Department of Infection and Tropical Medicine, Heartlands Hospital, Birmingham.
Clin Med (Lond). 2009 Dec;9(6):534-8. doi: 10.7861/clinmedicine.9-6-534.
By the beginning of July 2009 the West Midlands had seen more cases of novel H1N1 influenza (swine flu) than any other region in the U.K. Over a three-week period almost 850 people presented to Heartlands Hospital with flu-like symptoms. Of those admitted 52 adults were subsequently confirmed as having H1N1 infection. Most were younger than 30 and not from traditional influenza risk groups. The main risk factor for severe disease was asthma, and to a lesser extent pregnancy and obesity. Seven patients were admitted to intensive care and five developed an acute lung injury requiring prolonged admission. Two patients required extra corporeal membrane oxygenation and one died. Despite increased workload normal clinical services were unaffected. The hospital was not closed to admissions nor was it paralysed by staff absence. With a predicted second wave expected at the end of 2009, efforts to maintain effective community assessment remain crucial.
到 2009 年 7 月初，西米德兰兹地区出现的新型 H1N1 流感（猪流感）病例比英国其他任何地区都多。在三周的时间里，近 850 人因流感样症状前往 Heartlands 医院就诊。其中，52 名成年人被确诊患有 H1N1 感染。大多数人年龄在 30 岁以下，且不属于传统流感高危人群。严重疾病的主要危险因素是哮喘，其次是妊娠和肥胖。7 名患者被收入重症监护病房，其中 5 人发生急性肺损伤，需要长时间住院治疗。2 名患者需要体外膜氧合，1 人死亡。尽管工作量增加，但正常的临床服务并未受到影响。医院并未停止收治病人，也没有因员工缺勤而瘫痪。由于预计 2009 年底会出现第二波疫情，因此保持有效的社区评估仍然至关重要。
