5月(yue)2日，國務院(yuan)聯(lian)防(fang)聯(lian)控機制就(jiu)江(jiang)蘇(su)省疫(yi)情防(fang)控工作舉行新聞(wen)發布(bu)會。中國政府赴委內瑞拉抗疫(yi)醫(yi)療*組(zu)組(zu)長、江(jiang)蘇(su)省衛生健康(kang)委新冠(guan)肺炎救治*組(zu)組(zu)長、江(jiang)蘇(su)省人民醫(yi)院(yuan)呼(hu)吸與危重癥醫(yi)學科主(zhu)任黃茂就(jiu)如何減(jian)少重癥的發生率答記者問。

　　黃茂(mao)表示，簡(jian)單說(shuo)來就是(shi)一(yi)個(ge)“早(zao)(zao)(zao)”字，早(zao)(zao)(zao)發現(xian)、早(zao)(zao)(zao)篩(shai)查、早(zao)(zao)(zao)干(gan)預(yu)(yu)，減少輕癥(zheng)(zheng)(zheng)(zheng)向(xiang)(xiang)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)的轉(zhuan)化。早(zao)(zao)(zao)發現(xian)上(shang)建(jian)(jian)立(li)(li)預(yu)(yu)警(jing)模型，組織臨床救(jiu)治*，根據臨床醫療(liao)信息，包(bao)括向(xiang)(xiang)危(wei)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)轉(zhuan)化的危(wei)險(xian)因素，建(jian)(jian)立(li)(li)預(yu)(yu)警(jing)模型。通過(guo)每(mei)(mei)天(tian)就一(yi)些重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)敏感的指標，對(dui)每(mei)(mei)一(yi)位患(huan)者(zhe)(zhe)進行(xing)排查、篩(shai)查，及時發現(xian)有(you)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)傾(qing)向(xiang)(xiang)的患(huan)者(zhe)(zhe)，及早(zao)(zao)(zao)進行(xing)干(gan)預(yu)(yu)。在這方面，通過(guo)預(yu)(yu)警(jing)模型和(he)每(mei)(mei)天(tian)的篩(shai)查，能夠有(you)效識別(bie)由早(zao)(zao)(zao)期(qi)轉(zhuan)化為重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)傾(qing)向(xiang)(xiang)的患(huan)者(zhe)(zhe)。在早(zao)(zao)(zao)期(qi)干(gan)預(yu)(yu)上(shang)，針對(dui)患(huan)者(zhe)(zhe)的不同情(qing)況來給予相(xiang)應(ying)的處理。借鑒SARS經驗，把重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)醫學的干(gan)預(yu)(yu)技術引用(yong)到(dao)有(you)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)傾(qing)向(xiang)(xiang)的患(huan)者(zhe)(zhe)，比如(ru)俯臥(wo)位通氣(qi)，過(guo)去是(shi)用(yong)于重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)和(he)危(wei)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)的呼吸衰(shuai)竭的患(huan)者(zhe)(zhe)，這次用(yong)到(dao)了(le)(le)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)傾(qing)向(xiang)(xiang)的患(huan)者(zhe)(zhe)身上(shang)，它(ta)大大降低(di)了(le)(le)氣(qi)管的插(cha)管率(lv)，降低(di)了(le)(le)重(zhong)(zhong)(zhong)癥(zheng)(zheng)(zheng)(zheng)發生率(lv)，提(ti)高了(le)(le)治愈率(lv)。

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