First, adjust the name of the disease.
Adjust "novel coronavirus" to "novel coronavirus infection".
Second, the gateway forward to strengthen the clinical early warning of severe cases _
The "Program" further clarified the high-risk groups of serious diseases. COVID-19 pneumonia patients who have not reached the diagnosis standard of severe illness, but have reached the age of 65, have not completed the whole vaccination and are complicated with serious chronic diseases, can be managed according to severe illness. Monitor the vital signs of severe high-risk groups, especially the finger oxygen saturation at rest and after exercise; Emphasize the role of hypoxia in clinical early warning of severe diseases. After light activity, the blood oxygen saturation is 94%, so be alert to the deterioration of the condition.
Third, the effective treatment methods in clinical practice are included in the "Program".
In general treatment, symptomatic treatments such as high fever and cough are added; Small molecule drugs that have been approved for marketing in China have been added to antiviral therapy; Anticoagulation therapy increased; The importance of conscious prone position ventilation is emphasized. In oxygen therapy and respiratory support therapy, combined with the latest knowledge and research evidence, it is pointed out that nasal large-flow oxygen therapy is superior to nasal catheter or mask oxygen inhalation, the setting method of positive end-expiratory pressure is improved, and the lung protection measures of mechanical ventilation are strengthened.
Fourth, revise and improve the treatment of traditional Chinese medicine.
Some syndrome types and "combination of disease and syndrome treatment" have been added, and the guidance of clinical treatment of critical cases with integrated traditional Chinese and western medicine has been strengthened, giving full play to the characteristics and advantages of traditional Chinese medicine.
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