[Thoughts and practice on the treatment of severe and critical new coronavirus pneumonia].
Identifieur interne : 001243 ( Ncbi/Merge ); précédent : 001242; suivant : 001244[Thoughts and practice on the treatment of severe and critical new coronavirus pneumonia].
Auteurs : H C Li [République populaire de Chine] ; J. Ma [République populaire de Chine] ; H. Zhang [République populaire de Chine] ; Y. Cheng [République populaire de Chine] ; X. Wang [République populaire de Chine] ; Z W Hu [République populaire de Chine] ; N. Li [République populaire de Chine] ; X R Deng [République populaire de Chine] ; Y. Zhang [République populaire de Chine] ; X Z Zheng [République populaire de Chine] ; F. Yang [République populaire de Chine] ; H Y Weng [République populaire de Chine] ; J P Dong [République populaire de Chine] ; J W Liu [République populaire de Chine] ; Y Y Wang [République populaire de Chine] ; X M Liu [République populaire de Chine]Source :
- Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases [ 1001-0939 ] ; 2020.
Abstract
Severe and critical coronavirus pneumonia 2019 (COVID-19) often occurs in elder patients with multiple comorbidities, and severe hypoxemia events are an important factor in the deterioration of some cases. The critical type of COVID-19 could progress to acute respiratory distress syndrome and multi-organ dysfunction, which are the most important causes of death. Early start with non-invasive ventilation (NIV) against the possible physiological abnormalities could be helpful to improve prognosis. Close monitoring of oxygenation, reducing patients' oxygen consumption, active psychological intervention, and rapidly dealing with severe hypoxemia events are the key factors for the successful treatment of NIV. In addition, active adjuvant therapy is also important, such as correcting coagulation dysfunction, providing proper nutritional support, accurate volume control, and safe individualized blood glucose monitoring and control.
DOI: 10.3760/cma.j.cn112147-20200312-00320
PubMed: 32186172
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pubmed:32186172Le document en format XML
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<front><div type="abstract" xml:lang="en">Severe and critical coronavirus pneumonia 2019 (COVID-19) often occurs in elder patients with multiple comorbidities, and severe hypoxemia events are an important factor in the deterioration of some cases. The critical type of COVID-19 could progress to acute respiratory distress syndrome and multi-organ dysfunction, which are the most important causes of death. Early start with non-invasive ventilation (NIV) against the possible physiological abnormalities could be helpful to improve prognosis. Close monitoring of oxygenation, reducing patients' oxygen consumption, active psychological intervention, and rapidly dealing with severe hypoxemia events are the key factors for the successful treatment of NIV. In addition, active adjuvant therapy is also important, such as correcting coagulation dysfunction, providing proper nutritional support, accurate volume control, and safe individualized blood glucose monitoring and control.</div>
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<Day>18</Day>
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<Abstract><AbstractText>Severe and critical coronavirus pneumonia 2019 (COVID-19) often occurs in elder patients with multiple comorbidities, and severe hypoxemia events are an important factor in the deterioration of some cases. The critical type of COVID-19 could progress to acute respiratory distress syndrome and multi-organ dysfunction, which are the most important causes of death. Early start with non-invasive ventilation (NIV) against the possible physiological abnormalities could be helpful to improve prognosis. Close monitoring of oxygenation, reducing patients' oxygen consumption, active psychological intervention, and rapidly dealing with severe hypoxemia events are the key factors for the successful treatment of NIV. In addition, active adjuvant therapy is also important, such as correcting coagulation dysfunction, providing proper nutritional support, accurate volume control, and safe individualized blood glucose monitoring and control.</AbstractText>
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<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Division of Critical Care Medicine, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Deng</LastName>
<ForeName>X R</ForeName>
<Initials>XR</Initials>
<AffiliationInfo><Affiliation>Division of Rheumatology, Peking University First Hospital, , Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Y</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Division of Endocrinology, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zheng</LastName>
<ForeName>X Z</ForeName>
<Initials>XZ</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yang</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Weng</LastName>
<ForeName>H Y</ForeName>
<Initials>HY</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dong</LastName>
<ForeName>J P</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Division of Digestive Disease, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>J W</ForeName>
<Initials>JW</Initials>
<AffiliationInfo><Affiliation>Division of Thoracic Surgery, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Y Y</ForeName>
<Initials>YY</Initials>
<AffiliationInfo><Affiliation>Division of Thoracic Surgery, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>X M</ForeName>
<Initials>XM</Initials>
<AffiliationInfo><Affiliation>Division of Geriatrics, Peking University First Hospital, Beijing 100034, China.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>chi</Language>
<PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>03</Month>
<Day>18</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>China</Country>
<MedlineTA>Zhonghua Jie He He Hu Xi Za Zhi</MedlineTA>
<NlmUniqueID>8712226</NlmUniqueID>
<ISSNLinking>1001-0939</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<OtherAbstract Type="Publisher" Language="chi"><AbstractText>重型和危重型新型冠状病毒肺炎常常发生于高龄及多合并疾病患者,严重低氧事件是造成部分病例病情恶化的重要因素。危重型可进展为急性呼吸窘迫综合征及多器官功能障碍,是造成死亡的重要原因。针对可能的病生理异常,及早开始无创通气治疗有助于改善预后。严密监护氧合情况、降低患者氧耗量、积极心理干预、迅速处理低氧事件是无创通气成功治疗的关键因素。积极纠正凝血功能紊乱、合理的营养支持、准确的容量控制和安全个体化的血糖监控等治疗具有重要意义。.</AbstractText>
</OtherAbstract>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Early intervention</Keyword>
<Keyword MajorTopicYN="N">Non-invasive ventilation</Keyword>
<Keyword MajorTopicYN="N">Very severe hypoxemia events</Keyword>
<Keyword MajorTopicYN="N">acute respiratory distress syndrome</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>3</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>3</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>3</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>aheadofprint</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32186172</ArticleId>
<ArticleId IdType="doi">10.3760/cma.j.cn112147-20200312-00320</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>République populaire de Chine</li>
</country>
<settlement><li>Pékin</li>
</settlement>
</list>
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</noRegion>
<name sortKey="Cheng, Y" sort="Cheng, Y" uniqKey="Cheng Y" first="Y" last="Cheng">Y. Cheng</name>
<name sortKey="Deng, X R" sort="Deng, X R" uniqKey="Deng X" first="X R" last="Deng">X R Deng</name>
<name sortKey="Dong, J P" sort="Dong, J P" uniqKey="Dong J" first="J P" last="Dong">J P Dong</name>
<name sortKey="Hu, Z W" sort="Hu, Z W" uniqKey="Hu Z" first="Z W" last="Hu">Z W Hu</name>
<name sortKey="Li, N" sort="Li, N" uniqKey="Li N" first="N" last="Li">N. Li</name>
<name sortKey="Liu, J W" sort="Liu, J W" uniqKey="Liu J" first="J W" last="Liu">J W Liu</name>
<name sortKey="Liu, X M" sort="Liu, X M" uniqKey="Liu X" first="X M" last="Liu">X M Liu</name>
<name sortKey="Ma, J" sort="Ma, J" uniqKey="Ma J" first="J" last="Ma">J. Ma</name>
<name sortKey="Wang, X" sort="Wang, X" uniqKey="Wang X" first="X" last="Wang">X. Wang</name>
<name sortKey="Wang, Y Y" sort="Wang, Y Y" uniqKey="Wang Y" first="Y Y" last="Wang">Y Y Wang</name>
<name sortKey="Weng, H Y" sort="Weng, H Y" uniqKey="Weng H" first="H Y" last="Weng">H Y Weng</name>
<name sortKey="Yang, F" sort="Yang, F" uniqKey="Yang F" first="F" last="Yang">F. Yang</name>
<name sortKey="Zhang, H" sort="Zhang, H" uniqKey="Zhang H" first="H" last="Zhang">H. Zhang</name>
<name sortKey="Zhang, Y" sort="Zhang, Y" uniqKey="Zhang Y" first="Y" last="Zhang">Y. Zhang</name>
<name sortKey="Zheng, X Z" sort="Zheng, X Z" uniqKey="Zheng X" first="X Z" last="Zheng">X Z Zheng</name>
</country>
</tree>
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