仅供医学专业人士阅读参考

诊疗大小问题,看看指南怎么说

为提升医师对新型冠状病毒感染及其危重症的认识,为临床决策提供依据,促进规范化诊疗,提高患者救治水平,北京协和医院发布了《呼吸与危重症医学科新冠肺炎诊疗参考方案(2022年12月版)》。

界小药截取了相关重点如下。

如何判断新冠重症和危重症?

图源「临床决策助手App」,欢迎下载,来临床指南功能搜索,获取指南原文

哪些门诊病人要考虑行抗病毒治疗

图源「临床决策助手App」,欢迎下载,来临床指南功能搜索,获取指南原文

如何合理使用奈玛特韦/利托那韦?

图源「临床决策助手App」,欢迎下载,来临床指南功能搜索,获取指南原文

住院新冠病毒感染患者的管理

图源「临床决策助手App」,欢迎下载,来临床指南功能搜索,获取指南原文

本文来源:《北京协和医院呼吸与危重症医学科新冠肺炎诊疗参考方案(2022年12月版)》

参考文献:

[1]Therapeutics and COVID-19:living guideline,16 September 2022.https://www.who.int/publications/i/item/WHO2019-nCoV-therapeutics-2022.5.

[2]National Institutes of Health.Coronavirus disease 2019(COVID-19)treatment guidelines.

https://covid19treatmentguidelines.nih.gov/.

[3]新型冠状病毒肺炎诊疗方案(试行第九版).http://www.gov.cn/zhengce/zhengceku/2022-

03/15/5679257/files/49854a49c7004f4ea9e622f3f2c568d8.pdf.

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150&usage_type=default&display_rank=1.

[5]COVID-19:Management in hospitalized adults.https://www.uptodate.com/contents/covid-19-management-inhospitalizedadults?search=%E6%96%B0%E5%86%A0%E4%BD%8F%E9%99%A2&source=Out%20of%20date%20-%20zhHans&selectedTitle=1~150.

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[7]REMAP-CAP Investigators,Gordon AC,Mouncey PR,et al.Interleukin-6 receptor antagonists in critically ill

patients with COVID-19.N Engl J Med 2021;384:1491-502.

[8]Guimaraes PO,Quirk D,Furtado RH,et al.Tofacitinib in patients hospitalized with COVID-19 pneumonia.N Engl

J Med 2021;385:406-15.