New corona medical care guide revision Revised for thrombosis and therapeutic drugs Ministry of Health, Labor and Welfare May 19 5:02

The Ministry of Health, Labor and Welfare has published a revised version of the medical treatment guide for doctors against the new coronavirus, which will provide information on the latest treatments such as the treatment of "thrombus" that is considered to be related to the seriousness of disease and newly approved therapeutic agents. I have summarized the points.

This medical guide is a revision of the guide released in March by a committee made by doctors etc. who actually treat patients with new coronavirus, and summarizes the concept of diagnosis and treatment for medical personnel. I will.

Among them, as a test item that may be related to aggravation, a number called "D-dimer", which determines whether or not a blood clot is formed, was introduced.
On top of that, it is presumed that some patients with new coronavirus may become susceptible to blood clots due to immune runaway, and we recommend treatment to prevent the blood from clotting as necessary.

In addition, this guide also introduces "lemdecibir," which was first approved for the treatment of new coronaviruses this month, and the drugs currently under study.

According to the Ministry of Health, Labor and Welfare, "thrombosis is thought to be a cause of respiratory failure, especially in critically ill patients. It is very important to carefully check for thrombosis in order to avoid severe disease."

Possibility of preventing aggravation by preventing blood clots

According to a recent study, when infected with a novel coronavirus, blood cells become inflamed due to a symptom called "cytokine storm" in some people, in which the immune runaway causes a large amount of substances that cause inflammation. It has been pointed out that there is a possibility.

As a result, blood clots and blood clots are likely to form, and if the blood clots clog the blood vessels, it is thought that oxygen cannot be taken up by the lungs or oxygen will not spread, leading to serious illness.

For this reason, it has been noted that there is a possibility that the seriousness caused by the new coronavirus may be prevented by preventing the formation of blood clots by using a drug called "heparin" that suppresses the blood from clotting.