Kev Sib Koom
Txhawm rau kom yeej qhov kev sib ntaus sib tua uas tsis tuaj yeem tiv thaiv thiab tawm tsam COVID-19, peb yuav tsum ua haujlwm ua ke thiab qhia peb cov kev paub thoob ntiaj teb. Thawj Tsev Kho Mob Thawj Coj, Zhejiang University Tsev Kawm Ntawv Tshuaj Kho Mob tau kho 104 tus neeg mob uas tau lees paub COVID-19 nyob rau 50 hnub dhau los, thiab lawv cov kws tshaj lij tau sau cov kev kho mob tiag tiag hmo ntuj thiab nruab hnub, thiab tau tshaj tawm phau ntawv qhia ntawm COVID-19 Kev Tiv Thaiv thiab Kev Kho Mob sai sai, cia siab tias. los qhia lawv cov lus qhia thiab cov lus qhia uas muaj nuj nqis rau cov neeg ua haujlwm kho mob thoob ntiaj teb. Phau ntawv no tau muab piv thiab tshuaj xyuas cov kev paub dhau los ntawm lwm tus kws tshaj lij hauv Suav teb, thiab muab cov ntaub ntawv zoo rau cov tuam haujlwm tseem ceeb xws li kev tswj hwm kab mob hauv tsev kho mob, kev saib xyuas neeg mob, thiab chaw kho mob sab nraud. Phau ntawv no muab cov lus qhia dav dav thiab kev coj ua zoo tshaj plaws los ntawm Tuam Tshoj cov kws tshaj lij rau kev tiv thaiv COVID-19.
Phau ntawv no, muab los ntawm First Affiliated Hospital of Zhejiang University, piav qhia txog yuav ua li cas cov koom haum tuaj yeem txo tus nqi qis thaum ua kom muaj txiaj ntsig zoo tshaj plaws ntawm kev ntsuas los tswj thiab tswj tus kabmob coronavirus. Phau ntawv qhia tseem tham txog vim li cas tsev kho mob thiab lwm lub tsev kho mob yuav tsum muaj cov chaw tswj xyuas thaum ntsib xwm txheej kub ntxhov loj hauv cov ntsiab lus ntawm COVID-19. Phau ntawv no tseem muaj cov hauv qab no:
Cov tswv yim txuj ci rau kev daws teeb meem thaum muaj xwm txheej ceev.
Txoj kev kho mob los kho tus mob hnyav.
Kev txhawb nqa kev txiav txim siab zoo.
Cov kev coj ua zoo tshaj plaws rau cov tuam tsev tseem ceeb xws li kev tswj xyuas kev kis mob thiab cov chaw kho mob sab nraud.
Editor's Note:
Tau ntsib tus kab mob tsis paub, kev sib koom thiab kev sib koom tes yog qhov kev kho zoo tshaj plaws. Kev tshaj tawm ntawm Phau Ntawv Qhia no yog ib txoj hauv kev zoo tshaj plaws los cim lub siab tawv thiab kev txawj ntse uas peb cov neeg ua haujlwm kho mob tau pom nyob rau ob lub hlis dhau los. Ua tsaug rau txhua tus neeg uas tau pab txhawb rau Phau Ntawv Qhia no, sib qhia cov kev paub tseem ceeb nrog cov npoj yaig saib xyuas kev noj qab haus huv thoob ntiaj teb thaum cawm cov neeg mob txoj sia. Ua tsaug rau kev txhawb nqa los ntawm cov npoj yaig saib xyuas kev noj qab haus huv hauv Suav teb uas tau muab cov kev paub uas txhawb nqa thiab txhawb nqa peb. Ua tsaug rau Jack Ma Foundation tau pib txoj haujlwm no, thiab rau AliHealth rau kev txhawb nqa txuj ci, ua kom phau ntawv no muaj peev xwm los txhawb kev tawm tsam kev sib kis. Phau ntawv no muaj pub dawb rau txhua tus. Txawm li cas los xij, vim lub sijhawm txwv, tej zaum yuav muaj qee qhov yuam kev thiab tsis raug. Koj cov lus teb thiab cov lus qhia zoo siab txais tos!
Prof. Tingbo LIANG
Editor-in-Chief ntawm Phau Ntawv Qhia ntawm COVID-19 Kev Tiv Thaiv thiab Kev Kho Mob
Thawj Tswj Hwm ntawm Thawj Tsev Kho Mob, Zhejiang University School of Medicine
Cov ntsiab lus
Part 1 Kev Tiv Thaiv thiab Tswj Kev Tswj
I. Isolation Area Management………………………………………………………………………………………………………………………………………………………………
II. Kev Tswj Xyuas Cov Neeg Ua Haujlwm …………………………………………………………………………………………………………..4
Ill. COVID-19 Related Management Personal Protection Management…………………………………………………….5
IV. Tsev Kho Mob Practice Protocols thaum lub sij hawm tus kab mob COVID-19 .................................................................6
V. Kev Txhawb Nqa Digital rau Kev Tiv Thaiv Kab Mob thiab Tswj. …………………………………………………….16
Ntu Ob Kev kuaj mob thiab kev kho mob
I. Personalized, Collaborative and Multidisciplinary Management………………………………………18
II.Etiology and Inflammation lndicators………………………………………………………………….19
Ill. Imaging Finds of COVID-19 Patients……………………………………………………………………..21
IV. Daim Ntawv Thov Bronchoscopy hauv Kev Ntsuas thiab Kev Tswj Xyuas Cov Neeg Mob COVID-19……..22
V. Diagnosis and Clinical Classification of COVID-19………………………………………………………………… 22
VI. Antiviral Treatment for Timely Elimination of Pathogens …………………………………………………… 23
VII. Anti-shock and Anti-hypoxemia Treatment ………………………………………………………………… 24
VIII. Txoj Kev Siv Tshuaj Tiv Thaiv Kab Mob Tiv Thaiv Kab Mob Thib Ob …………………………………………….29
IX. Qhov Sib npaug ntawm plab hnyuv microecology thiab kev txhawb nqa khoom noj khoom haus ……………………………………….30
X. ECMO Kev them nyiaj yug rau cov neeg mob COVID-19……………………………………………………………………………….32
XI. Convalescent Plasma Therapy for COVID-19 Patients ……………………………………………………35
XII. TCM Classification Therapy to Improve Curative Efficacy……………………………………….36
XIII. Kev Tswj Kev Siv Tshuaj Ntawm Cov Neeg Mob COVID-19………………………………………………………………….37
XIV. Psychological Intervention for COVID-19 Patients……………………………………………………….41
XV. Rehabilitation Therapy for COVID-19 Patients …………………………………………………………………..42
XVI. Kev hloov lub ntsws hauv cov neeg mob nrog COVID-l 9………………………………………………………………….44
XVII. Kev Tso Cai Tawm Tawm thiab Kev Npaj Ua Raws Li Kev Npaj rau Cov Neeg Mob COVID-19 ……………………………………….45
Ntu Peb Kev Saib Xyuas Neeg Mob
I. Kev Saib Xyuas Kev Kho Mob rau Cov Neeg Mob Tau Txais Cov Ntsws Nasal Cannula {HFNC) Oxygen Therapy……….47
II. Kev saib xyuas neeg mob hauv cov neeg mob uas muaj tshuab cua tshuab………………………………………………………………….47
Ill. Kev Tswj Xyuas Txhua Hnub thiab Kev Saib Xyuas ntawm ECMO {Ntxiv Cov Corporeal Membrane Oxygenation)…….49
IV. Kev Saib Xyuas Neeg Mob ntawm ALSS {Artificial Liver Support System)………………………………………………………..50
V. Kev Kho Mob Rau Lub Raum Nruam Ntxiv {CRRT) Kev Kho Mob……………………………………………………….51
VI. General Care………………………………………………………………………………………………………….52
Cov ntawv ntxiv
I. Medical Advice Example for COVID-19 Patients …………………………………………………………………..53
II. Cov Txheej Txheem Kev Sib Tham Hauv Online rau Kev Kho Mob thiab Kev Kho Mob …………………………………………………….57
References……………………………………………………………………………………………………………………………………. .59