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Shanghai's first young critically ill patient, all elderly critically ill patients have not been vaccinated
April 14, 2022 15:48 Yicai.com Author : Qian Tongxin
Shanghai has organized a group of "elite troops", in accordance with the principle of "one person, one plan" for critically ill patients, to increase the treatment force, carry out multidisciplinary expert consultations, and deal with the possible increase of hospitalized patients in the future.
As the number of new crown infections in Shanghai approaches the 300,000 mark, confirmed cases are also rising. On April 13, the number of confirmed cases of the new crown exceeded 2,000 for the first time, reaching 2,514, and the number of severe cases was also increasing.
On April 14, Wu Qianyu, a first-level inspector of the Shanghai Municipal Health Commission, informed at the Shanghai epidemic prevention and control conference that, except for asymptomatic infections, most of the confirmed cases are mild, and a small number are ordinary. Nine severe cases were treated in designated medical institutions.
To this end, Shanghai has organized a group of "elite troops", in accordance with the "New Coronary Pneumonia Diagnosis and Treatment Plan (Trial Version 9)", in accordance with the principle of "one person, one plan" for critically ill patients. To cope with the possible increase in hospitalization in the future.
Coordinate expert group consultation for critical treatment " one person, one policy "
It is worth noting that a 33-year-old young patient appeared for the first time among the 9 critically ill patients, but the detailed condition of the young patient was not disclosed at the press conference.
The remaining 8 critically ill patients are all elderly, all over 70 years old, and the oldest patient is 93 years old. "They are all accompanied by serious underlying diseases, such as severe immune diseases, advanced tumors, severe cardiovascular and cerebrovascular diseases, failure of important organs, etc., as well as high risk factors such as advanced age, and none of them have been vaccinated against the new coronary pneumonia virus." Wu Qianyu said.
Wu Ganyu said that with the increase in the number of confirmed cases in this epidemic, the number of elderly people involved has increased, and severe cases have begun to increase. In response to these situations, we have coordinated the city's high-quality medical resources, strengthened the treatment force of 8 designated hospitals including the Municipal Public Health Center and the northern branch of Ruijin Hospital, and carried out multidisciplinary treatment for the original underlying diseases of these patients while treating the new crown. , Actively prevent and treat complications, prevent secondary infection, timely support organ function, integrate traditional Chinese and Western medicine, and closely monitor the condition.
Yicai reporter learned that at present, Zhongshan Hospital Affiliated to Fudan University has organized a team of top experts in the hospital to be fully responsible for the consultation work of the designated hospital for the new crown of Shanghai Geriatrics Center. The hospital mainly treats patients with new crown positive common and basic diseases (stable period), and the hospital is equipped with corresponding specialized medical staff and medical treatment facilities and equipment.
Academician of the Chinese Academy of Sciences and director of the Department of Cardiology of Zhongshan Hospital, as the leader of the remote consultation expert group of the Geriatrics Center, participated in the consultation of the oldest patient among the critically ill patients. The patient suffered from respiratory distress, rapid heartbeat, and low blood pressure on the morning of April 8, and was in critical condition.
In response to the sudden deterioration of the condition, the hospital quickly launched a consultation plan and organized multidisciplinary remote consultation. During the consultation, Ge Junbo suggested to check inflammatory factors, and consider whether to use monoclonal antibody drugs according to the results; in addition, considering that the patient is old and has anemia, which may aggravate heart failure, blood transfusion is recommended, and related tests are performed to evaluate cardiac function and whether there is pulmonary microembolism. .
According to reports, the 93-year-old man suffers from heart failure, hypertension, chronic obstructive pulmonary disease, renal insufficiency, cerebral infarction, acute pancreatitis, pericardial effusion and other diseases, and his basic physical conditions are very poor. Before admission, the patient developed symptoms such as lethargy, poor appetite and decreased urine output.
The first financial reporter learned on April 11 that the doctors in the ward quickly adjusted the diagnosis and treatment plan according to the consultation opinions of the expert group, and the patient's condition improved significantly and became more stable. However, heart failure is still relatively serious, and proBNP (an indicator of heart failure) has not yet declined significantly.
Vaccination is the fundamental way to prevent severe illness
A person from the Shanghai Public Health Clinical Center told Yicai.com: "At present, there are still relatively few severe cases, because high-risk patients will be sent to the hospital as soon as they are screened, and if they are clinically bad, they will be used immediately. Pfizer, along with other treatments, can quickly control the disease."
Professor Zheng Junhua, the commander-in-chief of the Fangcang shelter hospital of the New International Expo Center and the secretary of the party committee of Shanghai Renji Hospital, also said in an interview with a reporter from China Business News: "The elderly usually suffer from cardiovascular, respiratory, nervous and endocrine system problems. We must pay more attention to the problem. Although the new coronavirus may not directly cause illness, it may lead to aggravation of underlying diseases, and we must pay great attention to treatment.”
Professor Lu Hongzhou, director of the National Clinical Research Center for Infectious Diseases and Shenzhen Third People's Hospital, told Yicai.com: "The most effective and fundamental way to prevent new crown virus infection and severe illness is to receive new crown vaccines and boosters. For the elderly, Tumor patients and people with immunodeficiency, once infected with the new coronavirus, will suffer from severe disease or even death, and after vaccination, the severe disease and fatality rates will be significantly reduced."
At present, more than 11 billion vaccine doses have been administered globally , but there are serious inequalities in vaccination, especially among vulnerable groups such as the elderly and patients with comorbidities. Lu Hongzhou cited statistics. Globally, the coverage rate of vaccines in people over 60 years old is about 65%, which is much lower than that of other groups. The new coronary pneumonia is mainly spread among these unvaccinated high-risk groups and leads to a higher death rate. Rate.
According to data released by the National Health Commission's Bureau of Disease Control on April 5, the number of people over the age of 60 in the country has been vaccinated over 224 million people, over 212 million people have been vaccinated in the whole process, and over 146 million people have been boosted with immunization .
"The vaccination of the elderly, especially the third dose, has become the top priority of our country's epidemic prevention work. Some elderly people worry that vaccination in a state of poor health will face specific risks, and this concern is unimportant. Unfounded and necessary." Lu Hongzhou told China Business News reporter.
Citing statistics, he said that the incidence of severe abnormal reactions such as anaphylactic shock after vaccination is less than one in a million, which is far lower than the fatality rate of new coronary pneumonia in the elderly.
He also said that with the successful development of vaccines with different technical routes such as mRNA vaccines and long-acting inhaled vaccines, the effectiveness of future vaccines will get better and better, and the side effects will become smaller and smaller.
zhttps://news.sina.com.cn/o/2022-04-14/doc-imcwiwst1809587.shtml
April 14, 2022 15:48 Yicai.com Author : Qian Tongxin
Shanghai has organized a group of "elite troops", in accordance with the principle of "one person, one plan" for critically ill patients, to increase the treatment force, carry out multidisciplinary expert consultations, and deal with the possible increase of hospitalized patients in the future.
As the number of new crown infections in Shanghai approaches the 300,000 mark, confirmed cases are also rising. On April 13, the number of confirmed cases of the new crown exceeded 2,000 for the first time, reaching 2,514, and the number of severe cases was also increasing.
On April 14, Wu Qianyu, a first-level inspector of the Shanghai Municipal Health Commission, informed at the Shanghai epidemic prevention and control conference that, except for asymptomatic infections, most of the confirmed cases are mild, and a small number are ordinary. Nine severe cases were treated in designated medical institutions.
To this end, Shanghai has organized a group of "elite troops", in accordance with the "New Coronary Pneumonia Diagnosis and Treatment Plan (Trial Version 9)", in accordance with the principle of "one person, one plan" for critically ill patients. To cope with the possible increase in hospitalization in the future.
Coordinate expert group consultation for critical treatment " one person, one policy "
It is worth noting that a 33-year-old young patient appeared for the first time among the 9 critically ill patients, but the detailed condition of the young patient was not disclosed at the press conference.
The remaining 8 critically ill patients are all elderly, all over 70 years old, and the oldest patient is 93 years old. "They are all accompanied by serious underlying diseases, such as severe immune diseases, advanced tumors, severe cardiovascular and cerebrovascular diseases, failure of important organs, etc., as well as high risk factors such as advanced age, and none of them have been vaccinated against the new coronary pneumonia virus." Wu Qianyu said.
Wu Ganyu said that with the increase in the number of confirmed cases in this epidemic, the number of elderly people involved has increased, and severe cases have begun to increase. In response to these situations, we have coordinated the city's high-quality medical resources, strengthened the treatment force of 8 designated hospitals including the Municipal Public Health Center and the northern branch of Ruijin Hospital, and carried out multidisciplinary treatment for the original underlying diseases of these patients while treating the new crown. , Actively prevent and treat complications, prevent secondary infection, timely support organ function, integrate traditional Chinese and Western medicine, and closely monitor the condition.
Yicai reporter learned that at present, Zhongshan Hospital Affiliated to Fudan University has organized a team of top experts in the hospital to be fully responsible for the consultation work of the designated hospital for the new crown of Shanghai Geriatrics Center. The hospital mainly treats patients with new crown positive common and basic diseases (stable period), and the hospital is equipped with corresponding specialized medical staff and medical treatment facilities and equipment.
Academician of the Chinese Academy of Sciences and director of the Department of Cardiology of Zhongshan Hospital, as the leader of the remote consultation expert group of the Geriatrics Center, participated in the consultation of the oldest patient among the critically ill patients. The patient suffered from respiratory distress, rapid heartbeat, and low blood pressure on the morning of April 8, and was in critical condition.
In response to the sudden deterioration of the condition, the hospital quickly launched a consultation plan and organized multidisciplinary remote consultation. During the consultation, Ge Junbo suggested to check inflammatory factors, and consider whether to use monoclonal antibody drugs according to the results; in addition, considering that the patient is old and has anemia, which may aggravate heart failure, blood transfusion is recommended, and related tests are performed to evaluate cardiac function and whether there is pulmonary microembolism. .
According to reports, the 93-year-old man suffers from heart failure, hypertension, chronic obstructive pulmonary disease, renal insufficiency, cerebral infarction, acute pancreatitis, pericardial effusion and other diseases, and his basic physical conditions are very poor. Before admission, the patient developed symptoms such as lethargy, poor appetite and decreased urine output.
The first financial reporter learned on April 11 that the doctors in the ward quickly adjusted the diagnosis and treatment plan according to the consultation opinions of the expert group, and the patient's condition improved significantly and became more stable. However, heart failure is still relatively serious, and proBNP (an indicator of heart failure) has not yet declined significantly.
Vaccination is the fundamental way to prevent severe illness
A person from the Shanghai Public Health Clinical Center told Yicai.com: "At present, there are still relatively few severe cases, because high-risk patients will be sent to the hospital as soon as they are screened, and if they are clinically bad, they will be used immediately. Pfizer, along with other treatments, can quickly control the disease."
Professor Zheng Junhua, the commander-in-chief of the Fangcang shelter hospital of the New International Expo Center and the secretary of the party committee of Shanghai Renji Hospital, also said in an interview with a reporter from China Business News: "The elderly usually suffer from cardiovascular, respiratory, nervous and endocrine system problems. We must pay more attention to the problem. Although the new coronavirus may not directly cause illness, it may lead to aggravation of underlying diseases, and we must pay great attention to treatment.”
Professor Lu Hongzhou, director of the National Clinical Research Center for Infectious Diseases and Shenzhen Third People's Hospital, told Yicai.com: "The most effective and fundamental way to prevent new crown virus infection and severe illness is to receive new crown vaccines and boosters. For the elderly, Tumor patients and people with immunodeficiency, once infected with the new coronavirus, will suffer from severe disease or even death, and after vaccination, the severe disease and fatality rates will be significantly reduced."
At present, more than 11 billion vaccine doses have been administered globally , but there are serious inequalities in vaccination, especially among vulnerable groups such as the elderly and patients with comorbidities. Lu Hongzhou cited statistics. Globally, the coverage rate of vaccines in people over 60 years old is about 65%, which is much lower than that of other groups. The new coronary pneumonia is mainly spread among these unvaccinated high-risk groups and leads to a higher death rate. Rate.
According to data released by the National Health Commission's Bureau of Disease Control on April 5, the number of people over the age of 60 in the country has been vaccinated over 224 million people, over 212 million people have been vaccinated in the whole process, and over 146 million people have been boosted with immunization .
"The vaccination of the elderly, especially the third dose, has become the top priority of our country's epidemic prevention work. Some elderly people worry that vaccination in a state of poor health will face specific risks, and this concern is unimportant. Unfounded and necessary." Lu Hongzhou told China Business News reporter.
Citing statistics, he said that the incidence of severe abnormal reactions such as anaphylactic shock after vaccination is less than one in a million, which is far lower than the fatality rate of new coronary pneumonia in the elderly.
He also said that with the successful development of vaccines with different technical routes such as mRNA vaccines and long-acting inhaled vaccines, the effectiveness of future vaccines will get better and better, and the side effects will become smaller and smaller.
zhttps://news.sina.com.cn/o/2022-04-14/doc-imcwiwst1809587.shtml