究人员来说,将范围扩大到一般的老年人口并探

究人Upon discharge, the medical team has been working in Wuhan Jinyintan Hospital for a week. During this process, experts including the medical team leader and professor of respiratory department of Shanghai First People's Hospital Zhou Xin also had a deeper understanding of the new coronavirus. In an exclusive interview with reporters, Zhou Xin said for the first time that the infectivity of patients after two weeks of antiviral treatment has weakened, which is very meaningful for our prevention and control. [Two weeks after antiviral treatment, a negative nucleic acid test is not contagious] Reporter: What experience can the Shanghai Medical Team have in treatment? Zhou Xin: Our treatment is based on the latest version of "new coronavirus infection"。

究人员来说,将范围扩大到一般的老年人口并探

员来说5"Pneumonia diagnosis and treatment plan" and individualized plan. There are many elderly patients and many basic diseases, such as chronic obstructive pulmonary disease, hypertension, diabetes, tumor patients, gastrointestinal bleeding patients, etc., and there are many comorbidities. The methods for treating new types of pneumonia are similar, but the key is to treat the underlying diseases and take one-to-one careful treatment. We are divided into several medical groups, and each group manages a certain number of patients, including adjustment of ventilator, oxygen therapy, diet, fluid replacement, etc. The treatment is optimized for patients. Reporter: During this period of treatment, did you find something regular? Zhou Xin: Just this new pneumonia。

,将范0It is said that most of them are mild, and 80% are mild. It can be recovered within one to two weeks after medication, and the nucleic acid test is negative. Although the critically ill patient is also negative, the lung damage is not good, and the lung repair will take some time. From the perspective of antiviral therapy, the patient is treated for one to two weeks, which is such a long course of treatment. If you still use a ventilator a month later, then it will be meaningless to fight the virus, because he has no detoxification. Yesterday we performed nucleic acid tests on all patients in the ward. Only 3 patients were positive, and the others were negative. Negative patients are hospitalized for more than two weeks, so we draw out。

围扩大到一7Conclusion: Patients more than two weeks old have less contagiousness, which is very meaningful for our prevention and control. [Severe patients need time to repair the lungs, not every day anti-virus] Reporter: At present, hospital resources are limited, many diagnosed patients can not live in, what do you need to pay attention to at home? Zhou Xin: If it is a confirmed case, you must go to the hospital for isolation. If there is no bed, mild patients can be isolated at home. The general principle is that if the nucleic acid test is positive, you must go to the hospital for isolation, and the hospital must have the conditions for the protection of infectious diseases, otherwise it is infectious and unsafe. If you are at home, you must be strictly isolated, not in contact with your family, and eat。

般的老To enter through the door, the virus is latent and early infectious. The detoxification volume of confirmed cases in the first week is very high and highly contagious. After a week, the virus slowly declined and turned negative after two weeks. Many patients have to be discharged, most of them after two weeks. Regardless of whether you receive treatment in a hospital, it is such a process. The same is true for bacterial pneumonia. It is better for ten days a week. Mild pneumonia will be good without antibacterial drugs. The same is true for viral pneumonia, usually one to two weeks. Severe patients are not talking about the problem of viruses, but the damage caused by the virus to the lungs in the early stage, which needs to be repaired, not the anti-virus every day. [Two weeks later。

年人口并探dNucleic acid test negative patients can also be transferred to the general ward] Reporter: Have you exchanged views with other experts on this point of view? Zhou Xin: Our team has many experts, such as critical care experts, respiratory experts, and emergency medical experts. After discussion, there is indeed such a rule. At present, the whole country is in the epidemic prevention and treatment, very good. We concluded that anti-virus does not require all patients to be treated from the first day until he is discharged. If the patient is hospitalized for a month and a half, it is not necessary. If the hospital can do nucleic acid detection, it will be dynamically observed every other day. If it is positive, it will be observed ten days later. If it is negative, it will be done the next day. It will be safe after two weeks.。

jToo. In this way, the protection of doctors and nurses can also be explained, which several positive patients need a high degree of protection. Negative patients are safer than doctors and nurses. This is very important. Reporter: Is there a better plan for medication? Zhou Xin: There is no conclusion on the medication. I do n’t know if the Radix Isatidis Shuanghuanglian is effective because you ca n’t see it. I have a point of view, if the virus turns negative, then it meets the current discharge standard. Why can't some patients with negative nucleic acid test be discharged? Because his lung injury is not good, he can be discharged after the lung injury is completed, and the rest of the treatment can not be used in the infectious disease hospital, even if it is comprehensive。

Sex hospitals and ordinary ICUs are also available, so there is no need for strict protection. This is the experience summarized by our medical team. This is also the experience I learned from the research on bird flu when I was doing antigen testing every day. In general, for most patients, there is no need to panic. Mild patients can be cured by symptomatic treatment. The proportion of severe patients is not high, and the number of critical deaths is lower. We conclude that the elderly and basic diseases are generally more likely to get worse, and other patients should be optimistically treatable. (Reporter Qin Dongying collated) Click to enter the topic: Focus on the real-time update of the new coronavirus pneumonia epidemic。

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