Since the current round of the epidemic in Shanghai, the treatment of critical cases has become a major focus. In the major cabin hospitals, urban-level designated hospitals, and sub-designated hospitals, remote video case discussions with the participation of multidisciplinary experts are carried out every day, and the collaborative treatment of traditional Chinese and Western medicine has played a huge role in it.
Zhang Boli and other experts in the main venue of the video conference offline. Video conferencing screenshot
At more than 7:00 p.m. on May 6, the surging news (www.thepaper.cn) reporter participated in the discussion of one of the critical cases through remote video connection, and the traditional Chinese and Western medicine teams from the Shanghai Public Health Clinical Center, the Geriatrics Center, and the North Branch of Ruijin Hospital introduced the seriously ill patients in their wards one by one.
Participating in the discussion of the case were Zhang Boli, academician of the Chinese Academy of Engineering, Yan Shiyun, a national famous chinese medicine doctor and tenured professor of Shanghai University of Traditional Chinese Medicine, Liu Qingquan, a state-level anti-epidemic expert, and a number of Shanghai traditional Chinese medicine experts, as well as Chen Dechang, vice president of Beijing Chaoyang Hospital, director of the Department of Critical Care Medicine of Ruijin Hospital, Zhang Wenhong, director of the Department of Infectious Diseases of Huashan Hospital, and Song Yuanlin, director of the Respiratory Department of Zhongshan Hospital affiliated to Fudan University.
Zhang Wenhong, Song Yuanlin and others attended the video conference.
TCM Online discusses 3 cases of endotracheal intubation
"I was in the North Branch of Ruijin Hospital, and on May 1, we admitted an 85-year-old elderly male patient who was transferred from the district designated hospital, with coronary heart disease, swelling of the whole body, vomiting, and no vaccination. On May 4, we underwent endotracheal intubation, CRRT, and convalescent plasma treatment..."
"I am a doctor at Yueyang Hospital in Shanghai Public Health Center, on May 2 we received an 81-year-old male patient who developed symptoms such as high white blood cells, chest tightness, acute liver failure, and on May 4, I was intubated, and antiviral and anti-infection treatment was used for these two days..."
"I was in the Geriatric Center, on April 24 we admitted a 90-year-old male patient, long-term living in a nursing home, with cerebral infarction, hypertension, coronary heart disease and other symptoms, life can not take care of themselves, has been in a state of drowsiness, April 27 he had a high fever of 39 ° C, low oxygen saturation, we used endotracheal intubation treatment, giving thymus peptide, lateral lying ventilation and other treatments ..."
On the same day, experts from the fields of respiratory medicine, intensive care medicine, infection, and traditional Chinese medicine discussed the above three elderly cases for up to two and a half hours. These cases have some commonalities: advanced age, underlying medical conditions, unvaccinated, and endotracheal intubation during treatment.
For the infection, fever, malnutrition, circulatory failure, etc. that often occur in critically ill patients, Chinese and Western medicine experts put forward insights in their respective fields.
Experts such as Chen Dechang of the Department of Critical Care Medicine of Ruijin Hospital, Song Yuanlin of the Department of Respiratory Medicine of Zhongshan Hospital Affiliated to Fudan University, combined with the specific circumstances of the case, mentioned that Chinese medicine has played a very good role in improving gastrointestinal function, building a gastrointestinal barrier, and using special prescription drugs such as dushen soup in the treatment of critically ill patients.
Zhang Wenhong, director of the Department of Infectious Diseases of Huashan Hospital, said in the video that the municipal expert group of traditional Chinese and Western medicine carries out daily inspections of key patients, jointly discusses the treatment plan of traditional Chinese and Western medicine, and forms a good cooperation mechanism between traditional Chinese and western medicine, which can be seen that traditional Chinese medicine has obvious effects in improving other symptoms of critically ill patients with new crown, and the treatment norms of traditional Chinese and Western medicine have also been well promoted.
Yan Shiyun, a national famous Chinese medicine doctor who has been practicing medicine for more than 60 years, said: "To follow the clinical path, but more critical is to be 'early' and 'fast', to seize the fleeting opportunity." Elderly patients lack of righteousness is the top priority, sometimes we in the infectious disease critical patients, will urgently use the single ginseng soup, ginseng soup to replenish vitality, help the correct solidity, can not have the slightest hesitation, in the colloquial saying is to save lives first, after the vital signs are stabilized, and then the prescription will be adjusted for a new time. ”
Zhang Boli proposed that in the treatment of new crown pneumonia cases, on the basis of conventional standardized treatment, the treatment methods of traditional Chinese and Western medicine should learn from each other, "Yizhong is in the middle, Yixi is in the west", which treatment method is conducive to the patient to use which, collaborative treatment, optimization strategy, to achieve "1 + 1>2".
During the consultation and discussion, the experts repeatedly emphasized that Chinese and Western medicine should complement each other's advantages, highlight the advantages of Chinese medicine thinking in attaching equal importance to Chinese and Western medicine, and achieve integration with Western medicine treatment.
Case introduction
More than 2,400 TCM physicians collaborated with the Western medicine team to carry out treatment
On May 10, Hu Hongyi, deputy director of the Shanghai Municipal Health Commission and deputy director of the Shanghai Municipal Administration of Traditional Chinese Medicine, told the surging news (www.thepaper.cn) reporter that in the current round of Shanghai's new crown pneumonia treatment and epidemic prevention and control, Shanghai has always adhered to the equal emphasis on traditional Chinese and Western medicine and the simultaneous use of Traditional Chinese and Western medicine, improved the coordination mechanism between Traditional Chinese and Western medicine, and effectively improved the treatment level of new crown patients.
In terms of staffing, the TCM team of Shanghai Municipal Hospital of Traditional Chinese Medicine and General Hospital actively participates in the treatment of traditional Chinese medicine in designated hospitals and cabin hospitals, and has achieved full coverage of traditional Chinese medicine physicians, and more than 2,400 traditional Chinese medicine doctors and Western medicine teams in the city have coordinated to carry out joint treatment of traditional Chinese and Western medicine.
In terms of working mechanism, the Shanghai Municipal Epidemic Prevention and Control Medical Treatment Group and the Municipal Health Commission and the Municipal Administration of Traditional Chinese Medicine have successively formulated a series of work requirements such as the Notice on Further Strengthening the Coordination Mechanism of Traditional Chinese and Western Medicine in Designated Hospitals and Centralized Isolation and Treatment Sites in Shanghai to strengthen the cooperation between Traditional Chinese and Western medicine.
In addition, the designated hospitals and sub-designated hospitals in Shanghai have established and improved the cooperation mechanism of traditional Chinese and Western medicine, especially for the elderly and those with underlying diseases, the joint rounds and joint diagnosis of traditional Chinese and Western medicines have been implemented, and the whole medicine has been completely matched according to the catalogue of traditional Chinese medicine for the treatment of critically ill patients, so as to realize the simultaneous use of Chinese and Western medicines.
In view of the key situations such as elderly patients, critically ill patients and long-term non-negative nucleic acids, the Shanghai Municipal Administration of Traditional Chinese Medicine has promoted the extensive coverage of the Prescription Decoction of traditional Chinese medicine in designated hospitals in the Shanghai Plan, reduced the weight transfer rate, reduced the nucleic acid negative time, and reduced the mortality rate, accelerated the improvement of the optimal combination scheme of Chinese and Western medicine, and improved the efficacy of collaborative treatment of Traditional Chinese and Western medicine.
Hu Hongyi further said that in order to strengthen the ability of traditional Chinese medicine and Western medicine to treat critically ill patients, Shanghai has also innovated the organizational model and set up a multidisciplinary expert group of traditional Chinese medicine at the municipal level, including national famous traditional Chinese medicine, Shanghai famous traditional Chinese medicine and Qihuang scholars, and held consultations and discussions on critical cases in designated hospitals in cities and districts at a fixed time every day.