新版诊疗方案来了！传播途径、临床表现有变化
<p><span style='text-align: left; color: rgb(51, 51, 51); text-transform: none; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; float: none; display: inline !important; white-space: normal; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px;'>3日，国家卫健委发布《新型冠状病毒肺炎诊疗方案（试行第七版）》。</span></p><p align="center"><div align="left"></div></p><section style='margin: 0px 0px 20px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">新版诊疗方案主要调整了以下内容：</span></section><p style='margin: 0px 0px 20px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; clear: both; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">1.防疫形势提示警惕境外输入病例：</span></strong></p><ul class="list-paddingleft-2" style='margin: 0px; padding: 0px 0px 0px 2.2em; text-align: justify; color: rgb(51, 51, 51); text-transform: none; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px;'><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">通过采取一系列预防控制和医疗救治措施，我国境内疫情上升的势头得到一定程度的遏制，大多数省份疫情缓解，<strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">但境外的发病人数则呈上升态势。</strong></span></p></li><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style='margin: 0px; padding: 0px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;'>随着对疾病临床表现、病理认识的深入和诊疗经验的积累，为进一步加强对该病的早诊早治，提高治愈率，降低病亡率，最大可能避免医院感染，<strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">同时也要注意境外输入性病例导致的传播和扩散。</strong></span></p></li></ul><section style='margin: 20px 0px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">2.传播途径：</span></strong></span><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">增加“<strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">由于在粪便及尿中可分离到新型冠状病毒，应注意粪便及尿对环境污染造成气溶胶或接触传播。</strong>”</span></section><p style='margin: 0px 0px 20px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; clear: both; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">3.增加“病理改变”：</span></strong></span><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">以肺脏和免疫系统损害为主；其他脏器因基础病不同而不同，多为继发性损害。</span></p><p style='margin: 0px 0px 20px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; clear: both; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">4.临床表现：</span></strong></span><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">增加对孕产妇和儿童的临床表现描述。</span></p><ul class="list-paddingleft-2" style='margin: 0px; padding: 0px 0px 0px 2.2em; text-align: justify; color: rgb(51, 51, 51); text-transform: none; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px;'><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">孕产妇临床过程与同龄患者接近；</span></p></li><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">部分儿童及新生儿病例症状可不典型，表现为呕吐、腹泻等消化道症状或仅表现为精神弱、呼吸急促。</span></p></li></ul><section style='margin: 20px 0px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">5.诊断标准</span><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">调整：</span></strong></section><ul class="list-paddingleft-2" style='margin: 0px; padding: 0px 0px 0px 2.2em; text-align: justify; color: rgb(51, 51, 51); text-transform: none; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px;'><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">对流行病学史中的“聚集性发病”做出解释，即“2周内在小范围如家庭、办公室、学校班级等场所，出现2例及以上发热和/或呼吸道症状的病例</span><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">”</span></strong><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">；</span></p></li><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">临床表现中的“淋巴细胞计数减少”修改为“淋巴细胞计数正常或减少”；</span></p></li><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">确诊病例在原有核酸检测和测序基础上增加“血清学检测”作为依据。</span></p></li></ul><p style='margin: 0px 0px 20px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; line-height: 1.5em; text-indent: 0px; letter-spacing: 0.54px; clear: both; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; overflow-wrap: break-word;'><span style="margin: 0px; padding: 0px; color: rgb(0, 122, 170); -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 16px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">6.“解除隔离标准”改为“出院标准”：</span></strong></span></p><ul class="list-paddingleft-2" style='margin: 0px; padding: 0px 0px 0px 2.2em; text-align: justify; color: rgb(51, 51, 51); text-transform: none; text-indent: 0px; letter-spacing: 0.54px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px;'><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><p style="margin: 0px 0px 10px; padding: 0px; line-height: 1.5em; clear: both; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">出院标准增加“痰、鼻咽拭子等”呼吸道标本核酸检测连续两次阴性，采样时间至少“间隔1天”，改为“至少间隔24小时”。</span></p></li><li style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important;"><section style="margin: 0px 0px 20px; padding: 0px; line-height: 1.5em; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;"><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">出院后注意事项。</span><span style="margin: 0px; padding: 0px; font-size: 15px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">鉴于有少数出院患者出现核酸检测复检阳性的问题，为加强对出院患者的健康管理和隔离，将<strong style="margin: 0px; padding: 0px; -ms-word-wrap: break-word !important; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word;">“应继续进行14天自我健康状况监测”改为“应继续进行14天的隔离管理和健康状况监测”</strong>，同时要求佩戴口罩，有条件的居住在通风良好的单人房间，减少与家人的近距离密切接触，分餐饮食，做好手卫生，避免外出活动。</span></section></li></ul><p style='margin: 0px; padding: 0px; text-align: justify; color: rgb(51, 51, 51); text-transform: none; text-indent: 0px; letter-spacing: 0.54px; clear: both; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: normal; word-spacing: 0px; white-space: normal; -ms-word-wrap: break-word !important; min-height: 1em; max-width: 100%; box-sizing: border-box; orphans: 2; widows: 2; background-color: rgb(255, 255, 255); font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px;'>来源：央视新闻</p>
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