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【目的】探讨并分析新型冠状病毒肺炎重症病例的临床特点,以提高对该病的认识。【方法】回顾分析我院收治的1例新型冠状病毒肺炎重症病例特点,包括一般资料、临床表现、实验室检验结果、胸部影像、治疗、并发症及预后,讨论重症病例的临床特点。【结果】该例新型冠状病毒肺炎确诊病例为61岁男性,有基础疾病。临床表现包括发热、咳嗽、乏力与气促。检验结果示白细胞不高,淋巴细胞总数降低,乳酸脱氢酶升高及低氧血症。胸部影像示双肺炎性渗出。经1周支持、抗感染、抗炎、免疫调节等治疗后病情仍进行性加重,并发重度急性呼吸窘迫综合征 ...
石云锋 +7 more
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中山大学附属第一医院诊治重症新型冠状病毒肺炎推荐方案(1 版) [PDF]
2019年末,新型冠状病毒感染引起的以肺部病变为主的新型传染病“新型冠状病毒肺炎”出现流行。中山大学附属第一医院医护人员第一时间赴重灾区支援抗击疫情,救治重症患者。在救治过程中创造性的在普通病房开设了高级生命支持单元,为新冠肺炎危重型患者的救治创造了条件,有效地降低了危重型患者的病死率。中山一院医护人员在诊治数百例患者经验的基础上,结合临床实践、国内外相关文献,归纳出重症新型冠状病毒肺炎患者的诊治推荐方案。
中山大学附属第一医院新型冠状病毒肺炎救治工作组
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中山大学附属第三医院推荐重型/危重型 COVID-19 整体护理方案 [PDF]
新型冠状病毒肺炎(COVID-19)目前已呈全球流行趋势,其重型/危重型患者比例达18%~20%,且病死率甚至高达49.0%~61.5%,如何降低COVID-19重症/危重症患者病死率是全球各国抗击疫情时面临的难题。当前,国家卫生健康委颁发的《重型/危重型新型冠状病毒肺炎患者整体护理专家共识》,倡导通过多专科护士联动,为COVID-19重症/危重症患者制定个性化、涵盖全面的整体护理方案。本团队在参考此专家共识的基础上,结合自身护理经验,制定了COVID-19重症/危重症患者科学规范的整体护理方案并运用 ...
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自2019年底新型冠状病毒肺炎爆发以来,因其传染力强、人群易感性高、潜伏期长和临床表现多样化等特点,影响医院的正常诊疗工作程序。在此疫情之下,临床医生应掌握新冠肺炎的临床表现和流行病学特点,顺应新形势下新冠肺炎的诊疗指南,在做好外科疾病的分类诊疗和合理选择治疗方案,以及护理流程优化的同时,根据不同的风险等级,做好自身的防护措施。
陈伟, 黄美近
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中山大学附属第三医院推荐救治重型/危重型 COVID-19 方案 [PDF]
重型/危重型占所有新型冠状病毒肺炎(COVID-19)患者的比例为18%~20%,但病死率高达49.0%~61.5%,占所有COVID-19死亡的100%。高龄(> 60岁)和合并基础疾病是造成重型/危重型高病死率的主要原因。这主要与合并基础疾病的老年患者器官功能下降,耐受缺氧、炎症等损害的代偿能力降低,使其病程进展加速有关。因此,必须组建多学科团队,制定个体化方案,准确预判病情进展,及时干预,才能有效地降低病死率。我们具体的做法是施行了“多学科立体管理、个体化综合方案”的救治模式。方案遵守“三个原则”
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Roles of Primary Care in Response to the COVID-19 Pandemic Defined in Policy Documents [PDF]
BackgroundThe major promise for promoting primary care intuitions to take the initiative to play an active role in containing the COVID-19 pandemic is defining the duties and roles that they should undertake.ObjectiveTo review the policy documents ...
ZHOU Rui, YAO Nengliang, CHEN Fangfang
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Analysis and Research on the Characteristics of COVID-19 Epidemic in Urban Village and Its Prevention and Control Strategies in Primary Care Institutions [PDF]
BackgroundFor a period of time, the outbreak of the COVID-19 outbreak in many urban villages in our country had caused concern. The dense and complex population structure of urban villages, with their inter-regional mobility, posed a challenge to the ...
ZHANG Dongying, YAO Mi, LIU Manling, GUO Fagang, WU Jiang, WANG Baoji, XIAO Baojun, XU Jing, LAI Yanmei, ZHENG Jinping
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Nursing of COVID-19 patients in the mobile cabin hospital (方舱医院内新型冠状病毒感染患者的护理体会)
This paper summarized the nursing management for COVID-19 patients in the mobile cabin hospital. Targeted nursing plan was established based on comprehensive analysis of clinical symptoms.
ZHANG Xiuying (张秀颖) +3 more
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Analysis of COVID-19 Guideline Quality and Change of Recommendations: A Systematic Review. [PDF]
Background Hundreds of coronavirus disease 2019 (COVID-19) clinical practice guidelines (CPGs) and expert consensus statements have been developed and published since the outbreak of the epidemic. However, these CPGs are of widely variable quality. So,
Ahn, Hyeong Sik +25 more
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Expert Advice on Community-based Grid Containment of COVID-19 Pandemic by the General Practice Network & Regional Medical Consortium [PDF]
The COVID-19 containment has become a top global public health concern. China has obtained a phased achievement in containing COVID-19 pandemic, during the process, primary medical institutions and general practitioner teams in regional medical ...
Specialty Committee for Primary Medicine Education, China Medicine Education Association, Commission of General Practice, Health Exchange and Cooperation Cross the Taiwan Straits Association, Guangdong Primary Healthcare Association, General Practitioner Branch of Guangdong Medical Doctor Association
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