Cough, fever, several times critical! The boy suspected of suffering from the new crown pneumonia, "the real murder" is this ancient "white plague"

Guide: Mistakenly treat tuberculosis as a new crown of pneumonia, the group took the initiative to be admitted to hospital"You see, I'm all fat, " !----he said" 25-year-old Apu (pseudonym) pinched his face and excitedly said to his mother and sisterthe thin boy in front of him, just experienced a "life and death test" some time agocough fever, the young people worry that they have a new crown pneumonia 90 after the young apu high school after graduation into society, began a careerthese years, he ran all over the north to Guang, then moved to Jiangsu and Zhejiang, and finally decided to stay in Ningbo, a large electrical factory workthe young "factory brother" work very hard, in order to earn overtime pay often take the initiative to stay up late to work overtimelife he is also very economical, not willing to eat and put on more money, the only hobby is after work nest in the dormitory to play mobile phone games, play pain all night, sometimes suspect editing mobile phone games but addiction, but also often go to the Internet cafes, a bubble at least three or five hoursin early January this year, Apu began to cough and often feel panic, heart rate faster, at first he thought it was a cold, he was given some cold medicine, took a week of medicine did not easefor some time to come, he went to work as usual and stayed up late, but his appetite was getting worse and his appetite was getting thinneruntil mid-January, he not only had chest tightness, he was sore and had a body temperature of 38.7fever, cough, weakness..It's hard not to wonder if it's the new crown of pneumonia, right? Consciousness vague, continuous lying received a number of "critical notice" he went to the hospital, doctors and nurses are startled, young Apu bone thin as wood, how to call should not", "The hospital measured him for oxygen saturation, only 40%, the doctor told me that his heart beat 'flying up'."" recalled the situation at that time Pu mother is still worried, received a number of "sick notice" in a row she panickedemergency trachea intubation, rehydration anti-shock, anti-infection and a series of rescue measures, Apu was transferred to the intensive care unit After the CT examination showed that the patient's "two lung diffuse lesions accompanied by two lung leaves more holes", the new crown pneumonia nucleic acid test negative, sputum to find antacid bacteria 4 plus tested, he was not infected with the new crown pneumonia, the trick is a "white plague that can go back tens of thousands of years" - tuberculosis Hangzhou Red Cross Hospital map "tuberculosis and xinguan pneumonia belong to respiratory infectious diseases, there are many commonalities, such as cough, fever, lung infection and other symptoms, transmission methods are mainly respiratory transmission and contact transmission " the doctor told Pu's mother that there were similarities, but there was a fundamental difference between the two tuberculosis is a tb infection, and xinguan pneumonia is a viral infection, the former is slower, the latter is more urgent , the history of infectious disease exposure in tuberculosis patients is often unclear, and patients with new coronary pneumonia generally have a clear history of exposure before they become ill " if there is a fever, cough, can not distinguish between tuberculosis or new crown pneumonia, should be timely to the designated hospital to check ," the doctor said a week after the problem was easily found in young people, Apu was transferred to the Hangzhou Red Cross Hospital TB ICU TB ICU director Mao Minjie first saw Apu, asked Pu mother: "The young man is not often up late ah?" Like to surf the Internet Internet Internet bar? "It turns out that in recent years THE TB ICU has treated a lot of young patients with similar conditions in Apu " Apu lives in dormitories, air quality is not good, poor sanitation conditions also often work overtime, back to the dormitory to stay up late to play games, and to the poor ventilation of the Internet cafes coupled with the usual do not pay attention to a balanced diet, nutrition did not keep up, resistance decreased, weak immune system, which led to the 'invasion' of TB bacteria ," Said Director Mao 1 m 8 tall, weighing only 40 kg, two long legs and bamboo pole-like, thin non-adult shape in addition to tuberculosis, he also has gas chest, pneumonia, liver insufficiency and other comorbidities .. After "chest closed drainage, regular anti-tuberculosis, anti-infection, liver protection, ventilator assistance" and other treatment, tuberculosis ICU health care team also developed a "three lessons" for Apu: nutrition support, functional exercise, psychological counseling, not only let him eat well, sleep well, but also to help him and his family to build confidence Apu said: "My most memorable or that time to try to get out of the ventilator, when I started exercise, offline only a few minutes, I will feel chest tightness, heart is very anxious, but in order to get out of the ventilator as soon as possible, I did not dare to relax." " more than four months passed, in mid-June this year, Apu has been completely out of the ventilator, tracheostomy mouth also successfully sealed healing finally, after being transferred to the general ward for more than half a month, he was discharged and sent home Hangzhou Red Cross Hospital for a picture reporter from Hangzhou Red Cross Hospital learned that more than 90% of TB patients are adults, of which young and old are the peak age of the disease especially young people, think that the physical quality is good, young stay up all night no problem, often to the serious stage to seek medical treatment, comorbidities, poor prognosis, cost a huge not to say, and even some people died for young people like Apu, Director Mao Minjie also put forward the following recommendations: 1, the room should be regularly open edified window ventilation, save indoor air fresh 2, cultivate good hygiene habits 3, coughing, sneezing when the use of paper towels to cover the mouth and nose, sputum to be wrapped in paper, do not spit 4, strengthen physical exercise, life should have regular, pay attention to diet nutrition and sleep sufficient (don't stay up late), maintain a healthy psychology, enhance the body's resistance, minimize the chance of disease