(Shanghai War Epidemic Record) Shanghai will carry out nine major actions to reduce the mortality rate of critically ill patients

  China News Service, Shanghai, April 22 (Reporter Chen Jing) At the Shanghai New Coronary Pneumonia Epidemic Prevention and Control Press Conference held on the 22nd, Wu Qianyu, a first-level inspector of the Shanghai Municipal Health Commission, said that Shanghai will carry out community control actions, There are nine major actions including testing and screening actions, flow investigation and investigation actions, transfer and isolation actions, replacement and expansion actions, traditional Chinese medicine intervention actions, and cleaning and disinfection actions.

  Among them, the community management and control actions will implement strict management and control in accordance with the requirements of the "three districts", increase the management of floating population, home isolation and other personnel, minimize the flow and gathering of people, and dynamically adjust the scope of the "three districts" delimitation. .

In the testing and screening action, Shanghai will adopt a regional and graded testing promotion model, implement "antigen + nucleic acid" combined screening, and comprehensively improve the efficiency of the whole process of "collection, delivery, inspection, and reporting".

  Recently, the number of severe and critically ill patients has increased.

On the 21st, 11 new local deaths were reported in Shanghai, and the direct causes of the deaths were all caused by underlying diseases.

All the dead cases had serious underlying diseases of multiple organs and were in critical condition. The average age was 84.2 years old, and the oldest was 94 years old.

Wu Ganyu pointed out that positive infected people with underlying diseases, especially the elderly, are at high risk of severe illness.

To this end, in accordance with the requirements of "centralizing resources, concentrating experts, concentrating patients, and concentrating treatment", Shanghai has made every effort to do a good job in the medical treatment of severe and critically ill patients, and try its best to reduce the mortality rate.

  Shanghai has strengthened the allocation of medical resources for severe and critically ill patients.

According to Wu Ganyu, Shanghai has coordinated the city's high-quality medical resources, strengthened the construction of designated hospitals, established multiple critical care medical teams, and enriched the treatment capacity of designated hospitals. While treating the new crown, it also carried out multidisciplinary treatment for the original basic diseases.

Designated hospitals play the role of experts and strengthen the inspection and consultation system.

A joint ward round and consultation system is carried out by an expert group every day, and consultation and guidance of difficult cases are carried out according to the conditions of severe and critical patients.

At the same time, national new coronary pneumonia treatment experts regularly carry out inspection and consultation mechanisms in designated hospitals to jointly strengthen the medical treatment of critically ill patients.

  Shanghai has strengthened classified admissions to give full play to the advantages of specialists.

For patients with severe underlying diseases, medical staff are classified according to the patient's main diagnosis and main treatment needs.

On this basis, doctors and nurses classify or refer patients to corresponding specialized hospitals for treatment to reduce the mortality rate.

For patients with common basic diseases such as kidney disease, cardiovascular and cerebrovascular diseases, and tumors, as well as special groups such as pediatrics, obstetrics, and mental diseases, designated hospitals have designated special wards for relatively concentrated treatment to improve the treatment effect.

  According to reports, Shanghai has also strengthened monitoring and early warning and intervened as soon as possible.

Mild patients with underlying diseases are at risk of progression to severe disease.

All designated hospitals have strengthened patient admission assessment, moved the threshold forward, actively identified and intervened in high-risk patients early, prevented mild to severe, and reduced the proportion of severe patients.

For critically ill patients with multiple underlying diseases, Shanghai will further strengthen multidisciplinary diagnosis and treatment, strengthen specialist collaboration, and make efforts to reduce the mortality rate of critically ill patients.

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