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Cai Weiping, Director Of Infectious Disease Center Of Guangzhou No.8 Hospital

2021/6/4 11:16:00 0

DirectorPatientTraditional Chinese MedicineTreatmentEpidemic SituationTreatment End

Guangzhou continued to promote the fight against the epidemic, all work arrangements were carried out in an orderly manner, Chinese medicine once again entered the forefront of the fight against the epidemic, and the preparations for the treatment end were also very full.

According to a news conference in Guangzhou on the afternoon of June 3, as of 24:00 on June 2, 70 cases of infection were reported in the whole city, including 56 confirmed cases and 14 asymptomatic cases. At present, all local infection cases are isolated and treated in Guangzhou Eighth People's hospital.

On the treatment level, since the first case of Guo ABA was confirmed in Guangzhou on May 21, as of the evening of June 1, more than 50 local patients (including asymptomatic infections) were admitted to the Eighth People's Hospital of Guangzhou.

Cai Weiping, chief expert of infectious disease center of Guangzhou Eighth People's Hospital, told 21st century economic report: "at present, the people receiving treatment in the eight hospitals include local patients and overseas patients. Diagnosis and treatment program, according to the previous clinical situation, there is still no specific antiviral drugs. At present, there is one case of infection who has been vaccinated with two doses of vaccine, but the clinical reaction shows that the patients who have been vaccinated are all mild. In general, the first dose of vaccination produces less antibody, and the antibody level reaches the highest level after two weeks of vaccination. "

This also means that vaccination has a significant effect, but we should not relax our vigilance after vaccination. Wearing masks, washing hands frequently and gathering less are indispensable parts of our daily anti epidemic life.

Chinese medicine anti epidemic

In view of the treatment plan for asymptomatic infected people in this round of epidemic situation, Chinese medicine "appears" again.

Cai Weiping told reporters of the 21st century economic report: "after the expert group entered the guidance work yesterday, they asked that the treatment of asymptomatic infected people should stop taking oxygen now, instead, they should use traditional Chinese medicine for treatment, and suit the medicine for everyone. Traditional Chinese medicine pays attention to syndrome differentiation and treatment. It is not suitable to use the same kind of traditional Chinese medicine in the treatment of old, young, light and heavy. Uncle De's team and Uncle De himself have come to participate in the treatment of patients and have prescribed prescriptions according to the situation of each patient. "

Here, "de Shu" refers to Zhang Dezhong, deputy leader of the expert group of the State Administration of traditional Chinese medicine for the prevention and control of the new crown pneumonia epidemic situation, member of the Party committee and vice president of the Guangdong Provincial Hospital of traditional Chinese medicine. He once participated in the work of SARS and Wuhan's rescue and anti epidemic work.

In addition, according to the Guangzhou Health Commission on March 3, the traditional Chinese medicine prescription named "yuekang No.1" by the epidemic prevention and control group of the medical treatment group of the epidemic prevention and control headquarters of the new type of coronavirus pneumonia in Guangdong Province has been included in the traditional Chinese medicine intervention program for close contacts of Guangdong Province, and is recommended for use in the intervention medication of close contacts in the whole province.

According to the Guangzhou health and Health Commission, the prescription was initially jointly issued by the Guangzhou Municipal Health and Health Commission, which was composed of 77 TCM experts from the fields of febrile diseases, lung diseases of traditional Chinese medicine, critical and severe diseases of traditional Chinese medicine, and traditional Chinese medicine.

According to the current statistical data, more than 50 cases of local cases, 3 cases of patients with serious illness. The average age of local cases was 49.1 years old, and the average age of severe and critical cases was 67.8 years old.

In addition, Cai Weiping told the 21st century economic report: "at present, compared with the elderly, children will have fever symptoms clinically, but the lung CT situation is relatively stable. At present, all the patients with severe illness are the elderly. In addition to one over 50 years old, the other two are over 70 years old. "

According to the clinical observation, the four main characteristics of the local case: first, the infected people, the general high viral load, followed by the other two characteristics - the ability to spread the disease is very strong, and the patient's disease progress rapidly, the incubation period is very short. The fourth characteristic is that the nucleic acid turns negative for a long time. At present, only one of these local cases turned negative.

Fully respond

At present, there are 1057 beds in Jiahe Hospital of Guangzhou Eighth People's Hospital, including 919 beds and 330 rooms for new crown related patients. There are 3 buildings in total, including 69 rooms, 195 beds, including 6 independent ICU rooms) and No. 2 inpatient building (63 rooms, 126 beds) are negative pressure wards. Now we are treating patients related to new crown.

No. 3 inpatient building (198 rooms, 567 beds, including 16 beds in ICU) is a general ward. At present, all three buildings have been opened for the treatment of patients with new crown pneumonia.

Cai Weiping told the 21st century economic report: "since last year's epidemic, two negative pressure wards in the hospital have been in normal operation. When there are many patients, one more floor is opened, and the equipment and facilities needed at the treatment end have been fully prepared. Last year, more than 300 patients were hospitalized at the time of the most severe epidemic in Hubei Province, which has not occurred in other cities and regions in China. Therefore, our rescue strength is sufficient. In clinical treatment, Guangdong Province has sufficient resources of experts and reserves of hardware and software facilities to meet the needs of the current anti epidemic situation

In addition, the relevant departments require the municipal eight hospitals to set up an independent examination room to maximize the guarantee that candidates for the college entrance examination can take the examination smoothly. At present, a 17-year-old asymptomatic infected person was admitted to No.8 Hospital of the city. He was a senior high school student and was a close contact of asymptomatic infection 5 on May 29.

In order to ensure that the examinee can successfully participate in the college entrance examination, the city No.8 hospital has arranged a special examination room in the No.1 building of the hospital according to the instructions of the higher authorities. All relevant instruments and equipment will be in place within June 3, and special doctors and nurses will be equipped to escort this senior high school student's college entrance examination.

In view of the incidence of a number of asymptomatic infections converted to confirmed cases, Cai Weiping explained to reporters of the 21st century economic report that this does not mean that the incubation period of the virus in this round of epidemic has become longer, but that one day, the CT results of asymptomatic infected people showed that there were problems, which led to the transfer of diagnosis on that day.

In response to the study and judgment on the future control of this round of epidemic situation in Guangzhou, Cai Weiping said that only when there are no new patients found in at least 14 days can the alert be gradually lifted.

At present, Guangzhou has expanded the scope of nucleic acid detection on the basis of classified prevention and control objectives. The regional coverage has gradually expanded from Liwan District to Yuexiu District and Haizhu District, as well as key areas in Tianhe District, Baiyun District and Panyu District. At the same time, we should adjust the work rhythm of new crown vaccination: first, we should arrange group appointment and collective vaccination of key industries and key groups in an orderly manner, and suspend individual appointment and social vaccination of new crown vaccine.

 

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