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加拿大28开奖官网
【羊城派 • 抗疫深访谈】覃铁和: “快”“慢”结合精细救治,有效减少危重病例发生
审核: 宣传科    点击数: 377    发布时间: 2020-03-23    字号: 放大 缩小

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        zaiweiyoutexiaokangxinguanbingduyaowudeqingkuangxia,xianjieduanzhongxingweizhongxingbinglidejiuzhiyoushenmetedian?taolunxinguanweizhongzhengjiuzhide“xianzaishi”yu“weilaishi”,youshenmeyiyi?

        yizhibenbozaishengneigedideguangdongshengxinguanfeiyanyiqingfangkonglinchuangjiuzhizhuanjiazuzuzhangtantiehe,zaijieshouyangchengwanbaojizhezhuanfangshibiaoshi,“zhiyoutizaoshibiehechulixinguanfeiyanbinglibingqingjiazhongdeweixianyinsu,cainengjinliangjianshaozhongxingheweizhongxingbinglidefasheng。”


覃铁和

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        稳: 精准稳妥的治疗,比追求快速清零更重要

        “zhongxingheweizhongxingbinglidezhiliao,conglaidoushirenmenguanzhudejiaodian。”zuoweiguangdongshengxinguanfeiyanyiqingfangkonglinchuangjiuzhizhuanjiazuzuzhang,tantieheduiyangchengwanbaojizhebiaoshi,xinguanfeiyanzhongxingheweizhongxingbinglizhiliaonanduhenda。

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        3yue13ri,yongle21tianecmozhichidezhongshanweizhongxingchanfucongicubingfangzhuanchu。congshengmingchuiwei,daonengxiachuangxingzou、dulijinshi,duizhongshanshizhongzhengjiuzhituandui、zhudianzhiyuandeguangdongshengrenminyiyuanzhuanjia,yijizhongnanshanyuanshihecanyujiuzhidegejizhuanjia,duishehuidazhongdoushijidadeguwu。

        羊城晚报: 根据目前在院治疗病例的变化情况,您如何总结现阶段临床救治的特点?

        覃铁和: 到目前为止,尽管治疗新冠肺炎还没有特效的抗病毒药物,但大部分病人通过氧疗、支持和对症治疗等综合措施治愈出院,说明新冠肺炎并非不治之症。

        xianjieduanhaizaiyiyuanzhiliaodezhongxingheweizhongxingbingli,daduoshibingchengzhang、nianjida、youjichujibingdehuanzhe,neimejingzhunwentuodezhiliao,jiubizhuiqiukuaisu“qingling”gengzhongyaole。

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        快: 尽早应对靠机制,广东经验起作用

加拿大28开奖官网        3yue18ri,zhongnanshanyuanshizaihuidawaimeitiwenshiqiangdiao,“sigezao”shizhongguofangkongyiqingdeguanjian。zhongyuanshituanduicengzaiyipianlunwenzhonggusuan,ruguowuhan“fengcheng”dengqiangzhijucuotuichi5tianshishi,guoneiyiqingguimojianghuikuodasanbei。

        guangdongshiquanguozuizaoqidongyijixiangyingdelianggeshengfenzhiyi。qishizaozai1yue13ri,tantiehejiushouguangdongshengweijianweizhipai,daoshenzhenhuizhenleyilizhongzhengfeiyanbingli,jinguanhenkuaimingqueleshuyuxijunxing,paichulexinguanfeiyan,danyoucikejianguangdongshengweishengxingzhengbumendegaodujingjuexing。15ri,tantieheyoubeipaiqiandaoshenzhenhuizhenlingyiligaoduhuaiyidebingli。19ri,guojiaweishengjiankangweiquerenleguangdongshengshoulixinguanfeiyanhuanzhe,jiushihoulaidezheiyili。

        羊城晚报: 1月23日,广东是全国最早启动一级响应的两个省份之一。据悉广东省人民医院早在1月8日就已启动相关防护措施。这些是否与广东曾有抗击SARS等经验的高度敏感性有关?

        覃铁和: SARS之后加拿大28开奖官网就总结了经验教训。2004年,当时的广东省卫生厅成立了突发公共卫生事件应急专家委员会,这个机制在全国也是领先的,下设9个专家组,分类很细,加拿大28开奖官网是医疗救治组组长。

加拿大28开奖官网        meicitufagonggongweishengshijian,ru2009nianh1n1、2017nianh7n9dengzhongdachuanranbing,yizhengguanlibumenyedouyouxiangguandeyingduijizhi,zhishidangshiliuxingguimomeiyouxinguanfeiyanda,gongzhongguanzhudumeineimegao。

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        羊城晚报: 加拿大28开奖官网在此次疫情救治中,重症医学科发挥了哪些独特的作用?

        覃铁和: 加拿大28开奖官网对于一个新的还没有特效抗病毒药物的传染病,大家除了关注感染率,也会关注死亡率。重型和危重型病例通常并发全身多器官功能障碍综合征,需要在严密的监护下进行精细化综合治疗。这种病理特征和救治要求是ICU医生在日常工作中天天面对的,所以这些病例的救治需要ICU的力量去提供有力支持。

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        准: ICU战线前移,多学科联合救治

        meitian,tantiehedouyaoguanzhushengneizhongxingheweizhongxingbinglidejiuzhi,gezhongziliaochuanguolai,gedijiuzhituanduifuzerenyehuisuishidadianhualaitaolunyudaodenanti。gaofengshi,tantiehedeshoujihebangongshilianggezuoji,jingchangshizuobianfangxiayoubianyouxiangqi。

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        羊城晚报: 此次新冠救治中,您提倡重症医学科要提早介入,那么,作为ICU医生,提早介入能具体发挥什么作用?

        覃铁和: 加拿大28开奖官网大家总在想,最好能使患者病情不加重。为了实现这样的目标,加拿大28开奖官网要求ICU医生与感染科、呼吸科等专科医生通力合作,把病例筛查这个战线前移,覆盖所有确诊的患者。实施后发现,对减少重型和危重型病例的确起到很好的作用。

        icuyishengtiqianjieru,shijishangyeshizhongzhengguanliliniandeqianyi。icuyishengduihuanzhedeshengmingtizheng、gezhongshiyanshizhibiaodebianhuafeichangmingan,bijiaoshanzhangjiangmougezhibiaocongyigezhengtixitonglaiguanchasikao。tahuimeixiaoshipingguyicijianhujiludeshuzi,youbijiaoqiangdequshiyupanyishi,juedingxiayibuzhiliaoshouduanjiubijiaozhunque。

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        羊城晚报: 加拿大28开奖官网这样说来,是否今后重症医学会发展出多一个角色,在疾病诊治的前端,多加一个预判或风险评估的功能?

        覃铁和: 对。其实,ICU医生提前介入,参加其他专科病人的诊治早已不是新鲜事。比如在一些大型、复杂手术病例的术前讨论,就经常会有ICU医生参加。这次新冠肺炎救治工作中,ICU医生走出ICU病房,参加病例筛查也是类似的做法。

        zhongzhengyixuekejianglaikenengyaogengzhongshiyugexuekezhijiandehezuo,zheishiyigexuekejianxuexijianada28kaijiangguanwangdejihui。icuyishengkeyilejiegengduoqitaxuekedeqianyanzhishi,qitaxuekeyekeyijiejian,yongicudesiweizonghekanzhibiao、panduanbingqingqushi,yinweirenhexuekedoukenengyouzhongzhengbingren。

加拿大28开奖官网        jianada28kaijiangguanwangjide2004niankaishi,shengyidelinchuangyishengzaijinshengfugaozhichengqian,doubixudaoiculunzhuanguo,fouzeyipiaofoujue;dangranicuyishengyebixudaogezhuankelunke。xianzaiguojiatuixingdezhuankeyishipeixunzhidujiuyouxiangyingdelunkeyaoqiu。

        羊城晚报: 对新冠肺炎危重症的多学科联合救治,有什么广东经验?

        覃铁和: 多学科联合对救治重型和危重型病例显得尤为重要。广东在抗击疫情开始就制定了集中专家和设备资源,到定点医院参与病例救治的工作要求。

加拿大28开奖官网        guangdongtuixingdegaoshuipingyiyuanduikouzhiyuanweizhongxingbingliduodedingdianyiyuan,biruguangdongshengrenminyiyuanduikouzhiyuanshenzhenshidisanrenminyiyuanhezhongshanshidierrenminyiyuan,yuanzhangyuxueqingjiaoshoudailingduoxueketuandui,shucishidihuizhen,zheishiduoxuekelianhejiuzhideshengjiban。

        危重型病例救治涉及重症、呼吸、感染等各专科,也会用到血液透析、临床营养、康复训练等各项技术。比如现在提倡早期康复,你会看到一些病人还挂着呼吸机,就开始站起来练习走路。当然这个工作量很大,但能做就必须做,有利于患者尽早恢复。

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