For parents,
Babies can grow up safely and healthily
is their biggest wish
Every time the child gets sick
makes parents scratch their hearts and hearts
wish they could get sick
Recently, just a few days after school started
has a child but is caught off guard
0 send it! burn! Now!
A hospital has 6 children in
in one week and were sent to ICU
What's going on?
Sustaining breathing, dyspnea, hypoxia...
6 children enter PICU
This month, Xiaoyu's mother (pseudonym) who lives in Shenzhen experienced a "roller coaster in life".
A few months ago, Xiaoyu was born. Because it was a premature baby, I stayed in the hospital for one month after I was born. After finally getting out of the hospital, I naturally became the family's favorite after returning home.
However, before the whole family was happy, Xiaoyu fell seriously ill!
A few days ago, the weather turned colder, the light rain was a little stuffy, and occasionally coughed. However, the little guy is in good spirits and is normal to eat breastfeeding. family thought that the child just caught a cold and didn't care too much.
2 days later, Xiaoyu's cough became more and more serious, her breathing was obvious, and she was a little short of breath. not only that, she is usually very well-behaved in breastfeeding, but rarely refuses to breastfeed and often cries.
The whole family was anxious and hurried to the hospital with the baby in his arms.
After a checkup, the doctor diagnosed it with acute asthma bronchitis and atomization was prescribed. However, Xiaoyu's symptoms still did not improve.
A day later, she still had a fever, and she once reached 38.7℃. What's more serious is that she is getting worse and worse, she eats less breastfeeding, and occasionally vomits.
Soon, Xiaoyu was arranged to be hospitalized. However, her condition is still aggravating, and not only has difficulty breathing, but also has hypoxemia. On the second day of her hospitalization, she was admitted to the PICU (Children's ICU).
Just when Xiaoyu's family was
was so anxious that he was scratching his heart and liver
There were 5 more children
Because of severe pneumonia, he was sent to
Shenzhen Children's Hospital PICU
He The symptoms and onset of
are surprisingly similar to Xiaoyu
Most of these children have symptoms such as
. They have symptoms such as breathing, difficulty breathing, and hypoxia
. How many children have
. They also have tracheal intubation due to respiratory failure.
. They are on the ventilator!
Fortunately, after full rescue efforts, the condition of these children has improved significantly, and 4 of them have turned into danger.
Is this the situation of the gods? People in the parent group were also panic -
- N many children were hit one after another? Is it contagious?
- Cough, fever, nasal congestion? How to distinguish it from the common cold
Respiratory syncytial virus has been reported recently.
Parents should pay attention to
In one week, the virus that sent 6 babies to the PICU is. Who is the sacred place?
In fact, this guy who tortures children and parents to the point of being unable to sleep or eat is called respiratory syncytial virus (RSV) .
Recently, there have been significantly more children admitted to the hospital due to acute respiratory infection, many of which were caused by the "scene" of this virus.
This is not a new virus. Every year, it will come out to "make trouble":
⚬ In northern my country, the peak outbreak period: October to May of the following year
⚬ In the south, the peak epidemic: rainy season
In fact, almost all children have been infected with this virus before the age of 2!
Network diagram
But
Parents don’t have to worry too much
Want to help babies “kill monsters” to escort
The most important thing is to find out the background of the virus
01 What is respiratory syncytial virus?
Respiratory syncytial virus is an RNA virus of the genus Pneumoniavirus in the Paramyxoviridae family and is one of the most common respiratory pathogens in the pediatric field.
02 What are the symptoms after RSV infection?
Mild RSV infection and early symptoms are similar to those of the common cold. Do not take it lightly, thus delaying the treatment of the disease. The incubation period of
RSV infection is generally 2-8 days, and symptoms usually appear 4-6 days after infection with the virus.
● The virus first invades the nasal cavity, proliferates in the nasopharynx and causes upper respiratory tract infection, and may cause nasal congestion, cough, sneezing, runny nose and other symptoms.
● In severe cases, it can develop lower respiratory tract infection after about 1-3 days, mainly manifested as bronchiolitis and pneumonia, with rapid breathing, diffuse dry rales and wheezing. Pneumonia caused by
RSV is a prevalent epidemic asthma pneumonia unique to my country. Its typical characteristics are episodic asthma and accompanied by lung symptoms such as peribronchial inflammation and interstitial pneumonia.
Most children with mild symptoms start to recover 7-12 days after onset. A few severe children may show serious symptoms such as food refusal, persistent dry cough, worsening wheezing, shortness of breath, difficulty breathing, excessive chest swelling, intercostal depression and heart failure as they breathe.
03 What is the transmission path of RSV?
Like other respiratory infections, RSV infection often occurs at high rates in winter and spring.
RSV is highly contagious, and the main transmission routes are as follows:
- is transmitted between people through respiratory droplets such as coughing and sneezing;
- can directly contact the eyes, nose, and mouth after touching contaminated desktops, toys and other items by hand, causing transmission.
04 Which group of people are prone to RSV infection?
Since the antibodies obtained by infants and young children from the mother are not maintained for a long time and the maternal immune protection effect is not complete, infants and young children whose respiratory tract are still developing have become the key susceptible objects of RSV.
Especially babies under 6 months of age are more likely to be infected with RSV, and 2-6 months of age is the peak age for the onset of bronchiolitis. The antibodies produced after natural infection with RSV have a short immune protection time and can be repeatedly infected.
In addition to infants and young children, the elderly, people with low immunity, HIV-infected people, etc. are more likely to be infected with RSV.
knocks on the blackboard to mark the key points!
These groups of people are often more severe after being "infected"
① Infants and young children
⚬ Babies at 6 months old (special attention)
⚬ Premature babies, especially those born less than 35 weeks of pregnancy
⚬ Day care infants
⚬ Babies with brothers and sisters (possibly infected but asymptomatic)
② Elderly patients
especially those in nursing homes or nursing homes.
③ Chronic patients
Patients with underlying cardiopulmonary diseases or other chronic diseases, such as patients with severe asthma, congenital heart disease, impaired immune function and transplant recipients.
④ In children exposed to second-hand smoke
passive smoking, the hospitalization rate of severe respiratory syncytial virus infection is 2.53 times that of children without passive smoking.
05 Seek medical treatment in time when these symptoms occur
⚬ Feeding volume is less than half of the usual, and even refuse to eat
⚬ Irritable, irritable, drowsy
⚬ Respiratory frequency increases (60 times a baby/min, the child's chest is counted as one breath)
⚬ Small nose deflates with breathing (nosal wings incite)
⚬ Breathing is exhausted, and the gaps in the ribs in the chest are sunken with breathing
06 RSV does not have a vaccine, but it can prevent
. Since RSV is difficult to proliferate in vitro and is quite unstable, there is currently a lack of appropriate animal models for vaccine research, and it is difficult to develop RSV vaccines, and no vaccine has been launched yet.
Preventing RSV infection requires the following points -
① Patients should be isolated and treated in a timely manner to avoid direct or indirect contact with infants, the elderly, frail and chronic patients.
② Pay attention to personal hygiene. Both parents and babies should develop the habit of washing their hands frequently, and cover their mouths and noses when coughing or sneezing. Do not share food and tableware, and clean and disinfect your baby's toys and clothing regularly.
③ Keep the air circulation in the environment, open more windows indoors for ventilation, and avoid crowded environments.
④ Studies have shown that children exposed to "second-hand smoke" environment have higher RSV infection rates, so if there are children at home, parents should quit smoking or not smoke at home. Have you remembered the above
?
Recently, this type of virus is high in
Parents should be careful
Everyone should also pay attention to maintaining good
Hygiene habits
Source: Shenzhen Health Commission
"Shenzhen Children's Hospital" WeChat public account
Copyright belongs to the original author