;">类似伤寒、高热、关节痛、腹泻、结膜炎、鼻出血、低白细胞、玫瑰疹、脾大、头痛、严重肺部感染等症状和临床特征。</strong></span>第二周可以<span style="outline: 0px; color: #009fc7;"><strong style="outline: 0px;">出现急性细菌性肺炎球菌性肺炎并发持续高热,头痛、呼吸困难。</strong></span></span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;">鹦鹉热衣原体可通过以下途径传播:与感染鸟类的密切接触(投喂、抚摸、清洁等)、吸入被污染的空气或尘埃、食用被污染的鸟类制品,人与人之间的传播很少发生。一般受感染的鸟类并不会出现明显症状,这点和禽流感有所区别。</span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;"><img class="rich_pages wxw-img" style="outline: 0px; vertical-align: baseline; visibility: visible !important; width: 661px !important;" src="https://pic.app.jiuquhe.com/Fq9sb-aNuFrYsF2dmNCQHM6XYL1v" /></span></section><section style="margin-right: 8px; margin-left: 8px; box-sizing: content-box; white-space: pre-wrap; list-style-type: none; color: #000000; font-size: 16px; letter-spacing: normal; text-align: start; background-color: #ffffff; line-height: 2em; outline: none !important; font-family: 微软雅黑;"><span style="outline: 0px; font-size: 17px;">医生特别强调,因为鹦鹉热衣原体肺炎进展快,病情重等特点,早期没有使用有效抗感染治疗,<strong style="outline: 0px;">部分患者病情进展快,容易转变为重症,甚至出现为&ldquo;白肺&rdquo;。</strong>保持对本病的警惕性,是避免误诊漏诊的关键。</span></section><section style="outline: 0px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff; font-family: system-ui, -apple-system, system-ui, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><section style="margin: 10px auto; outline: 0px; display: flex; justify-content: center;"><section style="padding: 1px 15px; outline: 0px; font-size: 16px; color: #ffffff; background-color: #4e84d8; text-align: center;"><span style="font-size: 17px;"><span style="outline: 0px;"><strong style="outline: 0px;">日常生活中如何预防</strong></span></span></section></section></section><section style="outline: 0px;"><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px;"><strong style="outline: 0px; color: #ffffff; font-size: 16px; letter-spacing: normal; text-align: start; white-space-collapse: preserve; font-family: 微软雅黑;"><span style="outline: 0px; background-color: #007aaa;">●医生建议</span></strong></span></section><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px; letter-spacing: 0.544px;">一、减少鸟禽饲养。在家饲养鸟禽有风险,如需饲养,建议去正规的宠物店购买宠物鸟,不收养来历不明、未经检疫的鸟禽类。<br style="outline: 0px;" /></span></section><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px;">二、家养鸟禽注意卫生,清洗时做好防护。家养鸟类、禽类要注意保持饲养环境的卫生,在清理鸟笼或被鸟粪污染的表面之前,先用水或消毒液湿润表面,避免吸入扬起的尘埃。清洗时最好戴上口罩和手套,清洗后用流动的清水和肥皂彻底洗手。</span></section><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px;"><img class="rich_pages wxw-img" style="outline: 0px; vertical-align: baseline; visibility: visible !important; width: 661px !important;" src="https://pic.app.jiuquhe.com/FrxKrcUk-FK3LYIEimxbPrwftqPF" /></span></section><section style="margin-right: 8px; margin-bottom: 24px; margin-left: 8px; outline: 0px; line-height: 2em;"><span style="outline: 0px;">三、避免接触活禽,食用禽类须煮熟煮透。日常生活中尽量避免接触活禽,需要进入活禽市场时,应注意卫生,做好个人防护,食用禽类时要彻底煮熟。</span></section><section style="margin-bottom: 0px; outline: 0px; visibility: visible;"><section style="outline: 0px; visibility: visible;"><section style="outline: 0px; font-size: 16px; letter-spacing: 0.544px; text-align: center; background-color: #ffffff; color: #222222; visibility: visible;"><section style="outline: 0px; text-align: left;"><span style="outline: 0px; color: #888888; letter-spacing: 0.544px; caret-color: red; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 12px;">来源&nbsp; &nbsp;|&nbsp;<span style="outline: 0px; caret-color: red; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-align: center;"><span style="color: #888888; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 1px; caret-color: rgba(0, 0, 0, 0.9); text-wrap: wrap; background-color: #ffffff;">富阳日报、济南疾控微健康</span>、疾控先生</span></span></section><section style="outline: 0px; text-align: left;"><span style="outline: 0px; font-size: 12px; letter-spacing: 0.544px; caret-color: red; color: #888888; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;">声明&nbsp; &nbsp;|&nbsp; 资料图片来源网络,且仅用于科普公益宣传,如侵删</span></section></section><section style="outline: 0px; font-size: 16px; letter-spacing: 0.544px; text-align: center; 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小桥流水人家 发表于 2024-7-5 14:57

从来还没听说过

霸道[SHEN.X.S) 发表于 2024-7-5 20:18

夏季病来得急要千万注意

阳光明睸 发表于 2024-7-6 15:16

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封狼居胥 发表于 2024-7-6 16:25

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如约而至 发表于 2024-7-7 10:29

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食铁兽 发表于 2024-7-7 12:55

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食铁兽 发表于 2024-7-7 12:55

谢谢提醒

血雨腥风 发表于 2024-7-7 12:58

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斩魄 发表于 2024-7-7 13:10

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