Today, the general office of the National Health Commission and the office of the State Administration of traditional Chinese medicine printed and distributed the details.
novel coronavirus pneumonia is novel coronavirus pneumonia. To further improve the medical treatment of new coronavirus pneumonia, we summarized the early diagnosis and treatment experience of new crown pneumonia and referred to the guidelines of WHO and other countries for diagnosis and treatment. < / P > < p > in the description of epidemiological characteristics, this edition of diagnosis and treatment plan further improves the source of infection and the route of transmission, adding “infectious in the incubation period, highly infectious within 5 days after the onset of the disease” and “contact with virus contaminated articles can also cause infection”. < / P > < p > to further improve the source and route of transmission of infectious diseases, adding “infectious in the incubation period, highly infectious within 5 days after the onset of the disease” and “contact with virus contaminated articles can also cause infection”.
describes the novel coronavirus in lung, spleen, hilar lymph nodes, bone marrow, heart and blood vessels, liver, gallbladder, kidney, brain, esophagus, stomach and intestine, testis and other organs and tissues respectively.
increased the “novel coronavirus specific IgM antibody, IgG antibody in the 1 week of the onset of the positive rate is relatively low” and may lead to false positive cases, and in what circumstances can be detected by antibody detection. The antiviral drugs used in the trial were briefly summarized. Some drugs may have certain therapeutic effects through clinical observation, but no antiviral drugs have been found that have been proved effective by strict “randomized, double-blind, placebo-controlled study”. It is suggested that drugs with potential antiviral effect should be used in the early stage of the course of disease, and should be mainly applied to patients with severe high-risk factors and severe tendency. Conclusion: interferon α, ribavirin, chloroquine phosphate and abidol can be used for further evaluation of efficacy, adverse reactions, contraindications and interactions with other drugs. It is not recommended to use more than three antiviral drugs at the same time. The indications, dosage and course of glucocorticoid therapy were supplemented. Respiratory support: according to PaO2 / FiO2 classification, different respiratory support measures were taken, such as nasal catheter or mask oxygen inhalation, high flow nasal catheter oxygen therapy or noninvasive mechanical ventilation and invasive mechanical ventilation. It was emphasized that respiratory distress and hypoxemia should be evaluated in time, and if not, respiratory support measures should be replaced in time. For patients receiving oxygen therapy, if there is no contraindication, it is recommended to implement prone position ventilation at the same time, that is, awake prone position ventilation, and the treatment time in prone position should be more than 12 hours. In addition, the relevant contents of “airway management” were added, and the starting time, ECMO indication, ECMO mode selection and initial setting of “extracorporeal membrane oxygenation” were refined. Add the treatment principles of “children’s multi system inflammatory syndrome”, such as intravenous gamma globulin, glucocorticoid and oral aspirin.
emphasized that novel coronavirus pneumonia should be emphasized in early rehabilitation intervention, and rehabilitation training and intervention should be carried out actively to restore respiratory fitness, physical fitness and immune function in patients with new crown pneumonia. According to the patient’s condition, clear the key points of nursing and do a good job of basic nursing. It is emphasized that the vital signs and consciousness state of the patients should be closely observed and the blood oxygen saturation should be emphatically monitored. Patients in bed should prevent stress injury. According to the nursing standard to do a variety of invasive treatment, invasive operation nursing. < / P > < p > for patients whose body temperature returned to normal for more than 3 days, respiratory symptoms improved significantly, and lung imaging showed significant improvement in acute exudative lesions, such as those whose nucleic acid was still positive for more than 4 weeks, it is recommended to “judge whether to discharge after comprehensive assessment of the patient’s infectivity through antibody detection, virus culture and isolation”. The prevention and control suggestions such as maintaining good personal and environmental hygiene, improving health literacy, maintaining good indoor ventilation, scientific personal protection and timely medical treatment were put forward. Small habits of pregnancy not only affect the health of pregnant mother, but also delay the development of the fetus, don’t ignore