Poster reporter Zhuang Binbin reported from Shanghai
On March 17, Shanghai held a press conference on the prevention and control of the new crown pneumonia epidemic to introduce the latest situation of the epidemic. Zhang Wenhong, head of the Shanghai New Coronary Pneumonia Medical Treatment Expert Team and Director of the Department of Infectious Diseases of Huashan Hospital, said when talking about the “New Coronary Virus Pneumonia Diagnosis and Treatment Plan (Trial Version 9)” recently released by the National Health Commission, from the first edition to So far, since the ninth edition has no knowledge about the new coronavirus, the earliest diagnosis and treatment plan was formulated based on medical experience.
Zhang Wenhong said that the latest version of the diagnosis and treatment plan sets, for example, the management after discharge as 7 days of isolation, which has sufficient scientific basis. Because when the viral load reaches a certain low level, it is no longer infectious, and a nucleic acid test at home for 7 days is sufficient to meet the very low level of the virus. “I used to be discharged from the hospital and stayed at the isolation point for two weeks. Now it has been changed to home monitoring for 7 days before nucleic acid testing. This is a major adjustment. The scientific basis must be guaranteed by sufficient scientific data.”
The new version of the diagnosis and treatment plan The standard CT value of release from isolation management and discharge in the hospital has changed from 40 to 35. In this regard, Zhang Wenhong said that the lowering of the standard is also a very important adjustment, which means that people who are discharged from the hospital can be discharged earlier. The average hospital stay in Shanghai is now 15 days, but once the nucleic acid is adjusted, it may be reduced to 10 days. Before, it was necessary to isolate for two weeks, and now you can stay at home. For a person who is quarantined, there will be a very big change in perception. Professional doctors applaud the shortened isolation time for all treated people, and applaud that the whole society does not increase the risk of prevention and control.
For the medical institutions mentioned in the latest version of the diagnosis and treatment plan, the focus is on stratified treatment and stratified treatment. Zhang Wenhong said that through the formulation of these major standards, it will make room for the future fight against the epidemic. It will feel that patients will be discharged more quickly, the hospital can be treated in a centralized manner for mild cases, and the severe cases are admitted in designated hospitals. The point of centralized treatment also has certain medical observation and monitoring capabilities. The hierarchical management method will bring a large amount of needed medical resource redundancy improvement to the optimization of medical resources.
Finally, Zhang Wenhong said that we have three weapons to fight against the epidemic in the future: first, adequate injection of vaccines; second, support from effective antiviral drugs and other drugs including traditional Chinese medicine; third Third, there is very sufficient medical redundancy.