罕见！原以为是感冒，竟引发多器官衰竭……
<p><section style="display:none;" data-tools="新媒体管家" data-label="powered by xmt.cn" data-mpa-powered-by="yiban.io"><br/></section></p><p><section data-role="outer" label="edit by 135editor" style="letter-spacing: 0.578px;text-wrap: wrap;"><section data-tools="135编辑器" data-id="92620"><section style="padding-right: 3px;padding-bottom: 3px;"><section style="padding: 20px 15px;border-width: 1px;border-style: solid;border-color: rgb(67, 97, 101);box-shadow: rgb(207, 207, 206) 3px 3px 0px;"><section style="color: rgb(73, 73, 72);font-size: 14px;"><p style="text-align: center;margin-bottom: 0px;"><span style="font-size: 15px;letter-spacing: 0.578px;">近日，</span><br/></p><section style="text-align: center;margin-bottom: 0px;"><span style="font-size: 15px;">家住广州市番禺区的杜女士，</span></section><p style="text-align: center;"><span style="color: rgb(0, 122, 170);"><strong><span style="font-size: 15px;">连续3天出现发热，</span></strong></span></p><p style="text-align: center;"><span style="color: rgb(0, 122, 170);"><strong><span style="font-size: 15px;">体温39摄氏度以上，</span></strong></span></p><p style="text-align: center;"><span style="color: rgb(0, 122, 170);"><strong><span style="font-size: 15px;">合并咳嗽、头晕、四肢乏力等症状</span></strong></span><strong><span style="font-size: 15px;color: rgb(0, 122, 170);">。</span></strong></p><section style="text-align: center;"><span style="font-size: 15px;">起初以为是感冒<br/>不料病情进展凶猛<br/>出现</span><span style="font-size: 15px;color: rgb(0, 122, 170);"><strong>多器官功能衰竭</strong></span><span style="font-size: 15px;">……</span></section><section style="text-align: center;"><span style="font-size: 15px;">居然和</span><span style="font-size: 15px;text-decoration: underline;color: rgb(0, 122, 170);"><strong>“流产衣原体”</strong></span><span style="font-size: 15px;">有关</span></section><section style="text-align: center;"><span style="font-size: 15px;"><br/></span></section><section class="channels_iframe_wrp wxw_wechannel_card_not_horizontal"><mp-common-videosnap class="js_uneditable custom_select_card channels_iframe videosnap_video_iframe" data-pluginname="mpvideosnap" data-url="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7Ym3K77SEULgkiaIicLp71PAeFfOMQCCibRrQziapibyBc7m9Vdo3rRG7p5TA3Nl6WEFta07BaictV8N2PkT6JRByEJm6bJbL0Dwtemzhw&token=6xykWLEnztJDDNseZNhbFm68D1QETSWiayU9ec5zItc2nuUNNp94FQ8iad7wIvP1SoIHwMsUWMXe15g9yYFjRQEt5IVhwgXUwd2K96o3tyNbOszXfRkTaV4DtD9xBichZFN&idx=1&dotrans=0&hy=SZ&m=&scene=2&uzid=2" data-headimgurl="http://wx.qlogo.cn/finderhead/TkVKvodjLfT6yEVrjhHmffH6OZRom1gIic9MCtTQZpMNvA9thJichWmA8u3CToXEoickdUjsYpKcQM/0" data-username="v2_060000231003b20faec8cae7891fc0d2c702ee37b0778cb75932f5dcdf359dbd531014cd6c89@finder" data-nickname="佛山新闻" data-desc="广东一女子高热不退！开始以为是感冒，竟跟牛羊猪肉有关（编辑：小花）#流产衣原体#广东#本地新闻" data-nonceid="2498084475262080297" data-type="video" data-mediatype="undefined" data-authiconurl="https://dldir1v6.qq.com/weixin/checkresupdate/icons_filled_channels_authentication_enterprise_a2658032368245639e666fb11533a600.png" data-from="new" data-width="1080" data-height="1920" data-id="export/UzFfAgtgekIEAQAAAAAAm_cGCB_AEwAAAAstQy6ubaLX4KHWvLEZgBPE84JQfVJRe7KEzNPgMItH4wglztYswI5_XKqg1egM" data-isdisabled="0" data-errortips=""></mp-common-videosnap></section><section style="text-align: center;"><span style="font-size: 15px;"></span></section></section></section></section></section></section><section style="text-align: center;margin-left: 8px;margin-right: 8px;margin-bottom: 0px;line-height: 1.75em;"><br/></section><section data-mpa-template="t" mpa-from-tpl="t"><section data-mpa-template="t" data-mpa-template-id="502" data-mpa-category="模板" mpa-from-tpl="t"><section data-mpa-category="模板" style="display: flex;justify-content: center;align-items: center;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: center;align-items: center;" data-mid="" mpa-from-tpl="t"><section style="border-width: 1px;border-style: solid;border-color: rgb(62, 107, 182);" data-mid="" mpa-from-tpl="t"><section style="background: #3E6BB6;text-align: center;transform: translate(-4px, 4px);padding: 6px 15px 4px 16px;" data-mid="" mpa-from-tpl="t"><p style="font-size: 16px;font-family: PingFangSC-Medium, PingFang SC;font-weight: bold;color: #FFFFFF;line-height: 22px;" data-mid=""><span style="font-size: 17px;">反复发热<span style="letter-spacing: 0.034em;">以为是感冒</span></span></p><p style="font-size: 16px;font-family: PingFangSC-Medium, PingFang SC;font-weight: bold;color: #FFFFFF;line-height: 22px;" data-mid=""><span style="letter-spacing: 0.544px;font-size: 17px;">却出现多器官衰竭</span></p></section></section></section></section></section></section></p><p style="line-height: 1.6em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">一开始，杜女士以为自己感冒了，于是自服感冒药，但是症状并没有好转，仍<span style="color: rgb(0, 122, 170);"><strong>反复发热</strong></span>，随后到广州医科大学附属番禺中心医院就诊。胸片检查结果提示<span style="color: rgb(0, 122, 170);"><strong>“双肺感染”</strong></span>，门诊拟“肺炎”收入感染科住院治疗。</span></p><p style="line-height: 1.6em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">入院第二天，杜<span style="letter-spacing: 0.578px;">女士</span>病情迅速恶化，大汗淋漓，烦躁不安、气促、<strong><span style="color: rgb(0, 122, 170);">血氧饱和度一度下降到80%</span></strong>（正常95%以上），转入重症医学科进一步治疗。</span></p><p style="line-height: 1.6em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">但<span style="letter-spacing: 0.578px;">杜女士</span>病情仍持续恶化，并<span style="color: rgb(0, 122, 170);"><strong>出现休克，多器官功能衰竭，生命垂危</strong></span>。</span></p><p style="line-height: 1.6em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">团队决定立即启动VV-ECMO支持治疗，迅速置管、上机，随后，<span style="letter-spacing: 0.578px;">杜女士</span>全身氧供得到改善，生命体征趋向稳定。</span></p><p><section data-mpa-template="t" mpa-from-tpl="t"><section data-mpa-template="t" data-mpa-template-id="502" data-mpa-category="模板" mpa-from-tpl="t"><section data-mpa-category="模板" style="display: flex;justify-content: center;align-items: center;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: center;align-items: center;" data-mid="" mpa-from-tpl="t"><section style="border-width: 1px;border-style: solid;border-color: rgb(62, 107, 182);" data-mid="" mpa-from-tpl="t"><section style="background: #3E6BB6;text-align: center;transform: translate(-4px, 4px);padding: 6px 15px 4px 16px;" data-mid="" mpa-from-tpl="t"><p style="font-size: 16px;font-family: PingFangSC-Medium, PingFang SC;font-weight: bold;color: #FFFFFF;line-height: 22px;" data-mid=""><span style="font-size: 17px;">罕见！</span></p><p style="font-size: 16px;font-family: PingFangSC-Medium, PingFang SC;font-weight: bold;color: #FFFFFF;line-height: 22px;" data-mid=""><span style="font-size: 17px;">最终确诊<span style="letter-spacing: 0.034em;">“流产衣原体”</span></span></p></section></section></section></section></section></section><section style="margin-left: 8px;margin-right: 8px;line-height: 1.6em;"><span style="color: rgb(0, 122, 170);font-size: 15px;"><strong>短期内出现高热，<span style="color: rgb(0, 122, 170);letter-spacing: 0.034em;">肺部CT炎症以实变为主，且病情进展凶猛，出现多器官功能衰竭……</span></strong></span></section><section style="margin-left: 8px;margin-right: 8px;line-height: 1.6em;"><span style="font-size: 15px;">哪一种病原体是“凶手”呢？<span style="letter-spacing: 0.034em;">如何揪出“凶手”？经宏基因组二代测序技术(mNGS)检测发现：</span><span style="letter-spacing: 0.578px;">杜女士</span><span style="letter-spacing: 0.034em;">肺泡灌洗液和血液mNGS检测结果，均提示<span style="letter-spacing: 0.034em;color: rgb(0, 122, 170);"><strong>“流产衣原体”</strong></span>。</span></span></section><section style="margin-left: 8px;margin-right: 8px;line-height: 1.6em;"><span style="font-size: 15px;">罕见的结果让大家大吃一惊的同时，给医护团队提供了重要线索。医疗团队根据流产衣原体特征立即调整抗感染方案，加强器官功能支持治疗。经过7天的治疗，<span style="letter-spacing: 0.578px;">杜女士</span>病情逐步改善，顺利脱离呼吸机，拔除气管插管，很快转入普通病房进一步治疗。</span></section><section style="margin-left: 8px; margin-right: 8px; line-height: 1.75em; margin-bottom: 0px; text-align: center;"></section><section style="margin-left: 8px; margin-right: 8px; line-height: 1.75em; margin-bottom: 0px; text-align: center;"><span style="font-size: 14px;color: rgb(136, 136, 136);"><span style="letter-spacing: 0.578px;">杜女士</span><span style="letter-spacing: 0.034em;">转出重症医学科前与医护团队合影留念</span></span></section><section style="margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 0px;"><span style="font-size: 14px;color: rgb(136, 136, 136);letter-spacing: 0.034em;"><br/></span></section><section data-mpa-template="t" mpa-from-tpl="t"><section data-mpa-template="t" data-mpa-template-id="502" data-mpa-category="模板" mpa-from-tpl="t"><section data-mpa-category="模板" style="display: flex;justify-content: center;align-items: center;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: center;align-items: center;" data-mid="" mpa-from-tpl="t"><section style="border-width: 1px;border-style: solid;border-color: rgb(62, 107, 182);" data-mid="" mpa-from-tpl="t"><section style="background: #3E6BB6;text-align: center;transform: translate(-4px, 4px);padding: 6px 15px 4px 16px;" data-mid="" mpa-from-tpl="t"><p style="font-size: 16px;font-family: PingFangSC-Medium, PingFang SC;font-weight: bold;color: #FFFFFF;line-height: 22px;" data-mid="" mpa-is-content="t"><span style="font-size: 17px;">流产衣原体是什么</span></p><p style="font-size: 16px;font-family: PingFangSC-Medium, PingFang SC;font-weight: bold;color: #FFFFFF;line-height: 22px;" data-mid="" mpa-is-content="t"><span style="font-size: 17px;">应该如何防治？</span></p></section></section></section></section></section></section><section style="line-height: 1.75em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">“流产衣原体”是革兰氏阴性细胞内寄生的原核微生物，<span style="color: rgb(0, 122, 170);"><strong>主要宿主为羊、牛、猪等</strong></span>，被感染的家畜在妊娠后期会出现流产。</span></section><section style="line-height: 1.75em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">有研究表明，<span style="color: rgb(0, 122, 170);"><strong>流产衣原体可通过呼吸道传播或直接接触感染人类</strong></span>，引起非典型肺炎和孕妇流产等，属于<span style="color: rgb(0, 122, 170);"><strong>人畜共患病原体</strong></span>。人类经呼吸道吸入或密切接触患病牛羊，可发生人畜感染。但人与人之间的传染相对罕见。杜女士可能就是因为</span><span style="color: rgb(0, 122, 170);font-size: 15px;text-decoration: underline;"><strong>在厨房接触宰杀的牛、羊、猪时感染</strong></span><span style="font-size: 15px;">的。</span></section><section style="line-height: 1.75em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">据该院重症医学科一区副主任医师黄金桔介绍，流产衣原体通常被认为会导致人类孕妇流产、死产和妊娠败血症，但很少会导致人类肺炎。</span></section><section style="line-height: 1.75em;margin-left: 8px;margin-right: 8px;"><span style="font-size: 15px;">他重点提到，针对流产衣原体感染，主要以预防为主，平时要增强免疫力，注意个人卫生。经常接触牛羊的从业人员，要重视环境卫生，做好卫生防护措施，<span style="color: rgb(0, 122, 170);"><strong>若是出现反复高热不退、畏寒、寒战、呼吸困难等症状，且有家禽家畜接触史，查不出其他原因的，应及时到医院就诊</strong></span>，并主动告知医生相关接触史，以便尽早采取针对性治疗。</span></section></p><p style="margin-bottom: 0px;text-wrap: wrap;outline: 0px;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;background-color: rgb(255, 255, 255);text-align: right;visibility: visible;"></p><p style="margin-bottom: 0px;letter-spacing: 0.578px;text-wrap: wrap;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(34, 34, 34);font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;caret-color: rgba(0, 0, 0, 0);font-size: 15px;text-align: left;line-height: 1.6em;"><span style="outline: 0px;color: rgb(136, 136, 136);letter-spacing: 0.578px;font-size: 14px;">来源 广州日报、北京日报</span></p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_glj" id="wcn_editor_css"/> 平时多注意身体 太恐怖了 这比中彩票还难得 要注意人畜共患病
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