The number of confirmed cases in the country has soared recently. Yesterday, the number of confirmed cases with symptoms and asymptomatic cases ranked fifth in the world. According to this trend, the daily increase is not far from the world. After all, my country's base is too large.
Many people may have noticed that most of the confirmed cases every day are asymptomatic infections of , and there are even fewer severe cases, and I feel very optimistic. In fact, the real situation subverts your views.
But what is asymptomatic? The cognition of ordinary people will be very different from the definitions in medicine.
Many people always say that there are asymptomatic people abroad, and there are asymptomatic people in China, so Omickron is all right, but first of all, you need to know what asymptomatic people are.
Ordinary people's understanding of asymptomatic symptoms, as the name suggests, it is asymptomatic, there are no symptoms at all, it becomes yang without realizing it, it becomes yin without realizing it, it doesn't even know that you are sick at all, and you are lively throughout the process. You should go to work and play with what you should play, which is worse than having a cold.
is very obvious. This is a perfect meaning. If the asymptomatic infected person is so comfortable, he will not need to fight the epidemic at all. This principle is the same as the legal sense of minor injuries to at all.
is not mildly injured, asymptomatic, nor is it asymptomatic at all.
Asymptomatic infected persons in medicine refer to infected persons without clinical symptoms, not asymptomatic. What does
mean?
means that you have a high fever of 40 degrees after being positive, and you can't get up until you get up. At the same time, your body is weak, muscle aches, vomiting, nausea, headache, and diarrhea. This can only be considered as an asymptomatic infection, not a confirmed patient.
This definition is universal, not only in China. The reason why
is that there are many definitions of symptoms such as clinical symptoms and non-specific symptoms in medicine.
High fever is a typical non-specific symptom. Many diseases are accompanied by high fever. If a person only has a high fever, you cannot be sure what disease he has.
may be a cold, pharyngitis, , upper respiratory tract infection, , , , , pm pneumonia, and many diseases.
So high fever is of course not considered the standard for new crown diagnosis.
Omickron is called a large-sized cold by Europe and the United States. Even if it is true, the cold will have a fever. The corresponding large-sized cold is a large-sized fever, so Omickron is positive and will basically have fever symptoms.
If the symptoms of high fever are used as the diagnosis standard for positive COVID-19, almost all positive are confirmed, not asymptomatic, but this is obviously contrary to the facts. In the new coronavirus classification standards released by the World Health Organization , there is a simple infection, which corresponds to asymptomatic infection in China.
It is clearly stated above that non-specific symptoms such as fever, cough are all simple infections and cannot be considered mild pneumonia. The standard for mild COVID-19 is that
is that on the basis of positive nucleic acid, there are symptoms of pneumonia . The sentence
is difficult to understand. It is too medical, and it depends on Chinese standards. The two actually have similar meanings.
China divides positive COVID-19 patients into asymptomatic infections and confirmed patients. Only confirmed patients have mild, severe and critical illnesses.
The core indicator that distinguishes asymptomatic infections from confirmed patients is lung CT imaging, not whether you have a high fever, whether you vomit and diarrhea, etc.
China's "Prevention and Control Plan for the Prevention and Control of New Coronavirus Pneumonia" clearly stipulates that asymptomatic infected people refer to no clinical symptoms, not asymptomatic. The standard for confirmed cases is clearly stipulated in the fourth edition that pneumonia imaging characteristics must be possessed based on positive nucleic acid tests.
Why do you have to take CT after the new crown is positive? Only after taking CT can it become a confirmed case, rather than if you have a positive high fever, it is considered a confirmed case. This is the reason.
positive for high fever. No matter what the high fever looks like, it can only be considered asymptomatic patients. Typical ground glass-like lesions in the lungs must be found in the CT video, which is the so-called white lung, plus serologically positive, to be considered confirmed. The principle of
is the same as the principle of WHO that patients with new coronavirus must have pneumonia to be considered mild pneumonia.
Only then can you be diagnosed with mild symptoms and it is possible to discuss whether it is possible to be hospitalized.
To put it simply, patients with mild symptoms will definitely have high fever, but high fever does not necessarily mean that they are diagnosed with mild symptoms.
WHO also divides new coronavirus patients into level 8, , high fever does not subside, coma is in bed, as long as the lungs do not turn white, at most, daily activities are limited, and they are a level 2 patient, for outpatient treatment, and drink boiled water when they go home.
The lungs have turned white, and typical symptoms of COVID-19 appear, and they need to be hospitalized for treatment. This is considered level 3.
is based on level 3 and needs oxygen to save your life. This is considered level 4, but level 4 is still a mild disease.
requires high-flow oxygen therapy to save life. This is considered level 5, barely considered a severe disease.
Incision of the trachea for intubation and rescue, this is considered level 6.
to ICU rescue, use artificial lung Ecmo to hang your life, this is considered level 7.
Only death can be considered level 8.
WHO has given a clear definition. Even if hospitalization is required and oxygen inhalation rescue is required, this can only be considered a "mild mild disease". Only those who need high-flow oxygen therapy to sustain their lives and who will die immediately after leaving the oxygen cylinder can barely enter the threshold of severe disease and be considered the lowest severe disease.
This is why there are so many mild and asymptomatic patients in Europe and the United States.
Only when your condition reaches the point where you have to maintain high flow oxygen therapy, you will immediately hang up after leaving oxygen.
The severe disease rate will naturally not be very high.
However, the distinction between asymptomatic, mild and severe cases in ordinary people may be very different from the definition of the WHO.
In the eyes of ordinary people, only asymptomatic can be considered asymptomatic if there is no symptoms on the whole body.
As long as high fever, vomiting, diarrhea, and general weakness occur, it will naturally be a mild disease.
If oxygen inhalation treatment is needed, my goodness, that is of course a serious illness.
If high-flow oxygen therapy is needed to save your life, the doctor said that if you leave oxygen, you will die immediately, which is definitely a critical illness.
As for incision of the trachea for intubation and rescue. . .
is unheard of, cannot understand, and I don’t know what this is.
As for higher ICU rescue, you can only survive by sucking your life with artificial lung Ecmo.
Well, it should be considered a critical illness, which is similar to the person who uses high-flow oxygen therapy to rescue him and will die immediately after leaving oxygen.
But in fact, this is not defined in this way in China, nor is it WHO, and no country in the world defines it like this.
Every country in Europe, the United States, Japan and South Korea have once had a process of popularizing the new crown classification and grading to the people. Now it is China's turn.
There was a popular science picture in Japan that was well done, and it was translated into Chinese to show you.
The mild symptoms that ordinary Japanese people think refer to themselves as having a fever, cough, and sneezing.
The mild symptoms defined by Japanese doctors are considered mild symptoms as long as they do not need oxygen.
The serious illness that ordinary Japanese people think means that they probably need to be hospitalized.
The severe illness defined by Japanese doctors means that this person is probably out of salvation.
The United States does not have such a detailed distinction. They only look at one core indicator, which is blood oxygen saturation.
Anyone who does not experience a serious decrease in blood oxygen saturation will be handed over to the family doctor for treatment, that is, you will prescribe some cold medicine and painkillers for you, and then go home to drink boiled water, but the hospital will not accept it, and the emergency room will not see it.
Only people with blood oxygen saturation below 95% are recommended to go to the emergency department, and only then can you be qualified to see the emergency department.
and then you may not be admitted to the hospital. You need to wait for the doctor to evaluate you and evaluate you that you are in the dying state before you will be hospitalized.
In the past two years, several famous anti-China elements in the United States were missing. After a high fever, they went to the hospital and were rushed home to drink boiled water by the doctor. When blood oxygen dropped rapidly, it was too late to go to the hospital for rescue.
But it is precisely because of this policy that there is no medical run in the United States, and no matter how many infected people are, the normal operation of the hospital can be ensured.
I have also been infected once in Hong Kong. You can check the hospitalization experience of Hong Kong's new crown patients online. Many of them are in Chinese and everyone can understand them.
A Hong Kong man once spoke online and said that he thought a high fever of 40° is considered a severe disease, but he did not expect that the severe disease mentioned by Hong Kong doctors requires ICU, and if he does not go to a ventilator, it is considered a mild disease.
This Hong Kong child had a high fever that was so severe that he was convulsed by the doctor and said that his child did not meet the standards for severe illness, so he did not need to be hospitalized, and the hospital refused to accept it.
There are many similar online messages. Many Hong Kong people and Chinese people in Europe and the United States have had similar experiences of being rejected by the hospital without relieving their fever, and have also complained about it online.
This doctor is not wrong, because doctors from Europe, America, Japan and South Korea, including doctors from Hong Kong, are strictly in accordance with WHO standards.
high fever does not subside, and the fever reaches convulsions. If you only look at this symptom, it can only be considered asymptomatic at most. Hong Kong's economic level is only comparable to that of developed countries in Europe and the United States, and it does not far exceed that of Europe and the United States. Therefore, medical resources are limited, and the blood oxygen content has not plummeted to a dangerous level. You do not need to be hospitalized. Just drink boiled water when you go home, otherwise the hospital will not be able to accept it.
This is common sense. Ordinary people in Europe and the United States didn’t know it before, but now they all know it. This has become basic common sense in Europe and the United States.
Nowadays, we Chinese people should also know this common sense.
Don’t ask the government for help if you have a high fever, and you need to be hospitalized for treatment. If you get convulsive, you will panic and require you to stay in intensive care unit or even ICU. That is impossible, and the United States cannot do it.
China can't do it either, and no country in the world can do it.
With the developed economic level of the United States and the huge medical resources in the United States, only people with blood oxygen content less than 95% can be qualified for hospitalization. At this time, people have reached the point where they need oxygen to save their lives.
If the blood oxygen content reaches 93%, it is the standard for severe illness. At this time, high-flow oxygen therapy is needed to rescue, and the oxygen will be hung immediately after leaving it.
So the United States actually blocks the critical care standard to treat patients, but others have nothing to say, because the hospitalization standard in the United States corresponds to the WHO classification table, which is only level 4, which is considered a mild disease.
If positively promoted, it means that American hospitals will even treat mild symptoms.
If negative publicity is made, it means that American hospitals only treat people who are dying.
all tell the truth, it depends on where your butt is and from which angle you speak.
Some things must be popularized in advance, otherwise it may cause ideological confusion after the national hospitalization classification standards are released.
It’s like many netizens are watching a beating video, and they said in shock that this TM is called a minor injury?
and other people will be shocked to say that I have burned this way. I am called asymptomatic?
Please remember that asymptomatic means no clinical symptoms. High fever is not considered a clinical symptom. No matter how high fever is, it cannot be determined as the lowest diagnosis of mild symptoms. This is not a criterion.
China will definitely provide the public with medical resources far better than the United States, and the final hospitalization grading standards set must be far better than the United States.
But no matter what, China cannot become an all-round medical god. It cannot take care of everyone in all aspects so perfectly. The high fever will not go away. This is really just asymptomatic.
So it is better to explain some words and some knowledge points in advance. Finally, let’s summarize, the mild symptoms of the new coronavirus are that you feel that you are dying, and the severe symptoms are that the doctor thinks that you are dying.
This article is reproduced from the official account Yuanfang Qingmu
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