Zhou Yewu said: "As for chest imaging, there are multiple small patches and interstitial changes in the early stage, which are obvious in the lungs, which then develop into multiple ground-glass shadows and infiltration shadows on both lungs. In severe cases, lung consolidation may occur, but pleural effusion is rare. When mis-c    , patients with cardiac insufficiency can see cardiac shadow enlargement and pulmonary edema."

Xu Lu coughed slightly.

Is this happening again?

When Zhou Yewu heard Xu Lu's cough, he knew that he had started to deal with this senior sister again!

"Your sister, please ask if you have any questions." Zhou Yewu kept muttering in his heart.

I really impressed this senior sister. There is no problem with so many people in the audience, just like she has to have an interaction...

Is it okay to finish early? I have to interrupt!

"Doctor Zhou, I still don't understand. Can you tell me what the diagnostic criteria are? What you are talking about is too general, just as the script." Xu Lu's sweet voice made people soft.

But this idea is really "vicious"! An expert in damaging the Taiwan Strait!

"You have so many dramas." Zhou Yewu stared at her and was a little dazed, but he still didn't say this, but just muttered in his heart.

Still reading the script according to the script?

Isn't my tm just reading the guide?

But why did I teach the guide? Don’t you think you have a b-digit?

Zhou Yewu sighed helplessly and rolled his eyes.

"The diagnostic criteria are to combine the comprehensive analysis of epidemiological history and clinical manifestations, and have any one of the epidemiological history and meet any two of the clinical manifestations, and then there is no clear epidemiological history, and meet any two of the clinical manifestations. At the same time, the new g-caus virus specificity is igm. Antibody positive, or directly or in line with three of the clinical manifestations." Zhou Yewu said seriously.

Xu Lu looked down at her phone and read it word for word...

This thing is really amazing!

Can you teach like this?

Xu Lu knew that she could not make things difficult for Zhou Yewu, so she shook her head, with a little unwilling expression.

"The epidemiological history of the so-called new g is four points. The first point is that there is a travel history or residence history in the community within fourteen days before the onset of the disease. The second point is that there is a history of contact with patients infected with the new g virus or asymptomatic infection within fourteen days before the onset of the disease. The third point is that there are no patients with fever or respiratory symptoms from the community within fourteen days before the onset of the disease. The fourth point is clustered disease. Within two weeks, at least two or more cases of fever and respiratory symptoms have occurred in small areas such as homes, offices, and school classes." Zhou Yewu continued to talk freely.

I have a guide who am I afraid of?

Could it be possible to follow the guide to ask, can you still make mistakes?

He pinched his fingers that were a little numb and said, "Then the clinical manifestations are three clinical manifestations, namely, fever and respiratory symptoms, and the second is the imaging characteristics of the new pneumonia I mentioned before. The third is the total number of white blood cells in the early stage of the disease, and the lymphocyte count is normal or reduced."

(II) Confirmed cases. Suspected cases have one of the following etiology or serological evidence: 1. Real-time fluorescence   rt-PCR                                                                                                                                                                                                                                        

No pneumonia was seen. (II) Ordinary type. It has fever, respiratory symptoms, etc., and pneumonia was seen on imaging. (III) Severe type. Adults meet any of the following:      1. Shortness of breath occurs, rr≥30        2. In a resting state, the oxygen saturation is ≤93% when inhaling air;    3. Arterial blood oxygen partial pressure (pao2)/oxygen concentration (fio2)≤300mmhg      (1mmhg=0.133kpa); in areas with high altitude (altitude exceeding 1,000 meters) should be corrected according to the following formula: pao2/fio2     ×[760/atmospheric pressure (mmhg)].    4.

Clinical symptoms worsen progressively, and lung imaging showed that 24-48 lesions were significantly progressing within hours >50%. Children met any of the following: 1. Continuous high fever exceeds 3 days; 8

2. Shortness of breath (＜2    month age, rr≥60                                                                                                                                                                                                                                                

Shock; 3. Combined with other organ failures, Iciu, monitoring and treatment. Seven, people with severe/critical high-risk population (I) greater than 65 years old; (II) People with cardiovascular and cerebrovascular diseases (including hypertension), chronic lung diseases (Chronic obstructive pulmonary disease, moderate to severe asthma), diabetes, chronic liver, kidney disease, tumor and other underlying diseases; (III) Immune function deficits (such as AIDS patients, long-term use of corticosteroids or other immunosuppressive drugs lead to immune degradation); (IV) Obesity (body mass index ≥30); (V) Women with late pregnancy and perinatal period; (V) Severe smokers. Eight, early warning indicators for severe/critical (I) Adults.

Beware of the worsening of the condition when there are changes in the following indicators: 1. Progressive aggravation of hypoxemia or respiratory distress; 2. Deterioration of tissue oxygenation indicators or progressive increase of lactic acid; 3. Progressive decrease of peripheral blood lymphocyte count or progressive increase of peripheral blood inflammation markers such as il-6, crp, ferritin, etc.; 4. Signals related to coagulation function such as d-dimer are significantly increased; 5. Chest imaging shows obvious progress of lung lesions. (II) Children. 1. Increased respiratory rate; 2. Poor mental response, drowsiness; 3. Progressive increase of lactic acid; 4. Signals such as crp, pct, ferritin, etc.; 5. Imaging shows bilateral or
Chapter completed!