5月2日，國務院聯防聯控機(ji)制就江蘇(su)省(sheng)疫情防控工(gong)作舉(ju)行(xing)新(xin)聞(wen)發(fa)(fa)布會。中國政府赴委內瑞拉抗疫醫(yi)療*組組長、江蘇(su)省(sheng)衛生健(jian)康委新(xin)冠肺(fei)炎救治*組組長、江蘇(su)省(sheng)人民醫(yi)院呼吸與危重癥醫(yi)學科主任黃茂就如何減少重癥的(de)發(fa)(fa)生率答記者問。

　　黃茂表(biao)示，簡單說來就是(shi)(shi)一個“早(zao)”字，早(zao)發現(xian)、早(zao)篩查(cha)、早(zao)干(gan)預(yu)(yu)，減少輕(qing)癥(zheng)(zheng)向(xiang)重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)的(de)(de)轉(zhuan)化。早(zao)發現(xian)上(shang)建(jian)立(li)預(yu)(yu)警(jing)模型，組織(zhi)臨床救治*，根據臨床醫療信息(xi)，包括向(xiang)危重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)轉(zhuan)化的(de)(de)危險(xian)因素，建(jian)立(li)預(yu)(yu)警(jing)模型。通(tong)過(guo)每(mei)(mei)天就一些重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)敏(min)感的(de)(de)指標(biao)，對(dui)每(mei)(mei)一位(wei)患(huan)(huan)者進行(xing)排查(cha)、篩查(cha)，及時發現(xian)有重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)傾(qing)(qing)向(xiang)的(de)(de)患(huan)(huan)者，及早(zao)進行(xing)干(gan)預(yu)(yu)。在這方(fang)面，通(tong)過(guo)預(yu)(yu)警(jing)模型和每(mei)(mei)天的(de)(de)篩查(cha)，能夠(gou)有效識別由(you)早(zao)期轉(zhuan)化為重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)傾(qing)(qing)向(xiang)的(de)(de)患(huan)(huan)者。在早(zao)期干(gan)預(yu)(yu)上(shang)，針對(dui)患(huan)(huan)者的(de)(de)不同情(qing)況來給予相應的(de)(de)處理(li)。借鑒SARS經驗，把重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)醫學的(de)(de)干(gan)預(yu)(yu)技術引用(yong)(yong)(yong)到(dao)有重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)傾(qing)(qing)向(xiang)的(de)(de)患(huan)(huan)者，比如(ru)俯(fu)臥位(wei)通(tong)氣，過(guo)去(qu)是(shi)(shi)用(yong)(yong)(yong)于重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)和危重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)的(de)(de)呼吸衰(shuai)竭的(de)(de)患(huan)(huan)者，這次用(yong)(yong)(yong)到(dao)了(le)重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)傾(qing)(qing)向(xiang)的(de)(de)患(huan)(huan)者身上(shang)，它大(da)大(da)降(jiang)低(di)了(le)氣管的(de)(de)插(cha)管率，降(jiang)低(di)了(le)重(zhong)(zhong)(zhong)(zhong)(zhong)癥(zheng)(zheng)發生率，提(ti)高了(le)治愈率。

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