Source: People’s Daily

Recently, Zhang Wenhong, head of the Shanghai New Coronary Pneumonia Medical Treatment Expert Team and director of the Department of Infectious Diseases of Huashan Hospital Affiliated to Fudan University, was interviewed by the People’s Daily and answered Shanghai’s Fighting hot issues of the new crown epidemic.

Elderly patients and patients with underlying diseases are still the biggest challenges in treatment

On April Since then, Shanghai has implemented strict global static measures and resolutely implemented the general policy of “dynamic clearing”. Zhang Wenhong pointed out that Shanghai has dropped from a maximum of 27,000 infections per day since the beginning of April to about 20,000 cases per day at present. Pudong, where the epidemic is the most serious, has also improved. Although the epidemic still has a high risk of rebound, the good news is that the number of social cases outside the control area is gradually decreasing, and some administrative areas have achieved all negative social screening.

Follow-up social clearance work is still very arduous, and the treatment of vulnerable groups, mainly elderly patients and patients with underlying diseases, still faces challenges. There has been a marked increase in severe cases and deaths in recent days.

Zhang Wenhong said that on April 23, there were 39 new local deaths in Shanghai, with an average age of 78.7 years old and the oldest being 98 years old. All of them suffered from severe chronic diseases of multiple organs. Almost all patients with severe cases in clinical treatment have serious underlying diseases of multiple organs, which become the direct cause of death. The total case fatality rate in Shanghai remained at 0.0178% (87/488,000), of which the proportion of deaths from severe pneumonia caused by the new coronary pneumonia was very low. The death of elderly patients and patients with underlying diseases is the main part of the fatality rate.

Same treatment of new crown symptoms and underlying diseases, and promote vaccine popularization

During the epidemic period of Mimicoron’s new crown variant strains, the homogenous treatment of new crown symptoms and various basic diseases will cause serious damage to medical resources. Pressure, the designated hospitals are difficult to cope with such pressure.

Elderly patients have many and serious underlying diseases, and it is imperative to carry out multidisciplinary treatment of critically ill patients. Zhang Wenhong said that Shanghai has brought together more than 360 critical care medical experts from the city, together with experts supported by other provinces and cities, to form 9 critical care teams, stationed in 8 city-level designated hospitals, and combined the new crown severe, critical and new crown positive. For patients with severe underlying diseases, centralized management and comprehensive treatment are implemented.

In order to improve the specialized treatment capacity of the designated hospitals for COVID-19, the mother hospital of the designated city-level designated hospital has established a team of 53 municipal-level experts with rich clinical experience in 15 specialties to build a multidisciplinary specialized treatment group and utilize emergency development The platform system of consultation platform implements multidisciplinary joint rounds consultation for critically ill patients in designated municipal hospitals, conducts treatment by one person and one strategy, adjusts the treatment plan in time, and does its best to save the lives of critically ill patients.

For the future treatment of severe cases of COVID-19, Zhang Wenhong said that he is committed to dealing with the Omicron mutant strain with a very high transmission rate, and the team must establish a more scientific treatment system.

On the one hand, it is necessary to make the designated hospitals for the new crown pneumonia into general hospitals that treat patients with new coronary pneumonia and pay more attention to patients with underlying diseases. Or vaccination for groups with underlying diseases. Because the risk of severe illness and death from not vaccinating is extremely high, far exceeding the harm caused by adverse reactions to vaccination (evidence shows that the adverse reaction rate is not high). In order to promote the vaccination of people who are inconvenient to be vaccinated as soon as possible, and actively deliver vaccines to their homes, only by protecting these vulnerable groups can we truly get rid of the impact of the epidemic on us.