China News Service, January 19th Guo Yanhong, Director of the Medical Emergency Department of the National Health and Health Commission, said on the 19th that the fourth edition of the new crown virus infection severe diagnosis and treatment plan further strengthened the frontier, especially strengthened the early warning indicators of severe disease and early detection, The concept of early intervention.
The picture shows two medical staff holding medical records and discussing a patient's condition.
Photo by Liu Lixin
On the afternoon of January 19, the Joint Prevention and Control Mechanism of the State Council held a press conference on the prevention and control of the epidemic during the Spring Festival.
A reporter asked at the meeting that the country has recently issued the fourth edition of the diagnosis and treatment plan for severe cases of new coronavirus infection. What are the characteristics of this version of the diagnosis and treatment plan?
What is the significance of the current medical treatment?
Guo Yanhong said that the treatment of severe cases is a very important task at present. The fourth edition of the diagnosis and treatment plan for severe cases of new coronavirus infection is based on the combination of the Omicron mutant strain and the disease characteristics of infected patients, and is constantly improving on the basis of summarizing the previous experience in the treatment of severe patients. , and promulgated and implemented.
Guo Yanhong introduced that the fourth edition of the severe disease diagnosis and treatment plan mainly has the following characteristics: First, it further strengthens the barriers forward, especially strengthens the early warning indicators of severe diseases and the concept of early detection and early intervention.
The high-risk key groups are further clarified. The "Plan" specifically clarifies that for those who do not meet the diagnostic criteria for severe illness, such as those who are older than 65 years old, have underlying diseases, and have not completed the entire vaccination process, once these patients are infected with the new coronavirus and reach medium-sized, they will reach People who have pneumonia but have not reached the severe index can be included in the scope of severe patients for key management and the threshold is moved forward.
In addition, special emphasis has been placed on the monitoring of some vital signs of high-risk groups, and the improvement of early warning indicators, especially the monitoring of oxygen saturation at rest and during activities, and these indicators have been included in the early warning indicators. Once the indicators fluctuate, patients will be included. In the key management, the gate is moved forward, early detection and early intervention.
The second is to incorporate some effective experience and methods from clinical practice, especially in the treatment of severe cases, into this version of the severe disease diagnosis and treatment plan. This version adds symptomatic treatment of high fever and cough, and improves oral small molecule antiviral drugs. , early anticoagulation therapy, including oxygen therapy, respiratory support and other treatment measures, emphasizing the importance of prone position ventilation to improve hypoxemia, and also emphasizing the timing of clinical application of invasive mechanical ventilation and ECMO, these They are all effective methods in the treatment of severe cases.
The third is to further optimize and improve the content of traditional Chinese medicine treatment, adding some syndrome types and the content of "combined treatment of disease and syndrome", strengthening the clinical treatment guidance of integrated traditional Chinese and Western medicine for severe and critical diseases, and better utilizing the characteristics and advantages of traditional Chinese medicine.
It is worth emphasizing that, on the basis of the tenth edition of the diagnosis and treatment plan, the severe disease diagnosis and treatment plan is further refined and substantiated, especially for the treatment of severe cases. .