Recently, deputy head nurse Lai Lan of the Qingchun Campus of the First Affiliated Hospital of Zhejiang University School of Medicine
Lai Lan told reporters:
In the past few days, htm who came to the fever clinic l3
The number of elderly people and patients with underlying diseases is increasing
The elderly are "positive"
What should we be wary of?
What should the elderly do to prevent new crown
?
How long after "Yangkang" can I visit the elderly?
Many experts gave advice
Be wary of "silent hypoxia"
On the evening of December 21, Zhang Wenhong, director of the Department of Infectious Diseases at Huashan Hospital affiliated to Fudan University and director of the National Medical Center for Infectious Diseases, mentioned in his speech that we should be wary of "silent hypoxia" in the elderly.
What is "silent hypoxia"?
Zhang Wenhong noticed that some elderly patients were sent to the hospital too late because they were slow to respond to hypoxia and even did not feel chest tightness or difficulty breathing at all. This phenomenon can be called "silent hypoxia." He gave the example of a ninety-year-old man who was lying motionless in bed and had been deprived of oxygen for a long time when he noticed an abnormality. Especially the elderly who have busy children and are cared for by their aunts may have a higher risk of this kind of "silent hypoxia".
What should we do if we encounter "silent hypoxia"?
Cao Bin, deputy director of the China-Japan Friendship Hospital, director of the Department of Respiratory and Critical Care Medicine, and deputy director of the National Center for Respiratory Medicine, suggested that vulnerable groups should receive antiviral drug treatment as early as possible in the early stages of the disease, and prepare finger-clip oximeter for severe monitoring. He mentioned that some elderly people do not have obvious chest tightness or difficulty breathing when they are severely hypoxic (even the blood oxygen saturation is lower than 70%). "This is very dangerous and requires immediate oxygen intake."
"If hypoxia cannot be corrected in a short period of time, the patient can easily progress to critical pneumonia." Zhang Wenhong emphasized that the detection of severe risks must be pushed forward, and it is recommended that neighborhood committees or companies send a pulse oximeter to every family with elderly people.
In addition, he proposed that primary hospitals must actively carry out "on-site treatment". Primary hospitals should have the ability to provide basic oxygen therapy, low-dose hormones, and prone position ventilation treatment. This will lay a good foundation for hierarchical diagnosis and treatment of the new coronavirus epidemic, avoid medical resource runs, and enable high-level hospitals to promptly treat critically ill patients, or even if higher-level hospitals are overwhelmed, patients can return to grassroots hospitals to solve problems.
"A change in the mechanism may benefit many people. Doctors at different levels, especially grassroots doctors, can play a greater role." Therefore, he hopes that all hospitals and departments with beds should be well trained and trained in treating COVID-19 patients, especially doctors in the respiratory department, infectious disease department and critical care department.
The elderly also need to be wary of viral pneumonia
Cao Bin said that recent statistics from China-Japan Friendship Hospital on some Omicron mild cases show that most patients can turn negative for nucleic acid in 5 to 7 days, and only 10% turn negative after more than 7 days. Severe disease means the potential for death, including the aggravation of underlying diseases (such as tumors, cerebral hemorrhage, cerebral infarction, liver cirrhosis, uremia, etc.).
"We have also seen that a large number of severe cases of patients are indeed caused by viral pneumonia. It mostly occurs in vulnerable groups, such as the elderly over 65 years old, obesity, combined with underlying diseases, tumors, immune deficiency , etc. But the most frightening thing is that patients without obvious underlying diseases can also cause Omicron virus pneumonia."Among the four Omicron virus pneumonia cases shared by Cao Bin, there was a 50-year-old man with no obvious underlying diseases, and a 48-year-old man who had received three shots of the vaccine, but had a history of obesity and high blood pressure for ten years.
Omicron virus Pneumonia is characterized by diffuse ground-glass opacity in both lungs, often one week after infection. "Now we have seen many critically ill patients with severe respiratory failure, requiring prone position mechanical ventilation, or even virus-induced shock. "Cao Bin said.
Zhang Wenhong pointed out that judging whether symptoms are mild or severe mainly depends on whether there is high fever. High fever that does not subside for several days or difficulty breathing are relatively serious. Objective indicators for evaluating the condition are It is a test of blood oxygen saturation. It is dangerous if it is lower than 95. If it is lower than 95, you should be vigilant and you need to seek medical treatment in time. You should also check your pulse. If the pulse is very fast, you need to worry about whether the lungs and heart are affected.
Cao Bin said that if it develops into severe disease, it is necessary. During intubation, the patient has a smaller chance of survival. Currently, the more recognized strategy is the prone position protective lung ventilation strategy. Full vaccination, early use of antiviral treatment, and blood oxygen monitoring are all very important and effective means to prevent severe illness.
How should the elderly take precautions?
html On the 122nd, Zhang Wenhong mentioned in a live broadcast that nutritional intake is very important for the elderly to prevent and treat new coronavirus . " Protein intake and nutritional enhancement are very important for the elderly, so that once they are infected with the new coronavirus, they can have relatively strong body resistance. ”
Zhang Wenhong suggested that under the current high incidence of COVID-19 infection, the elderly should pay special attention to their health status. First, they should rely on nutritional intake and strengthening. Second, they should reduce the chance of infection. Third, if conditions permit, it is still necessary to increase appropriate exercise or some outdoor activities. For example, you can go out for a walk when the weather is good, but do not gather. Be sure to wear a mask when you go out, so that you can be happy physically and mentally.
In addition, patients with underlying diseases must stock up on medicines during this period and try to reduce the frequency of visits to the hospital. The fewer visits, the lower the risk of infection.
So, how long after "Yangkang" can I visit the elderly and children? Zhao Wei, a professor at the School of Public Health of Southern Medical University, said that visiting the elderly and children has something to do with when we truly fully recover and no longer carry the new coronavirus in our bodies. If the elderly person has some serious underlying diseases, or is really very old, the longer the time to visit the elderly person is postponed, the better. Generally, it is safest to have more than 10 days between when you first discover that you are sick and when you go to visit the elderly.
The elderly and patients with basic diseases are gradually increasing,
Zhejiang University No.1 The hospital appeals:
Please give them medical resources
At 12 noon today, the fever clinic in the Qingchun Campus of the First Affiliated Hospital of Zhejiang University School of Medicine was still busy in an orderly manner.
“Drink more water and have a good rest after you go back. If you have chest tightness and shortness of breath, you must come to the hospital in time. "This is already the 45th patient that Dr. Bao Qiongling of the Department of Infectious Diseases has seen this morning. Her voice has become completely mute. She has not had a sip of water or used the toilet once all morning. The colleagues on the side have already put on masks and isolation gowns and are ready to take over her, waiting for the next patient to come in "seamlessly".
On weekdays, the average daily attendance at the fever outpatient clinics in Qingchun Hospital District is about 100. During this period, the number of patients has increased sharply to about 1,200 people per day. The total number of visits to the fever outpatient clinics in the three major hospital districts has exceeded 3,000 per day, and is still rising.
Deputy head nurse Lai Lan, who is in charge of the fever clinic in Qingchun District, said: In the past few days, the number of elderly people and patients with underlying diseases coming to the fever clinic has been increasing . For this reason, the hospital has made diversion adjustments: carrying out hierarchical and zoning diagnosis and treatment. The first-floor clinic receives elderly and patients with more serious conditions; the second-floor clinic receives patients with relatively mild conditions to improve the efficiency of diagnosis and treatment.
The hospital appeals, especially as the number of infected elderly patients and patients with underlying diseases increases, we advocate that if there is testing equipment at home, good health, and young patients, if they have fever symptoms, it is recommended to observe changes in body temperature at home, drink more water, rest at home, pay attention to diet, and take antipyretics when necessary. Try to give up medical resources to patients who are really in need and in critical condition.
Encountered "blade throat" and "cement nose",
How otolaryngologists at Zhejiang Provincial Tongde Hospital can save themselves
Many citizens have been infected with the new coronavirus recently The virus,
in addition to fever, headache,
body aches, cough and runny nose,
also has "blade throat" and "cement nose" symptoms,
can be called the "increased torture" of the new coronavirus.
, a doctor at the otolaryngology department of Zhejiang Provincial Tongde Hospital, also suffered from such pain.
Let’s take a look at her experience and feelings.
An eyewitness said:
Last Friday, the baby at home was infected with the new coronavirus. As the child’s mother, who is also a medical staff, she herself was unfortunately infected after taking care of the child. I experienced the above symptoms over and over again, with a high fever that lasted for three days and aches all over my body. Every time I had chills, I had a high fever. My body temperature soared to 39.0°C and my head hurt. At this time, there was only a blank in my mind, but the thing I missed the most was the bed. Only the bed could completely soothe my pain. The virus came unexpectedly, and there was a high probability that I was also positive.
Take an antipyretic pill first and quickly lie down, turning left and right. Feeling unwell all over, I silently endure the back pain alone. When the body temperature hovers at 38.5-39.0°C and my body is as hot as an oven, I rely on the antipyretic pill to stay alive, and drink more water. The next afternoon I still had a fever, so I took an antigen test. The result showed two red bars, and I was positive.
Later I learned that back pain is not called pain. Because there is another kind of pain, which is like swallowing a razor blade in the throat, and there is another kind of pain, which is the pain of cement sealing the nostrils and making it difficult to breathe.
When facing a fever, just drink more water. When the fever is high, a piece of antipyretic medicine can relieve it. But when facing a razor-sharp throat, it is like drinking a sip of water and a torture. Even swallowing saliva is a kind of torture. This feeling is indescribable, but it is ecstasy.
After I got sick, my appetite was indeed very poor, and my throat was swollen and painful, as if it were being cut by a knife. In order to strengthen my ability to resist disease, I took the initiative to eat porridge and other easy-to-swallow foods.
How to relieve "blade throat"?
Zhang Yanyan, attending Chinese medicine physician at the Department of Otolaryngology, Litongde Hospital, Zhejiang Province, said: The currently popular Omicron virus strain mainly attacks the mucosa of the pharynx and large bronchial mucosa. After infection with the new coronavirus, the sore throat caused is due to the virus attacking the mucosal tissue of the throat, leading to inflammatory edema. Patients will feel relatively strong pain symptoms, and in severe cases, there will be a knife-like pain, or even difficulty swallowing.
If you are also experiencing such razor throat,
try the following methods:
1. Gargle with the prescription to clear your throat and soothe your throat. Qingyan Lithroat Recipe is a herbal prescription tailor-made by the Department of Otolaryngology for patients infected with the new coronavirus: Hold this product in the mouth and base of the tongue for 30 seconds and then swallow it. It can reduce the local inflammatory reaction and relieve severe sore throat. You can also make this traditional Chinese medicine into Chinese medicine ice cubes, take Chinese medicine ice cubes in the mouth, and apply local cold compresses to reduce swelling and have analgesic effects.
2. If you have a sore throat, you should still drink more water. Drinking water can keep the pharyngeal mucosa moist, dilute phlegm, and help inhibit microorganisms in the throat.
3. eat throat lozenges. throat lozenges or mints contain mint, which helps relieve throat discomfort.
4. Gargle with salt water. Rinse your mouth with physiological saline or light salt water. Add about 5g of table salt to 250ml of warm water, fully dissolve it, and prepare a hypertonic saline for gargling. Hold it in your mouth and the base of your tongue for 30 seconds, spit out the salt water, and then rinse your mouth with water. Gargling with salt water can effectively improve pharyngeal symptoms.
5. Press acupoints. Tiantu point: This point is above the Ren meridian, in the center of the suprasternal fossa on the midline of the neck. It can effectively relieve cough, asthma, sore throat, etc. Use the thumb or index finger to press for 1 to 2 minutes, or 20 to 30 times, with increasing force from light to heavy, and try not to feel discomfort.
Yuji Point: Located on the outside of the hand, at the midpoint of the radial side of the first metacarpal bone, at the red-white flesh border. It is the best cough-relieving acupoint among the lung meridian points. It can clear away lung heat, relieve cough and asthma and exogenous sore throat. You can massage the Yuji Point with the tip of your thumb for 1 to 2 minutes.
6. dietary care. During the illness, many patients have poor appetite due to sore throat. They should avoid spicy and irritating foods, eat more fresh vegetables and fruits, and pay attention to quitting smoking and drinking. Keep a peaceful mind.
How to relieve "cement nose"?
Symptoms of "cement nose" appear after infection. Some people will not only have nasal congestion, runny nose, sneezing, but also coughing and vomiting. Especially at night, the two nostrils seem to be blocked by cement, making it difficult to breathe and making you feel uncomfortable and doubtful about your life.
Zhang Yanyan, the attending Chinese medicine practitioner, said: This is because infection with the new coronavirus causes bacteria to invade the body, causing upper respiratory tract infection , pathogenic microorganisms multiplying, nasal mucosa swelling, nasal congestion, accompanied by purulent nasal discharge, headache and other symptoms.
How to relieve the symptoms of cement nose?
1. Clean the entire nasal cavity with normal saline or hypertonic saline to eliminate edema and inflammation.
2． Hot compress on the nose: Hot compress on the root of the nose can promote local blood circulation, help the swollen mucosa subside, and has a good effect on relieving nasal congestion.
3. With some Chinese medicine granules to clear the nose, it can relieve the symptoms of nasal congestion and runny nose.
4. Combined with acupoint massage:
① Yingxiang point : It is an acupuncture point on the large intestine meridian. The lungs and large intestine are in contact with each other on the outside and inside. Stimulating the Yingxiang point can stimulate the qi and blood of the lung meridian. If the qi and blood of the lung meridian are unblocked, nasal congestion will be relieved.
Method for massaging Yingxiang acupoint: Place the tip of your index finger on Yingxiang acupoint and rotate and rub it. Inhale through the nose and exhale through the mouth. Rub outward and upward when inhaling, and rub inward and downward when exhaling. If your nose is runny or blocked, do as many times as possible.
② Yintang point is one of the extraordinary points outside the meridian. It is located on the face of the human body, at the midpoint of the line connecting the two brows. It is a place where essence, energy and spirit gather. Massaging the Yintang point can clear the head, improve eyesight, clear the nose and open the mind. This point also has obvious regulating and improving effects on nasal congestion, dizziness, headache, loss of smell, etc.
Zhang Yanyan, the attending Chinese medicine practitioner, said: Don’t worry if you are really infected. Isolation and ventilation, symptomatic treatment, and good rest are also key. If you experience any of the following symptoms, you should seek help from your doctor promptly. 1. Sore throat accompanied by shortness of breath and severe dyspnea. 2. Persistent high fever with no obvious relief after using drugs. 3. Throat pain lasts for a long time and affects normal swallowing.
