37. In what year was the first case of HIV infection found in Chinese mainland?

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When was the first case of HIV infection found in Chinese mainland?

20 18- 1 1-27 1 1: 10:37

An observant and conscientious person.

1985

1In June, 985, Peking Union Medical College found the first AIDS patient in China. The patients are an overseas tourist and an American Argentine.

Up to now, AIDS has experienced the process of introduction, spread and rapid growth, which has been in our country for 30 years. Judging from the current epidemic situation, from 1985 to 1988, most of the AIDS-infected people and patients found in recent years are overseas tourists, and four of them are domestic, which is caused by imported blood products. 1989, HIV infection was found among drug users for the first time in China, and 146 cases were found one year, which was a landmark event for the epidemic of AIDS in China and also marked the local spread of AIDS in China. 1989, less than ten years later. By 1998, AIDS had been found and reported in 3/kloc-0 provinces, municipalities and autonomous regions in China. By the end of August 2007, the cumulative number of infected persons and patients found and reported in 3/kloc-0 provinces, municipalities and autonomous regions in China exceeded 2 1 10,000.

Wang Aixia, the first AIDS discoverer in China, 1932 was born in Shanghai, 1956 graduated from the Medical Department of Shanghai First Medical College, and worked in Peking Union Medical College Hospital in the same year. He has been engaged in the diagnosis and treatment of infectious diseases for years. He has rich experience in the diagnosis and differential diagnosis of fever, the diagnosis of septic shock and the clinical application of antibiotics, and the clinical diagnosis of AIDS. He also has unique views on the diagnosis of difficult diseases in other professional groups of internal medicine. The first AIDS patient in China and the first HIV-infected person in China were discovered one after another. 1995 formulated the national standard for AIDS diagnosis and treatment, and 200 1 revised the national standard. June 3 1985 The early summer in Beijing is just a little hot and dry. An Argentine patient was admitted to the intensive care unit of Peking Union Medical College Hospital due to severe lung infection and respiratory failure. That night, the patient's trachea was cut and his mind began to coma. In the early morning of June 4th, Professor Wang, then deputy director of internal medicine, was invited for consultation. The patient's chest X-ray showed typical pneumocystis pneumonia (PCP), and his condition progressed very rapidly. "Too typical, late AIDS!" An amazing diagnosis immediately jumped into Wang's mind. According to the patient's certificate, that night (because of the time difference with Beijing), foreign medical comrades called the telephone office of the patient's resident in Los Angeles. With the help of the telephone office, they quickly contacted the patient's family doctor and found that the patient had long been diagnosed with AIDS in their country. To convince colleagues that there are AIDS patients in China, we must produce evidence, serological evidence! At the same time of consultation that day, Wang took 5 ml of blood from the patient and went to the laboratory to separate only 2.5 ml of serum samples. This is a blood sample that scares everyone and cannot be avoided. "Nobody moves, I'll do it myself." She asked Comrade Zhang Huayuan from the Institute for the Control of Pharmaceutical and Biological Products of the Ministry of Health to help with the experiment. A few days later, the results came out, and HI V (HiV) serum antibody was positive. On the afternoon of June 5th, 1985, the patient died. The pathological report a few days later, like the serological report, supports the diagnosis of AIDS. At that time, newspapers and TV stations reported that Peking Union Medical College Hospital found the first case of AIDS in China, which shocked the whole country and the international community. Because it is difficult for traditional China to accept that AIDS with sexual transmission as the main feature appears in its own territory, because it is only four years since the first case of AIDS in the world was discovered this year. After all, the first AIDS patient was a foreigner. Isn't there one in China? Among the cases reported internationally, AIDS is more common among homosexuals, drug addicts and blood donors. From 65438 to 0989, Wang conducted HIV screening among blood donors in China. At that time, there were very few HIV-infected people and AIDS patients. Where was it easy to find them? After thinking hard, Wang's thinking suddenly became clear: syphilis and AIDS are sexually transmitted diseases. Will there be HIV positive syphilis patients? She immediately went to the laboratory of the hospital and got the serum samples of patients diagnosed with syphilis. As a result, one of the 67 serum samples was screened positive for HIV. In order to get clinical confirmation, according to the patient's home address left in the medical record, with the help of the local police station, her students went home with a letter of introduction, and the news was that the patient had gone abroad to Australia. So the tracking of this case ran aground. What a coincidence. One day a few years later, Wang suddenly received a phone call from Comrade Liu Ying of Dongcheng District Epidemic Prevention Station: "Professor Wang, do you still remember the HIV-positive patient reported in that year? I went to Sydney, Australia for an academic exchange a few days ago. By the way, Australian officials said that there is indeed a patient from Beijing named XXX, who is a gay partner of an AIDS patient in their local area. When he first came, he was only HIV-positive, but after only one year, he developed AIDS symptoms and is now an AIDS patient. " This is the first case of adult gay men infected with HIV in China.

The discovery of the third AIDS patient is also full of the magical color of Sherlock Holmes. A 29-year-old boy, initially diagnosed with tuberculosis because of fever, was admitted to the sixth bed of the third floor ward on the eighth floor of the old building of Union Medical College Hospital. The hospital bed is close to the bathroom, but the young man always says that walking from the hospital bed to the bathroom makes him feel suffocated and always wants to breathe some oxygen. The junior doctor complained that "the patient is too delicate". After listening to the medical report, Wang came to the patient's bedside. After careful auscultation, she asked the patient to sit up in bed. Just then, a small detail was captured by Wang, and the patient's nose was trembling. This is an expression that only severe respiratory distress can have. Blood gas analysis immediately showed that the partial pressure of oxygen was just over 70, which was probably caused by pentachlorophenol. In order to confirm the diagnosis, a blood test should be carried out immediately. At that time, many people in the ward said, "Dr. Wang is so obsessed with AIDS that all he sees is AIDS." The diagnosis was not smooth, and the western blot test of the patient by the epidemic prevention station was negative, which did not support the clinical diagnosis. Wang believes that in the early stage of infection, patients will have low antibodies and high antigens, so they will draw another 20 ml of blood. Unsurprisingly, the antigen is indeed extremely high in the detection of the Academy of Preventive Medicine, and this result once again supports Wang's judgment. After active treatment, the patient's condition quickly stabilized. When he thanked Wang, Wang said, "Thank me and persuade your partner to meet me at the clinic." Now 13 years have passed, the patient has passed away and his sexual partner is still alive. With the support of international AIDS academic circles and scientific research projects, Wang used the free treatment drugs obtained from various channels for patients who came to see a doctor for a long time, which made most patients get satisfactory treatment results. Over the years, Wang insisted on preaching AIDS prevention knowledge and new progress in various classes, and trained a large number of AIDS specialists for the whole country. At her initiative, in March, 20001year, Union Medical College Hospital took the lead in performing surgery, hemodialysis and anti-HIV antibody testing for all patients before invasive surgery. At present, this practice has been promoted throughout the country. She sent Li Taisheng and other students abroad for training. Now, Union Medical College Hospital has an AIDS academic team, which makes colleagues sit up and take notice. This year alone, the first cases of Guillain-Barre syndrome and multifocal leukoencephalopathy of AIDS in China were diagnosed continuously. The research on antiviral treatment of AIDS patients in China led by Union Medical College Hospital confirmed that the efficacy of domestic anti-AIDS drugs is not inferior to that of Europe and America, and the Ministry of Science and Technology held a press conference to announce this significant achievement.

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