Issued by the general office of the National Health Commission and the State Administration of traditional Chinese medicine. Novel coronavirus pneumonia experience is reviewed and the guidelines for diagnosis and treatment are revised based on the guidelines of WHO and other countries. The novel coronavirus specific IgM antibody is one of the diagnostic criteria for suspected cases. < / 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”.
in novel coronavirus, the 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 were described respectively. < p > < p > in terms of clinical features, we added “very few children may have multiple system inflammatory syndrome”, and introduced the clinical manifestations of mis-c. In laboratory tests, novel coronavirus specific IgM antibodies, IgG antibodies were found to be less positive within 1 weeks of onset, and may lead to false positives, and under which conditions could be diagnosed by antibody test. In terms of clinical classification, the diagnostic criteria of severe cases in adults and children were modified appropriately. At the same time, the criteria of “severe / dangerous high-risk groups” were added, and the “early warning indicators of severe / dangerous and severe” for adults and children were adjusted. < / P > < p > in the differential diagnosis, add “children with rash, mucosal damage, need to be differentiated from Kawasaki disease”. In terms of case discovery and report, add “for confirmed cases, the network direct report should be carried out within 2 hours after discovery”. In the aspect of antiviral treatment, this paper briefly summarizes the antiviral drugs used. 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. Lopinavir / ritonavir and ribavirin alone, hydroxychloroquine or azithromycin in combination are not recommended. 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.
novel coronavirus pneumonia is also being added to the “early rehabilitation”. It is emphasized that early intervention should be emphasized, and rehabilitation training and intervention should be carried out in order to restore physical fitness, physical fitness and immune function to the new respiratory function, physical function and psychological dysfunction. Add “nursing” related content, according to the patient’s condition, clear the focus of nursing and do a good job in basic nursing. It is emphasized that the vital signs and consciousness of the patients should be closely observed and the oxygen saturation should be 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 > regarding discharge criteria and matters needing attention after discharge, for patients whose body temperature returned to normal for more than 3 days, respiratory symptoms improved significantly and lung imaging showed obvious improvement of acute exudative lesions, such as nucleic acid still positive for more than 4 weeks, it is recommended that “after comprehensive assessment of the infectivity of patients by antibody detection, virus culture and isolation, etc., we can judge whether there is an acute exudative disease The hospital. ” 08/17/2020