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醫療院所克流感使用 原則暨常見問題. 980901 中華民國醫師公會全國聯合會 副秘書長 蔣世中 醫師. 醫療院所克流感藥物 使用原則. 類流感病例定義如下 ( 需同時符合下列三項條件 ). 突然發病,有發病 ( 耳溫≧ 38℃) 及呼吸道症狀 具有肌肉酸痛、頭痛、極度倦怠感其中一種症狀 需排除單純性流鼻水、扁桃腺炎與支氣管炎. H1N1 病患之危險徵兆包括:. 呼吸急促 ( 運動中或是休息狀態時 ) 呼吸困難 發紺 ( 缺氧 ) 血痰 胸痛 意識改變 低血壓 - PowerPoint PPT Presentation
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980901
()
(38)
H1N1
() ()
Danger signs in all patients Clinicians, patients, and those providing home-based care need to be alert to danger signs that can signal progression to more severe disease. As progression can be very rapid, medical attention should be sought when any of the following danger signs appear in a person with confirmed or suspected H1N1 infection:shortness of breath, either during physical activity or while resting difficulty in breathing turning blue bloody or coloured sputum chest pain altered mental status high fever that persists beyond 3 days (980831low blood pressure.
In children, danger signs include fast or difficult breathing, lack of alertness, difficulty in waking up, and little or no desire to play.
Q1 ANS H1N1
Q2 ANS
Q2-1ANS
Q3 ANS (1) A48 () (38)
(2) () ()
http://www.nhi.gov.tw/information/drug_detail.asp?Bulletin_ID=1052&menu=3&menu_id=58&IsHistory=0
http://www.nhi.gov.tw/webdata/webdata.asp?menu=15&menu_id=&webdata_id=3066&WD_ID
98721H1N1179881599331()988199331ICD-9047X323X331.81420X422X460462463464X465X466X480X481X482X483X484X485486487X493X496518X780.6786.2() ()IC ()HN()ICHN()0090()()300()300KH1N1C2300()()
Q4 ANS H1N1
325 H5N1
()
() A
()
() H5N1H1N1OOOO
Q5 ANS
( 0800-211236#332)
Q6 ANS
Q7 ANS
Q8 ANS H1N1()3.(nasal swab)(nasal wash)(throat swab, nasopharyngeal swab)http://flu.cdc.gov.tw/ct.asp?xItem=10531&ctNode=856&mp=150
Q9 ANS http://203.65.100.151/DO8180.asp CC3330()
9891
Q10 ANS http://www.nhi.gov.tw/webdata/webdata.asp?menu=15&menu_id=&webdata_id=3066&WD_IDA
98721H1N1179881599331()988199331ICD-9047X323X331.81420X422X460462463464X465X466X480X481X482X483X484X485486487X493X496518X780.6786.2() ()IC ()HN()ICHN()0090()()300()300KH1N1C2300()()
Q11 ANS H1N1129
Q1248 rapid testANS rapid testCDC48
Q13 H1N1
ANS H1N1
Q14 ANS
Q15
ANS
TamifluTamiflu 1.rapid test 2. H1N1 Tamiflu 3. Tamiflu
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