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For medical professionals only
On the 6th, the National Health Commission issued the "Diagnosis and Treatment Plan for Novel Coronavirus Infection (Trial Version 10)
".
What are the changes in indicators that should alert to the deterioration of the new crown condition? The programme clearly states that there are different standards
for adults and children.
Adult respiratory distress vigilance deterioration
1.
Hypoxemia or progressive aggravation of respiratory distress;
2.
Deterioration of tissue oxygenation index (such as oxygen saturation, oxygenation index) or progressive increase of lactic acid;
3.
Progressive decrease in peripheral blood lymphocyte count or progressive rise in inflammatory factors such as interleukin 6 (IL-6), CRP, ferritin, etc.
;
4.
D-dimer and other coagulation function related indicators are significantly increased;
5
.
Chest imaging shows significant progression of lung lesions.
Children pay attention to respiratory rate 1.
Increased respiratory rate
;
2.
Poor mental response, drowsiness, convulsions;
3.
Decreased peripheral blood lymphocyte count and (or) thrombocytopenia;
4.
Low (high) blood sugar and (or) elevated lactic acid;
5.
PCT.
Inflammatory factors such as CRP and ferritin were significantly increased;
6.
AST, ALT, CK increased significantly;
7.
D-dimer and other coagulation function related indexes are significantly increased;
8.
Brain imaging with cerebral edema and other changes or chest imaging showing significant progression of lung lesions;
9.
Have underlying medical conditions
.
Who are the high-risk groups for severe / critical COVID? How to do supportive care for heavy/critical illness?
Open the decision assistant App clinical guideline module to search for disease names and dialogue authoritative guidelines at home and abroad! 👇 Download the decision assistant App, the guide is free at any time ~
References: [1] "Diagnosis and Treatment Plan for Novel Coronavirus Infection (Trial Tenth Edition)" ▼▼▼Click to read the original article to download the App
For more guidelines for the diagnosis and treatment of common diseases in the emergency department, go to the "Clinical Decision Assistant App"!
On the 6th, the National Health Commission issued the "Diagnosis and Treatment Plan for Novel Coronavirus Infection (Trial Version 10)
".
What are the changes in indicators that should alert to the deterioration of the new crown condition? The programme clearly states that there are different standards
for adults and children.
Adult respiratory distress vigilance deterioration
1.
Hypoxemia or progressive aggravation of respiratory distress;
2.
Deterioration of tissue oxygenation index (such as oxygen saturation, oxygenation index) or progressive increase of lactic acid;
3.
Progressive decrease in peripheral blood lymphocyte count or progressive rise in inflammatory factors such as interleukin 6 (IL-6), CRP, ferritin, etc.
;
4.
D-dimer and other coagulation function related indicators are significantly increased;
5
.
Chest imaging shows significant progression of lung lesions.
Children pay attention to respiratory rate 1.
Increased respiratory rate
;
2.
Poor mental response, drowsiness, convulsions;
3.
Decreased peripheral blood lymphocyte count and (or) thrombocytopenia;
4.
Low (high) blood sugar and (or) elevated lactic acid;
5.
PCT.
Inflammatory factors such as CRP and ferritin were significantly increased;
6.
AST, ALT, CK increased significantly;
7.
D-dimer and other coagulation function related indexes are significantly increased;
8.
Brain imaging with cerebral edema and other changes or chest imaging showing significant progression of lung lesions;
9.
Have underlying medical conditions
.
Who are the high-risk groups for severe / critical COVID? How to do supportive care for heavy/critical illness?
Open the decision assistant App clinical guideline module to search for disease names and dialogue authoritative guidelines at home and abroad! 👇 Download the decision assistant App, the guide is free at any time ~
References: [1] "Diagnosis and Treatment Plan for Novel Coronavirus Infection (Trial Tenth Edition)" ▼▼▼Click to read the original article to download the App