得了新冠是不是需要去医院?这份贴士请记牢
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">抗新冠策略千万条,核心就一条:得了新冠<span style="color: black;">是不是</span>需要去医院?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">答案很简单,99.5%的人可能不需要去医院。但<span style="color: black;">怎样</span>判断自己是居家<span style="color: black;">恢复</span>还是去医院<span style="color: black;">看病</span>?<span style="color: black;">那些</span><span style="color: black;">药品</span>是家用小药箱<span style="color: black;">必须</span>的?老年人出门少,疫苗是不是<span style="color: black;">能够</span>不打?中医药在对抗新冠病毒的过程中有<span style="color: black;">那些</span><span style="color: black;">地区</span>需要<span style="color: black;">重视</span>?……针对<span style="color: black;">大众</span>关注的热点问题,11日,福建省立医院<span style="color: black;">呼气</span>与<span style="color: black;">严重</span>症医学科<span style="color: black;">专家</span>、<span style="color: black;">专家</span>医师、省级新冠肺炎医疗救治专家组组长谢宝松,福建医科大学孟超肝胆医院<span style="color: black;">专家</span>医师、省级中医药防治新冠肺炎专家组组长李芹接受记者采访,给出如下<span style="color: black;">意见</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">怎样</span>判断<span style="color: black;">是不是</span>适合居家<span style="color: black;">恢复</span>?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>属于未合并严重<span style="color: black;">基本</span><span style="color: black;">疾患</span>的无症状感染者或轻型病例(<span style="color: black;">乃至</span>部分普通型病例),并且家庭环境又具备自我隔离的<span style="color: black;">要求</span>,<span style="color: black;">那样</span>完全<span style="color: black;">能够</span>在家里进行自我隔离和健康观察,等到症状消失,<span style="color: black;">按照</span><span style="color: black;">相关</span>规定检测核酸转阴便<span style="color: black;">能够</span>恢复<span style="color: black;">平常</span>工作和生活。<span style="color: black;">然则</span>,<span style="color: black;">倘若</span>属于高<span style="color: black;">危害</span>人群,则需要更为<span style="color: black;">谨慎</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">平常</span>的较为严重的<span style="color: black;">基本</span><span style="color: black;">疾患</span><span style="color: black;">包含</span>肾功能不全正在透析的<span style="color: black;">病人</span>,<span style="color: black;">长时间</span><span style="color: black;">运用</span>免疫<span style="color: black;">控制</span>剂的免疫缺陷人群和器官移植后人群,肿瘤正在接受放化疗或免疫治疗的人群等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">那些</span>人属于高危人群?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">超过65岁,<span style="color: black;">基本</span><span style="color: black;">疾患</span>不稳定,<span style="color: black;">或</span><span style="color: black;">基本</span><span style="color: black;">疾患</span>稳定但未全程接种新冠疫苗;其中,超过80岁且<span style="color: black;">无</span>全程接种新冠疫苗的老人,尤其高危。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重视</span>,<span style="color: black;">倘若</span>你属于高危人群且<span style="color: black;">同期</span>伴有高热等症状,<span style="color: black;">那样</span>应该前往医院接受<span style="color: black;">大夫</span>进一步的<span style="color: black;">评定</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">需要监测<span style="color: black;">那些</span>指标?指标超出什么范围需要去医院急诊或看发热门诊?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span><span style="color: black;">选取</span>在家隔离和<span style="color: black;">恢复</span>的感染者,在<span style="color: black;">保准</span>自己能够吃好、<span style="color: black;">休憩</span>好的<span style="color: black;">同期</span>,还需要学会自己监测以下指标:症状、体温、脉搏、氧饱和度。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">发热时<span style="color: black;">常常</span>会有脉搏(心率)增快,并不需要过于紧张。但<span style="color: black;">倘若</span><span style="color: black;">显现</span><span style="color: black;">连续</span>高热(大于39℃)或脉搏(心率)<span style="color: black;">连续</span>增快(超过100次/分钟)超过3天;<span style="color: black;">或</span>氧饱和度下降至95%以下,则应<span style="color: black;">即时</span>前往医院就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>在发热的<span style="color: black;">同期</span>,还伴有<span style="color: black;">显著</span>的<span style="color: black;">呼气</span>困难,<span style="color: black;">或</span>是<span style="color: black;">不可</span>缓解的胸痛乃至<span style="color: black;">认识</span>混乱时,需要<span style="color: black;">即时</span>前往医院就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">倘若</span><span style="color: black;">无</span>前述的报警信号,<span style="color: black;">然则</span><span style="color: black;">基本</span><span style="color: black;">疾患</span><span style="color: black;">掌控</span><span style="color: black;">不良</span>怎么办?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有些<span style="color: black;">身患</span>慢性病(如糖尿病、高血压)的人群,虽然<span style="color: black;">无</span><span style="color: black;">以上</span>症状,但<span style="color: black;">倘若</span><span style="color: black;">显现</span>血糖、血压<span style="color: black;">掌控</span><span style="color: black;">不良</span>等<span style="color: black;">状况</span>时,<span style="color: black;">举荐</span><span style="color: black;">首要</span><span style="color: black;">运用</span>互联网医院<span style="color: black;">或</span>是采取在线咨询问诊等方式与专科<span style="color: black;">大夫</span>取得联系,获取用药<span style="color: black;">指点</span>,<span style="color: black;">倘若</span><span style="color: black;">关联</span>资源<span style="color: black;">不可</span><span style="color: black;">得到</span>或症状<span style="color: black;">连续</span>加重,应该<span style="color: black;">即时</span>前往医院专门针对阳性感染者的就诊场所就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">家用小药箱<span style="color: black;">能够</span>准备<span style="color: black;">那些</span>物品?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①体温计:电子的耳温计、额温枪,<span style="color: black;">或</span>水银温度计都<span style="color: black;">能够</span>。其中水银温度计易碎,<span style="color: black;">倘若</span>破裂可能汞中毒,<span style="color: black;">因此呢</span><span style="color: black;">运用</span>需要小心,不适宜生活自理能力较差的居民。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②指夹式脉氧仪:<span style="color: black;">通常</span>的指夹式脉氧仪夹在手指上后会<span style="color: black;">表示</span>两个参数:SpO2<span style="color: black;">便是</span><span style="color: black;">咱们</span>所说的氧饱和度,<span style="color: black;">通常</span>在95%以上都无须担心;PR bpm<span style="color: black;">指的是</span>脉搏,成年人正常的脉搏数值<span style="color: black;">表示</span>在60~100,<span style="color: black;">不外</span>发热时,体温每<span style="color: black;">提升</span>1℃脉率<span style="color: black;">通常</span>会<span style="color: black;">上升</span>10~20次/分钟,<span style="color: black;">因此呢</span>发热时<span style="color: black;">显现</span>心率或脉搏的增快是正常表现,但<span style="color: black;">倘若</span><span style="color: black;">显著</span>感到心慌不适,<span style="color: black;">或</span><span style="color: black;">心率</span>不齐(心跳或脉搏不规则),<span style="color: black;">那样</span>需要去医院就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③电子血压计、水银血压计:相比传统的水银血压计,电子血压计<span style="color: black;">运用</span><span style="color: black;">方便</span>,<span style="color: black;">亦</span>更安全,成年人正常的血压范围收缩压(上压)在90~140mmHg<span style="color: black;">上下</span>,舒张压在60~90mmHg<span style="color: black;">上下</span>。<span style="color: black;">针对</span>有<span style="color: black;">基本</span><span style="color: black;">疾患</span>的<span style="color: black;">病人</span>,平时就<span style="color: black;">能够</span>监测一下自己的<span style="color: black;">平常</span>血压范围,<span style="color: black;">倘若</span>严重偏离自己的<span style="color: black;">基本</span>血压水平,<span style="color: black;">那样</span>应当<span style="color: black;">即时</span>就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">④退热药、感冒药、止咳药、化痰药:需要<span style="color: black;">重视</span>,这些<span style="color: black;">药物</span>都<span style="color: black;">不可</span>治疗新冠,只是可能<span style="color: black;">能够</span>缓解一下新冠<span style="color: black;">导致</span>的症状。<span style="color: black;">能够</span><span style="color: black;">按照</span>个人既往感冒的经验适量购买,但<span style="color: black;">无</span>必要进行囤积。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">虽然这些<span style="color: black;">药物</span><span style="color: black;">都数</span>都是非处方<span style="color: black;">药物</span>(OTC),但<span style="color: black;">欠妥</span><span style="color: black;">运用</span><span style="color: black;">亦</span>可能会<span style="color: black;">显现</span><span style="color: black;">必定</span>的副<span style="color: black;">功效</span>,<span style="color: black;">例如</span>NSAIDS类<span style="color: black;">药品</span>(非甾体类抗炎药)的不良反应中比较<span style="color: black;">平常</span>的<span style="color: black;">便是</span>肝肾功能损害。<span style="color: black;">因此呢</span>在应用的时候<span style="color: black;">意见</span>仔细阅读说明书,<span style="color: black;">尤其</span>是<span style="color: black;">针对</span>有<span style="color: black;">基本</span>病以及孕妇、儿童等特殊人群,用药前应当咨询<span style="color: black;">大夫</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">家里有<span style="color: black;">无</span>必要备抗原自测盒?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">家有高危人士的,有必要备抗原自测盒。高<span style="color: black;">危害</span>的重点人群尤其需要早<span style="color: black;">发掘</span>早<span style="color: black;">干涉</span>早治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">抗原什么时候测?刚<span style="color: black;">起始</span>有症状的时候有可能测不出来,一般感染后两三天能测出阳性。<span style="color: black;">亦</span>有部分<span style="color: black;">病人</span>无症状<span style="color: black;">或</span>症状非常轻微,要五天<span style="color: black;">乃至</span>更<span style="color: black;">长期</span>后<span style="color: black;">才可</span>测出阳性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">老年人不怎么出门,<span style="color: black;">必定</span>要打疫苗吗?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">老人群体(尤其是80岁以上老年人群体)的疫苗接种<span style="color: black;">必定</span>要<span style="color: black;">注重</span>。老年人免疫功能下降,抗体产生速度慢,产生量<span style="color: black;">亦</span>比较低,<span style="color: black;">因此</span>老年人的疫苗接种更显重要。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">打疫苗<span style="color: black;">能够</span>减少感染、减少重病,降低感染传播概率。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">用中医药预防还需要打疫苗吗?所有人都需要中医药预防<span style="color: black;">方法</span>吗?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当前接种新冠疫苗仍然是最有效的新冠病毒预防手段。预防<span style="color: black;">方法</span>是从中医药<span style="color: black;">帮忙</span><span style="color: black;">加强</span>群众免疫力的<span style="color: black;">方向</span>,<span style="color: black;">详细</span>分为普通人群预防方、儿童<span style="color: black;">举荐</span>处方,<span style="color: black;">供给</span>给免疫力较低的特殊人群,并不是所有人都需要吃。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在当前我国老年人疫苗接种率还较低的<span style="color: black;">状况</span>下,80岁以上的老年人属于新冠感染后的高危人群,<span style="color: black;">倘若</span>还未接种疫苗,<span style="color: black;">能够</span>先<span style="color: black;">经过</span>中医药的方式<span style="color: black;">增多</span>抵御新冠病毒的能力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">中成药不要囤<span style="color: black;">亦</span><span style="color: black;">不可</span><span style="color: black;">乱用</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">茫然</span>囤药要不得,尤其是不可<span style="color: black;">乱用</span>药。<span style="color: black;">大众</span>不要光看连花清瘟胶囊,只要是国家第九版新冠肺炎防控<span style="color: black;">方法</span>上<span style="color: black;">说到</span>的<span style="color: black;">或</span>是其他省外<span style="color: black;">方法</span>中写到的药,符合治疗原则的中成药都是<span style="color: black;">能够</span><span style="color: black;">运用</span>的。<span style="color: black;">然则</span>自己在家用药<span style="color: black;">必定</span>要看说明书,说明书里面写的是什么症状,就用什么药,千万不要重复用药。(记者储白珊 蒋丰蔓)</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">源自</span>: 福建日报</p>
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