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拐点到了吗?中药有效吗?为什么下水道那么重要?钟南山发声了!
滥觞:央视新闻 中国日报 CGTN 人民日报 中国日报八八正正在线文娱    日期: 2020-02-21
 

“峰值”不即是“拐点”

 

 

2月17日下午,广州医科大教从属第一病院副院长张挪富带领广东医疗队,正正在武汉协和病院西院区经由过程网络平台取中国工程院院士钟南山截至视频会诊。

 

期间,钟南山引见,其团队建立的数教模型将国家强有力干涉法式和春节后务工人员返程高峰两个变量归入考量,那两个变量将改动疾病的自然展开纪律。根据该模型估量,2月中下旬全国病例数将抵达峰值,但其实不意味着抵达峰值后即刻降落

 

“今朝可否曾经抵达峰值还不肯定,还需求再不俗不俗观察几天。” 钟南山说,峰值不即是“拐点”,疫情还有可能跟着务工人员返程再次隐现新的高峰。

 

不外他赔偿,次要大中都会都采取了强有力的法式做好收支人员的检查,果此返程带来新的疫情高峰的可能性不大。

 

The possibility of a spike in new coronavirus cases caused by people returning to big cities after the extended Spring Festival holiday is unlikely, said Chinese respiratory expert Zhong Nanshan on Monday.

 

Zhong said that strong measures taken in major large and medium-sized cities are effective in epidemic prevention and control.

 

According to a mathematical model built by Zhong’s team, the outbreak is expected to reach its peak in mid-late February, but that doesn't mean an immediate fall afterwards. "It is uncertain if the outbreak has reached its peak, we need a few more days of observation," said Zhong.

 

 

八八在线娱乐18日,广东省人民政府新闻办公室召开疫情防控新闻公布会,钟南山院士列席,针对新冠肺炎的治疗、疫情防控等成绩截至了回答。

 

 

连结下水道畅达极为重要

 

 

 

钟南山正正在会上两次提醉,抗御新冠肺炎,连结下水道畅达极为重要!

 

Zhong warned the public to keep their waste pipes unobstructed as the novel coronavirus may spread through drainage systems.

 

 

八八在线娱乐此前,包罗钟南山的团队正正在内的两个团队曾经正正在粪便里缔制新冠病毒,激发人们关于粪口授布的担心。

 

Two separate research groups, one of which was led by Zhong, announced last week they had isolated novel coronavirus strains from samples of infected patients' feces, triggering suspicion of fecal-oral transmission.

 

但钟南山暗示,新冠病毒其实纷歧定经由过程消化道传布感染,而是果为下水道中净化物干了,又经由过程空气、气溶胶传布,人们吸入构成感染八八在线娱乐。那是最合理的解释。

 

"If a waste pipe is blocked, the contaminated air, or the aerosol carrying the novel coronavirus, may cause infection," Zhong said. "I don't think the virus was ingested but inhaled by people," he said, adding that hospitals should also pay attention to drainage pipes.

 

 

前不久,香港有一栋楼宇,上下楼层住户接踵确诊新冠肺炎,激发关注。钟南山说,要吸取2003年SARS期间香港淘大花园的经历,其时一个小区就有300多人感染。

 

He said a similar case happened in 2003, when over 300 people were infected with SARS in a Hong Kong residential community due to the defective design of its sewage system that caused the spread of the virus.

 

武汉还没有截至人传人

 

 

钟南山暗示,全国确诊病例已隐现降落趋势,但武汉仍是关键,如今全国80%新冠肺炎患者正正在武汉,95%以上死亡患者也正正在武汉或周围,果为武汉还没有截至人传人

 

Eighty percent of COVID-19 patients and 95 percent of the deaths are in Wuhan, Zhong said, noting that Wuhan is still the key to the battle against the epidemic, as the confirmed cases outside Hubei province have been declining.

 

Zhong also said person-to-person transmission of the novel coronavirus is still happening in Wuhan, the epicenter of the epidemic.

 

如今迫切需求处理两个成绩,一是普通人和患者分隔,二是新冠肺炎病人和流感病人分隔八八在线娱乐。假设混正正在一同,用了很大的人力财力,那个成绩仍然不能处理。

 

He stressed the importance for Wuhan to distinguish health people from infected patients, and also to distinguish COVID-19 infection from common flu. "Virus transmission between people is unlikely to be halted if these different groups remain together," Zhong said.

 

血浆治疗对重症患者有效

 

 

针对康复病人血浆治疗办法(plasma therapy),钟南山暗示,如今数据太少,还隐现不出统计教的意义八八在线娱乐。正正在武汉如今做了10例,6例经过用药当前,两三天病毒血症消失了,病人临床情况有些改善。

 

钟南山暗示,到今朝为止,血浆治疗是比较老的办法,我认为是一个很有效的办法,特别是对重症病人。紧张的病人就差一些,果为他不但纯是病毒感染。

 

 

The renowned Chinese respiratory scientist also added that plasma therapy is a stable and safe method that has so far been found effective in treating the novel coronavirus patients, especially for those in severe condition. 

 

Ten coronavirus patients in Wuhan have received the treatment so far, six of whom have shown signs of their symptoms easing.

 

 

肯定中药做用

 

 

钟南山暗示,就西药来说,正正在检验考试室缔制的细胞水平对新型冠状病毒有效,实正进入人体有个过程,有相当多的西药体外有效,进到人体没效。

 

但中药不太一样,一些药正正在临床曾经很常用。假设那些中药实的隐现了减少病毒进入细胞或减少炎症,那样就能够给中药使用供给根据和线索。一旦有证据,中药是能够放心用的。特别是针对一些早中期患者

 

"For Western medicine, there is a process before it works in human body even with proven effectiveness in lab," said Zhong. "Quite a few Western drugs are found to be effective in vitro, but not in the human body."

 

The case is different with TCM (Traditional Chinese medicine). Some TCMs have already been commonly used in clinic. Further tests in lab and animals can provide evidence and clues for their use.

 

"Once there is evidence, TCM can be used securely, especially for those early and mid-term patients," said Zhong.

 

磷酸氯喹还够不上特效药,但值得会商

 

 

钟南山引见,磷酸氯喹(Chloroquine phosphate)还够不上特效药,但是它是非常值得会商的药。面对新的工具,经常理论先于科研,摸着石头过河。已有的比利时、美国的研讨表明,磷酸氯喹对冠状病毒是有效的,此次是实正用正正在人体。磷酸氯喹是老药。短期使用来看,没有太大的副做用。相当一部门患者,能够正正在一段时间内使抱病毒转为阳性。和其他药物比较,发热症状消失,副做用不是很大。个别会隐现腹泻,很个别会隐现耳鸣,停药后就会截至。今朝正正正在展开较大(范围)的临床不俗不俗观察,要截至用药和不用药的比较

 

Zhong told reporters work and research are speeding up on medicines to treat this new virus and a drug called Chloroquine phosphate has shown good clinical efficacy.

 

"Chloroquine is not really a kind of medicine with a special effect, but it is worthy of study," Zhong said.

 

 

尸体解剖今朝十分重要

 

 

八八在线娱乐钟南山暗示,17年前的SARS,也是经由过程尸体解剖(post-mortem examinations)理解除了肺部之外,全身净器受损的影响情况。经由过程尸体解剖,此次新冠肺炎患者肺部的暗示,和SARS有点纷歧样,没有宽峻纤维化,肺泡还存正正在,但是炎症很骁怯,还有大量的粘液,十分黏,那将招致病人的通气不畅达。解剖能够辅佐我们认识病人的特性,正正在辅佐他们通气上改动一些方式。

 

据报导,2月16日清晨3时许,正正在国家法律政策允许下,并正正在征得患者家眷同意后,全国第1例新冠肺炎逝世患者的遗体解剖工做正正在武汉金银潭病院完成,并胜利拿到新冠肺炎病理。正正在同一日18点45分,全国第2例新冠肺炎逝世患者的遗体解剖工做也正正在金银潭病院顺利完成,那两具解剖病理今朝已被送检。

 

由解剖获得的新冠肺炎病理,关于探究新冠肺炎患者临床的病理改动、疾病机制等有宽峻辅佐,并能从根柢上觅觅新冠肺炎的致病性、致死性,给已降临床治疗危重症患者供给根据。

 

The dissections of the bodies of the first and second patients who died of the novel coronavirus in China were completed at Wuhan Jinyintan Hospital last Sunday. The move was made subject to the national laws and policies and came after their families granted permission. By obtaining their pathological organs, further studies can be made and aid clinical treatment. 

 

综合滥觞:央视新闻 中国日报 CGTN 人民日报 中国日报八八正正在线文娱


 





 
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