COVID-19患者的化学预防,诊断,治疗和出院管理:循证临床实践指南(更新版本)

中国医院协会 Mil Med Res . 2020 Sep 4;7(1):41. doi: 10.1186/s40779-020-00270-8.

新型严重急性呼吸综合症冠状病毒2(SARS-CoV-2)是导致迅速蔓延的疾病冠状病毒病2019(COVID-19)的病因,影响了全球超过一千七百万人。需要临床医生照顾患者的诊断和治疗指南。在早期阶段,

中文标题:

COVID-19患者的化学预防,诊断,治疗和出院管理:循证临床实践指南(更新版本)

发布机构:

中国医院协会

发布日期:

简要介绍:

新型严重急性呼吸综合症冠状病毒2(SARS-CoV-2)是导致迅速蔓延的疾病冠状病毒病2019(COVID-19)的病因,影响了全球超过一千七百万人。需要临床医生照顾患者的诊断和治疗指南。在早期阶段,我们发布了“诊断和治疗2019年新型冠状病毒(2019-nCoV)感染的肺炎(标准版)的快速建议指南”;现在已经出现了许多直接的证据,并且可能会改变以前的一些建议,并且制定基于证据的指南的时机已经成熟。我们成立了由临床专家和方法学家组成的工作组。指导小组成员提出了与COVID-19管理相关的29个问题,涉及以下领域:化学预防,诊断,治疗和出院管理。

我们在文献中搜索了有关COVID-19管理的直接证据,并使用“建议分级,评估,发展和评估(GRADE)”方法评估了其确定性的建议。推荐是强也可能是弱,或者是以基于共识的未分级声明的形式。最后,我们发表了34条声明。其中,有6项是强力推荐,有14项是弱推荐,有3项针对弱推荐,有11项是基于共识的未分级声明。

他们涵盖了化学预防(包括药物和中药(TCM)药物),诊断(包括临床表现,逆转录聚合酶链反应(RT-PCR),呼吸道标本,IgM和IgG抗体检测,胸部计算机断层扫描,胸部X射线和无症状感染的CT特征),治疗方法(包括洛匹那韦-利托那韦,umifenovir,favipiravir,干扰素,雷姆昔韦,抗病毒药的组合,羟氯喹/氯喹,白介素-6抑制剂,白介素-1抑制剂,糖皮质激素,清肺补肾汤,联清清颗粒/胶囊,恢复性血浆,肺移植,有创或无创通气,体外膜氧合(ECMO))和出院管理(包括RT-PCR复查显示SARS-CoV的患者的出院标准和管理计划) 。我们希望这些建议可以帮助支持医护人员照料COVID-19患者。

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