新型冠状病毒肺炎患者重症化早期预警,降低重症发生率

Early warning of severe 2019 novel coronavirus pneumonia reduce the incidence of severe care

2019年12月,我国武汉暴发新型冠状病毒肺炎,其中重型、危重型患者救治难度大,医疗资源消耗大。因此,做到重症化早期预警,单独分层精细化管理,早期干预,尽可能降低重症化至关重要。根据目前国内外研究,除了国家卫生健康委员会最新颁布的第七版诊疗方案中提到的重症化早期预警指标,其他新型冠状病毒肺炎患者重症化早期预警指标还包括:老年人、合并慢性基础疾病、呼吸频率增快、CD4+T淋巴细胞数下降、中性粒细胞/淋巴细胞比值增加、存在器官功能损害等。本文旨在对新型冠状病毒肺炎患者重症化早期预警指标作一综述。

In December 2019,a new type of coronavirus pneumonia broke out in Wuhan,China.The treatment of severe and critical patients is difficult and medical resources are consumed.Therefore,early warning of severe disease,separate,fine-grained management and early intervention should be achieved.It is essential to reduce severe disease as much as possible.According to current research,in addition to the severe early warning indicators mentioned in the seventh edition of the diagnosis and treatment plan recently issued by the National Health Commission,other early warning indicators for severe 2019 novel coronavirus pneumonia include:elderly people,combined with chronic underlying diseases,increased respiration rate,decreased CD4+T lymphocyte count,increased neutrophil/lymphocyte ratio,and impaired organ function.This article aims to summarize the early warning indicators of severe 2019 novel coronavirus pneumonia patients.