What are the different types of focus in treating new crown critical cases? Experts explain in detail

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On the afternoon of January 9, the State Council held a press conference on the joint prevention and control mechanism, the theme of which was “Introduction of the 10th edition of the treatment plan”. Comrades in charge of the Medical Emergency Department of the National Health Commission, the Medical Secretary of the State Bureau of Traditional Chinese Medicine, and comrades in charge of relevant medical institutions and experts attended the conference.

A reporter from the Financial Program Center of China Central Radio and Television (CCTV) asked: How many types of severe cases are treated with the new coronavirus and what is the focus of the different types of treatment?

Wang Guiqiang, director of the Department of Infectious Diseases at Peking University First Hospital, said that the overall pathogenicity of Omicron infection is currently decreasing, but there are still some elderly people with underlying diseases, those who have not been vaccinated and those with low immune function, who will have severe cases, manifesting as severe pneumonia and respiratory failure. In order to better guide clinical practice, the tenth edition of the treatment plan emphasizes the definition of severe cases of neocoronavirus infection as pneumonia caused by neocoronavirus infection as the main manifestation, called severe cases, other is due to the aggravation of the underlying disease, induced by the underlying disease, etc., that is as the underlying disease or other diseases resulting in severe cases, so there is a difference.

Wang Guiqiang introduced, for the new coronavirus infection pneumonia caused by severe cases, we emphasize respiratory support, including early oxygen therapy, prone position, airway management and so on. There is a basic definition for severe cases of neo-coronavirus infection: first, clinically severe exacerbation. Second, oxygen saturation less than or equal to 93%, oxygenation index less than 300, hypoxemia and severe hypoxemia, which cannot be explained by other pulmonary diseases or other systemic diseases, we classify this as a severe case due to neocoronavirus infection. The treatment of severe cases just mentioned is mainly respiratory support treatment, we also pay attention to other non-respiratory severe cases, non-respiratory failure caused by severe cases, including the comprehensive treatment of the underlying disease, so we emphasize that respiratory support for severe cases caused by the new crown is the main focus, other severe cases need multidisciplinary cooperation model, for the underlying disease, including pneumonia, including a variety of underlying disease failure, organ failure for organ Support, so it is a multidisciplinary model of cooperation to minimize the risk of serious illness and death.

Wang Guiqiang said that we should especially strengthen the elderly, those who have underlying diseases, those who are not vaccinated, this group of people often due to the deterioration of the underlying disease or even death, comprehensive treatment, intervention for the underlying disease is also a very important part.