[Thoughts and practice on the treatment of severe and critical new coronavirus pneumonia].
Identifieur interne : 000014 ( an2020/Analysis ); précédent : 000013; suivant : 000015[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
Affiliations:
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Yang</name><affiliation wicri:level="1"><nlm:affiliation>Division of Cardiology, Peking University First Hospital, Beijing 100034, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Division of Cardiology, Peking University First Hospital, Beijing 100034</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Weng, H Y" sort="Weng, H Y" uniqKey="Weng H" first="H Y" last="Weng">H Y Weng</name><affiliation wicri:level="1"><nlm:affiliation>Division of Cardiology, Peking University First Hospital, Beijing 100034, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Division of Cardiology, Peking University First Hospital, Beijing 100034</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Dong, J P" sort="Dong, J P" uniqKey="Dong J" first="J P" last="Dong">J P Dong</name><affiliation wicri:level="1"><nlm:affiliation>Division of Digestive Disease, Peking University First Hospital, Beijing 100034, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Division of Digestive Disease, Peking University First Hospital, Beijing 100034</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Liu, J W" sort="Liu, J W" uniqKey="Liu J" first="J W" last="Liu">J W Liu</name><affiliation wicri:level="1"><nlm:affiliation>Division of Thoracic Surgery, Peking University First Hospital, Beijing 100034, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Division of Thoracic Surgery, Peking University First Hospital, Beijing 100034</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wang, Y Y" sort="Wang, Y Y" uniqKey="Wang Y" first="Y Y" last="Wang">Y Y Wang</name><affiliation wicri:level="1"><nlm:affiliation>Division of Thoracic Surgery, Peking University First Hospital, Beijing 100034, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Division of Thoracic Surgery, Peking University First Hospital, Beijing 100034</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Liu, X M" sort="Liu, X M" uniqKey="Liu X" first="X M" last="Liu">X M Liu</name><affiliation wicri:level="1"><nlm:affiliation>Division of Geriatrics, Peking University First Hospital, Beijing 100034, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Division of Geriatrics, Peking University First Hospital, Beijing 100034</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author></analytic><series><title level="j">Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases</title><idno type="ISSN">1001-0939</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Li, H C" sort="Li, H C" uniqKey="Li H" first="H C" last="Li">H C Li</name></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></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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