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Notice of Novel Coronavirus Pneumonia Provisionally Named by the National Health Commission of the People's Republic of China [EB/ OL ] (in Chinese) (2020-0207)(2020-03-15).
http://www.nhc.gov.cn/mohwsbwstjxxzx/s2908/202002/f15dda000f6a46b2a1e a1377cd80434d.shtml.
M EDITSINSKAYA EDITION Clinical signs ??The patient has inflammation and/or symptoms of a respiratory disease; (1) Patients with suspected infection and confirmed diagnosis should be kept in different rooms or ends of the room; The patient's vital signs should be constantly monitored, especially changes in consciousness, respiratory rate, and oxygen saturation.
Watch for symptoms such as cough, sputum, chest tightness, shortness of breath, and cyanosis. Timely recognition of any deterioration allows adjustment of oxygen therapy strategies or prompt response.
Note ventilator-associated lung injury ( VALI ) with high positive end expiratory pressure (PEEP) and high pressure support.
Closely monitor changes in airway pressure, tidal volume, and respiratory rate.
??Select a hospital (First Affiliated Hospital, Zhejiang University Faculty of Medicine); • Saline 100 ml + Ambroxol 30 mg IV twice a day? (one) Care for vascular access: logical differences in the definition of populations to be tested, different readiness of national health systems, unreliability of published data.
> Unlike other pathogenic coronaviruses
(1) Decreased compliance of the respiratory system. After the maneuver of opening the alveoli, the compliance of the respiratory system is Train medical staff in the practice of safe handling of biomaterial, strictly observe safety precautions, use personal protective equipment when collecting and analyzing biomaterial. - In vitro data have shown that chloroquine inhibits SARS-CoV-2. 11. Coronavirus: Novel Coronavirus (COVID-19) Infection. Reviewed by: Stanley Perlman, MD, PhD (Professor Department of Microbiology and 38 Immunology Department of Pediatrics University of Iowa). Published February 5, 2020; Updated March 25, 2020. - interferon and N -acetylcysteine can be administered through a bronchoscope.
• use of disposable medical masks: recommended for patients to reduce the spread of the virus; should be changed every 1.5-2 hours; 4 Anticoagulant therapy: The main goal of anticoagulant therapy in ECMO is to achieve a moderate anticoagulant effect that provides some coagulation activity under conditions that avoid excessive activation of coagulation.
That is, to maintain a balance between anticoagulation, coagulation and fibrinolysis. Patients should be given sodium heparin (25-50 IU/kg) during intubation and maintained with sodium heparin (7.5-20 IU/kg/h) while pumping. The dosage of heparin sodium must be adjusted according to the results of the APTT test, which should be carried out within 40-60 seconds. During the anticoagulation period, the number of skin punctures should be reduced as much as possible.
The use of bronchoscopy in the diagnosis and treatment of patients
- - Any person (including a healthcare worker) who has a fever or signs of lower respiratory tract infection and has been in an area of infection in the 14 days prior to the onset of symptoms.