本报周一于A14版报道的《恙虫追命急 微博寻医忙》一稿中求医患者因多器官功能衰竭于昨日17时15分去世。中山市人民医院叮嘱市民，夏秋乃虫媒传染病高发季节，遇到发热求医，一定要将自己发病前的接触史、过往病史等有用信息主动详尽地向医生提供，以免错失治疗的最佳时机。

This newspaper reported Monday in A14 edition[Tsutsugamushi after life urgent micro bo search cure busy]A draft healed in patients with multiple organ failure in 17 yesterday when died 15 points.Zhongshan city people's hospital told citizens,Summer and fall but entomophily infectious disease high season,Meet heating seek,Will his premorbid exposure/Past medical history and useful information to the doctor to provide active in detail,In order to avoid missed the best time to treatment.

　　死者左上臂内侧见一焦痂 The dead ZuoShangBei inside see a eschar

　　人民医院医务科科长韩志安向记者介绍，患者陈某为女性，38岁，因“腹痛十余天，发热7天，腹泻3天”于8月28日以“腹痛查因”收入消化内科。陈某发病之前有野外工作史，据称为中山市长江高尔夫球场的草坪整理工人。入院时，陈某体查体温为38.1℃，左上臂内侧见一焦痂。陈某入院后，经积极抗感染、对症处理，仍有反复发热伴气促、血压偏低，8月29日夜间出现全身抽搐，病情危重，转入内科监护室。

People's hospital medical department chief HanZhiAn introduces to the reporter,Patients for women work his way up,38 years old,because"Abdominal pain more than 10 days,Fever 7 days,Diarrhea 3 days"On August 28, to"Abdominal pain check for"Income digesting internal medicine.Work his way up is preceded by field working experience,According to the Yangtze river called zhongshan golf course lawn finishing workers.admission,Work his way up body check body temperature is 38.1 ℃,ZuoShangBei inside see a eschar.After admission work his way up,The active resistance to infection/Symptomatic treatment,There are still repeated fever with shortness of breath/Blood pressure on the low side,August 29 night appear whole body twitch,In critical illness,Into the internal medicine.

　　被转入监护室经完善相关检查后，医院对陈某的病情初步诊断为：感染性休克，多脏器功能衰竭，弥漫性血管内凝血，中毒性脑病。结合陈某的发病季节及临床表现，医生考虑陈某应为虫媒传染病可能性大。但由于外斐氏试验阴性，因此血清学未能确诊为虫媒传染病。

Be moved to the medicine perfect relevant examination,The hospital work his way up to the primary diagnosis of disease:Infectious shock,Multiple organ failure,Diffuse intravascular coagulation,Toxic encephalopathy.Combined with the work his way up the season and clinical manifestation,Doctors consider work his way up should be entomophily likely infectious diseases.But as a result of external mattithiah's test negative,Therefore serology failed to diagnose for entomoplily infectious disease.

　　未确诊是否因恙虫致死 If not diagnosed because of tsutsugamushi lethal

　　韩志安向记者解释，医生要对病人的病情确诊，不能只靠一个焦痂判断，因为除了恙虫，也有可能是其他虫子叮咬造成的焦痂，也就是说，发现有焦痂但没有血清学确诊，医生也不能随便确诊病人染恙虫病。同时，即便病人的外斐氏试验结果呈阴性，也不能代表不是恙虫病，因为会有10%左右的恙虫病人在感染后验血结果显示是阴性的。基于以上原因，一直到病人离世时医院也不能确诊是否因恙虫叮咬致病。

HanZhiAn explained to reporters,The doctor to the patient's condition diagnosed,Not just a eschar judgment,Because in addition to the island,It is also possible that other insect stings cause eschar,That is,Found a eschar but no serology diagnosis,The doctor diagnosed the patient can't literally dyed scrub typhus.At the same time,Even if the patient's external mattithiah's test results were negative,Also cannot represent not scrub typhus,Because there will be 10% of tsutsugamushi infection in patients after blood test results show that is negative.Based on the above reasons,Until the patient from the hospital can diagnose whether because of tsutsugamushi disease bite.

　　陈某被转入监护病房后情况并不乐观，其间，医生对陈某采取了各种抢救措施，但依然不见好转。虽然已经多方专家会诊加上用药治疗，但因病情不断加重，其间陈某出现了2次心跳骤停，需要医生进行心肺复苏才恢复心跳。但在上述综合抢救措施实施后，病人病情仍持续恶化，一直呈深昏迷状态，最后于昨日17时15分临床死亡。

Be moved to work his way up after the strongroom situation is not optimistic,meanwhile,The doctor to work his way up to take various rescue measures,But still not get better.Although has many experts consultation and drug treatment,But is getting worse because of illness,Meantime work his way up appeared two cardiac arrest,Need a doctor cardiopulmonary resuscitation to regain heartbeat.But in the above comprehensive rescue measures after implementation,Patient still continued to worsen,Have been in deep comatose state,Finally in yesterday and 15 points when clinical death.

　　野外活动扎紧袖口裤管 Outdoor sports lashes cuff trouser legs

　　医院提醒市民，流行季节在野外施工、生产、行军、野营、训练等时，应扎紧袖口、裤管口，把衬衣扎入裤腰内； 不要在草地坐卧； 避免在草丛、树枝上晾晒衣服和被褥。在流行病较重地区，有条件时，可使用药物预防。身体外露部分，如手、颈、耳后等处以及小腿可涂抹避蚊油或避蚊胺，不过要小心涉水后失去药效。

Hospital warns a citizen,Popular season in field construction/production/march/camping/Training etc,Should lashes cuff/Trouser mouth,The shirt within plunge into the top of trousers; Don't sit on the grass; Avoid in the long grass/The branches air basks in clothes and quilts.In heavy epidemic areas,Conditional when,Can use drug prevention.Body exposed part,Such as hand/neck/The place such as ear hind and crus can daub avoid mosquito oil or deet,But be careful wading after losing efficacy.

　　野外活动衣服方面，建议市民可用DBP 乳剂( 以0. 5% 肥皂水作乳化剂) 浸泡衣服( 包括袜子) 。浸泡的衣服水洗5 次后仍有一定的防护作用。

Outdoor sports clothing,Proposal citizen available DBP emulsion( With 0. 5% soap water emulsifier) Soak clothes( Including socks) .Soak clothes washed five times still has certain protective effect.

　　据报告，恙螨在人体皮肤上爬行20~ 30分钟 以至1小时，多尚未叮咬，因此，野外作业后，应该及时换衣、洗澡或擦澡，重点擦洗腋窝、腰部、会阴等皮肤柔软部位，可减少被恙螨叮咬机会。 (幸琦昕 莫冠婷 林茹珠)

According to the report,Chigger in human skin crawl on 20 ~ 30 minutes to 1 hour,Not bite more,therefore,Field operation after,Should timely change clothes/Bath or take a sponge bath,Key scrub armpit/waist/Perineal skin soft parts, etc,Can reduce be chigger bites opportunity. (Happiness MoGuanTing xin qi LinRuZhu)