(Fighting new crown pneumonia) How to treat those "one old and one young" who are sick under the epidemic?
China News Agency, Beijing, February 27th (Li Jingze and Guo Chaokai) The new crown epidemic lasted for more than a month. From 98-year-olds to young children who were born only 1 day and 6 hours, the closer the age of confirmed cases is to the ends of human life, the more the People care. Under the epidemic situation, the whole society's care for "one old and one young" has also turned into more precise treatment and more loving protection for the two.
The elderly: need to take into account the specimen
All populations are susceptible to neocoronavirus, but the elderly are more likely to develop severe illness. According to a research report published on February 18th by the Chinese Center for Disease Control and Prevention, the mortality rate of the elderly is highest among the patients with new crown virus pneumonia. Among them, the death rate among people aged 80 years and over has reached 14.8%.
The invasion of the new crown virus is an "exacerbation" for the elderly with underlying diseases, and their multiple illnesses have made it difficult for medical staff to treat them.
In an interview with a reporter from China News Agency, Jiang Min, chief physician of the Department of Traditional Chinese Medicine at Beijing Shijitan Hospital affiliated to Capital Medical University, said that there are simple reasons to deal with complex situations, that is, "emergency cures the symptoms, and slow cures the root causes." She further explained that "standard" refers to the new crown virus, and "this" refers to the underlying disease. As far as elderly patients are concerned, the severe disease is "emergency" and the mild disease is "slow."
For mild patients, antiviral and basic disease treatment should be synchronized, and medication should be used with caution. Liang Tingbo, Secretary of the Party Committee of the First Affiliated Hospital of Zhejiang University, pointed out that drugs for treating new coronary pneumonia and chronic diseases of the elderly may interact. One drug interferes with the metabolic pathway of another drug, which will cause the latter to change its concentration and decrease its efficacy. Therefore, he emphasized the need to study the role of drugs in detail.
For critically ill patients, Jiang Min believes that in the first aid process, it is also necessary to pay attention to previous medical history to avoid further damage to other organs of the body.
In addition to basic diseases, low autoimmunity also makes it difficult for the elderly to cure. Liang Tingbo said that this requires the development of a personalized comprehensive treatment plan for each elderly person.
On February 11, the first child diagnosed with new-coronary pneumonia in Hainan Province was cured and discharged from Haikou People's Hospital. At the time of admission, the child was only over 3 months old, and the parents of the child were confirmed cases. The picture shows a nurse holding a cured baby girl out of the quarantine area. Photo by China News Agency reporter Luo Yunfei
Children: Not "reduced adults"
Up to now, no children under the age of 9 have died from the new crown virus, and most children have milder symptoms after infection. Although the overall cure for this age group is better, experts point out that the treatment of children with neo-coronary pneumonia is different from that of adults and cannot be regarded as a "reduced version of adults."
Gong Sitang, deputy director of Guangzhou Women's and Children's Medical Center, introduced to the media that children's disease spectrum, infection, and incidence are different from those of adults. A respiratory expert in Beijing also verified this statement. He used the symptoms of the disease as an example. Obvious clinical manifestations.
Gong Sitang admits that currently there is no special medicine for antiviral treatment in children, because pediatric medicine is more cautious than adults. He believes that in the case of 24-hour monitoring, use as little medicine as possible, or even no medicine.
Specific to the treatment of newborns, he suggested that nutrition intervention, care and monitoring should be the main focus to ensure the normal growth and development of children. The treatment of traditional Chinese medicine and sprays is not suitable for newborns and is not necessary.
Recently, he took the lead in compiling the "Consultation of Experts on the Diagnosis and Treatment of Children with New Coronavirus Infection (First Edition)" (hereinafter referred to as the "Consensus") in Guangdong Province. The classification criteria, treatment plan, discharge standards and regular follow-up of children with new Coronavirus infection. And other contents are clearly explained.
The "Consensus" particularly emphasizes the epidemiological history in the diagnostic criteria. "If the epidemiological history can be explicitly excluded, other pathogenic infections will be given priority." The expert group explained that the consideration was that it was under 5 years old, especially under 3 years old. Viral pneumonia is common in children with symptoms similar to fever, cough, and other symptoms after infection with neocoronavirus. If suspected cases are included, it will put pressure on pediatric admission.
Looking at the whole country, the special treatment of small patients has become a consensus everywhere. The Hunan Provincial Health and Health Commission released the "Consensus on the Clinical Diagnosis and Treatment of Pneumonia in Children with New Coronavirus Infection in Hunan Province" on February 7; Hubei Province published "The Recommendations for the Diagnosis and Treatment of New Coronavirus Infection in Children in Hubei Province" "Jiangsu Province has also released" Expert Recommendations for the Diagnosis and Treatment of New Crown Virus Infection in Children in Jiangsu Province ".
As of 24:00 on February 26, a total of 23,200 discharged patients were cured nationwide. Among the good news of discharge, the cure of "one old and one small" is even more gratifying. Exploring their treatment experience will find that they have all been specially cared for by medical staff. They set up a medical team for the elderly, giving care to their children, taking turns on duty for their children, and giving them parent-like care. In this difficult battle, the "epidemic" has been around the clock guarding the "one old and one young". (Finish)