诊疗方案试行第四版，有七点你需要了解！
<div class="wx_rich_media_content" id="jsWxContainer"><p style='text-align: center;'></p><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important; overflow-wrap: break-word !important;'><br style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></p><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>国家卫健委1月27日发布《新型冠状病毒感染的肺炎诊疗方案（试行第四版）》。</span><span style='font-size: 16px;'>相关方案是根据疫情发展和临床科学观察，为全国医务人员做出的诊疗参考指南，不断在更新，其中试行第三版的发布时间是1月23日。</span><span style='font-size: 16px;'>第四版透露出哪些对疫情的最新共识？</span><span style='font-size: 16px;'>“新华视点”记者采访了权威医学专家。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'> </span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识一：</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>哪些人群易感？</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案提到，儿童及婴幼儿也有发病。</span><span style='font-size: 16px;'>还提到从目前收治的病例情况看，多数患者预后良好，儿童病例症状相对较轻，少数患者病情危重。</span><span style='font-size: 16px;'>死亡病例多见于老年人和有慢性基础疾病者。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>北京大学第三医院援鄂医疗队队长、危重症医学科副主任葛庆岗表示，人群普遍易感，老年人及有基础疾病者感染后病情较重。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识二：</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>传播途径主要有哪些？</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案明确，呼吸道飞沫传播是主要的传播途径，亦可通过接触传播。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>北京协和医院感染内科主任李太生表示，通过在公共场合科学、合理佩戴N95或者医用外科口罩基本可以阻断由于患者喷嚏、咳嗽带来的飞沫传播。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>所谓接触传播，是指患者喷嚏、咳嗽的飞沫最终会沉积在地面、桌椅等物品上。</span><span style='font-size: 16px;'>如果接触被病毒污染的物品，手也会被污染，如果再接触口腔、鼻腔、眼睛等的黏膜，便会引起感染。</span><span style='font-size: 16px;'>李太生说：</span><span style='font-size: 16px;'>“所以，一定要注意手部卫生，及时用肥皂和流水洗手。</span><span style='font-size: 16px;'>在没有条件清洗的时候，不要用手乱摸。</span><span style='font-size: 16px;'>”</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>李太生表示，人流量大的公共场所尤其是密闭空间，如商场、车站、车厢里，应该科学佩戴口罩，但是如果去空气流通场所，比如非高发区的公园、骑单车，以及在私家车里，则没有必要。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>北京协和医院感染内科副主任曹玮表示，戴口罩是要防止飞沫传播感染，而飞沫能喷溅的有效距离大概也就是1.5米到2米。</span><span style='font-size: 16px;'>所以，在没人且空气流通的情况下是没有必要佩戴口罩的。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>至于是否需要戴手套，李太生说，对于公众来讲是没有必要的。</span><span style='font-size: 16px;'>进行科学、规范、有效的防护和勤洗手已经足够。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识三：</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>感染者有哪些临床表现？</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案提到，以发热、乏力、干咳为主要表现。</span><span style='font-size: 16px;'>少数患者伴有鼻塞、流涕、腹泻等症状。</span><span style='font-size: 16px;'>重型病例多在一周后出现呼吸困难，严重者快速进展为急性呼吸窘迫综合征、脓毒症休克、难以纠正的代谢性酸中毒和出凝血功能障碍。</span><span style='font-size: 16px;'>值得注意的是重型、危重型患者病程中可为中低热，甚至无明显发热。</span><span style='font-size: 16px;'>部分患者仅表现为低热、轻微乏力等，无肺炎表现，多在1周后恢复。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>李太生表示，比起第三版诊疗方案，新版方案明确了基于目前的流行病学调查,潜伏期一般为3-7天，最长不超过14天。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识四：</strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'>如何确诊？</strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>由于冬季本身就是呼吸道疾病的高发季节，新型冠状病毒感染的肺炎、流感、普通感冒之间很难区分。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案提到，流行病学史包括：</span><span style='font-size: 16px;'>发病前14天内有武汉地区或其他有本地病例持续传播地区的旅行史或居住史；</span><span style='font-size: 16px;'>发病前14天内曾接触过来自武汉市或其他有本地病例持续传播地区的发热或有呼吸道症状的患者；</span><span style='font-size: 16px;'>有聚集性发病或与新型冠状病毒感染者有流行病学关联。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>同时，目前各省份病例明显增加，在一些地区已发现无武汉旅行史、接触史。</span><span style='font-size: 16px;'>“所以，第四版诊疗方案把流行病学的筛查条件放宽了。</span><span style='font-size: 16px;'>有三个临床表现：</span><span style='font-size: 16px;'>一是发热；</span><span style='font-size: 16px;'>二是查血常规后发现白细胞总数正常或降低，或淋巴细胞计数减少；</span><span style='font-size: 16px;'>三是做CT显示肺炎，符合两条就应该去做核酸筛查。</span><span style='font-size: 16px;'>”李太生说。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案提到，有流行病学史中的任何一条，且符合临床表现中任意2条，就建议去发热门诊进行核酸确诊筛查。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识五：</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>目前治愈案例用了哪些治疗手段？</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>“目前还没有循证医学证据支持现有抗病毒药物对新型冠状病毒感染的肺炎有明显效用，现在治愈出院的病人，基本都是对症治疗，时间到了扛过来了。</span><span style='font-size: 16px;'>”李太生表示。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>上海交通大学医学院附属瑞金医院感染科主任谢青表示，对症治疗指的是运用药物改善疾病症状，但不能消除病因的治疗。</span><span style='font-size: 16px;'>当患者出现没有特定治疗手段且危及生命的病症时，应优先进行对症治疗。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>李太生说，由于没有特效药，所以最好的治疗方案依然是对症治疗，缓解症状，病愈还是要靠人体免疫力。</span><span style='font-size: 16px;'>“如果发烧吃不了东西，就输液；</span><span style='font-size: 16px;'>如果合并细菌感染，就用抗生素；</span><span style='font-size: 16px;'>如果呼吸不好，就吸点氧。</span><span style='font-size: 16px;'>给患者一些缓冲时间，让免疫力扛过来，就恢复好了。</span><span style='font-size: 16px;'>”</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>“临床发现，重症病人多有呼吸紧迫、气急、憋气等现象。</span><span style='font-size: 16px;'>如果发现病人出现以上症状，应该及时给予给氧治疗。</span><span style='font-size: 16px;'>”谢青提示，这也是写进国家卫健委制定的第四版诊疗方案中的治疗措施之一，应该被重视。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识六：</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'>解除隔离和出院标准是什么？</span></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;'></span></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案规定了解除隔离和出院标准。</span><span style='font-size: 16px;'>即体温恢复正常3天以上、呼吸道症状明显好转，连续两次呼吸道病原核酸检测阴性（采样时间间隔至少1天）。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>“疾病的发生、发展、治疗有一个过程。</span><span style='font-size: 16px;'>此次新型冠状病毒感染的肺炎导致机体细胞损伤、炎症因子释放以及器官功能损伤，需要逐渐修复，基本2至3周，重者可能更长。</span><span style='font-size: 16px;'>目前还没有到大规模确诊患者临床治愈的时间段。</span><span style='font-size: 16px;'>”北京大学人民医院援鄂医疗队队长、重症医学科副主任张柳说。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>张柳表示，很多症状缓解、临床治愈的患者还没有达到这种标准，核酸检测和确认本身也需要时间。</span><span style='font-size: 16px;'>另外，重症患者中很多为高龄或者基础疾病较多、已经存在器官功能损伤，这些基础疾病状态会和感染状态互相交织，情况就更为复杂，导致迁延不愈。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'> </strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='max-width: 100%;color: rgb(0, 128, 255);font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;'><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'>认识七：</strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'>已公布死亡病例有哪些特点？</strong><strong style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></strong></span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>第四版诊疗方案提到，死亡病例多见于老年人和有慢性基础疾病者。</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>李太生也表示，从已公布的信息发现，死亡病例约75%在60岁以上，并且多数伴有基础性疾病。</span><span style='font-size: 16px;'>“然而是新型冠状病毒引起基础疾病加重后致死，还是直接致死，目前仍然不清楚。</span><span style='font-size: 16px;'>”</span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'> </span></section><section style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; margin-left: 8px; margin-right: 8px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span style='font-size: 16px;'>已经治愈出院的病例是否会产生抗体？</span><span style='font-size: 16px;'>北京医院援鄂医疗队专家组组长、呼吸与危重症医学科许小毛表示，抗体是一定会产生的。</span><span style='font-size: 16px;'>“因为病毒入侵人体后，会激发人体的特有免疫，产生抗体，进而杀死病毒。</span><span style='font-size: 16px;'>”</span></section><p style='max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important; overflow-wrap: break-word !important;'><br></p><section label="Copyright2014 playhudong All Rights Reserved." style='max-width: 100%; letter-spacing: 0.544px; font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;'><span class="wxart_image" wx-style='display:inline-block;margin-right: auto;margin-left: auto;line-height: 25.6px;display: block;width: 677px;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;'><br></span></section><p style='max-width: 100%; min-height: 1em; letter-spacing: 0.544px; text-align: center; font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;'><br style='max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;'></p><section data-id="1" data-color="rgb(198, 198, 199)" style='max-width: 100%; letter-spacing: 0.544px; font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;'><section data-id="2446" data-tools="135编辑器" data-color="rgb(198, 198, 199)" data-custom="rgb(33, 33, 34)" style='max-width: 100%;box-sizing: border-box;border-width: 0px;border-style: none;border-color: initial;overflow-wrap: break-word !important;'><section style='padding-right: 8px;padding-left: 8px;max-width: 100%;box-sizing: border-box;border-color: rgba(163, 163, 163, 0.843);text-align: inherit;text-decoration: inherit;border-left-width: 3px;border-left-style: solid;overflow-wrap: break-word !important;'><section data-style='border-color: rgb(117, 117, 118); color: inherit; font-size: 12px;' style='margin-top: 5px;padding-left: 3px;max-width: 100%;box-sizing: border-box;border-color: rgb(198, 198, 199);text-align: inherit;color: rgb(70, 70, 72);text-decoration: inherit;overflow-wrap: break-word !important;'><p style='max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;'><span style='max-width: 100%; color: rgb(0, 0, 0); text-align: inherit; text-decoration: inherit; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important; overflow-wrap: break-word !important;'>来源：“新华视点”</span></p></section></section></section></section><p style='max-width: 100%; min-height: 1em; letter-spacing: 0.544px; font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;'></p></div><p></p>
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