At the 248th press conference on COVID-19 prevention and control in Beijing on October 26, Chen Xiaoyou, vice president of Beijing Ditan Hospital affiliated to Capital Medical University, said that the hospital has taken three major medical treatment measures according to the characteristics of the COVID-19 cases:
First, we should adhere to early diagnosis and treatment and attach equal importance to traditional Chinese and western medicine. In accordance with the principle of "four concentrations" of patients, experts, resources and treatment, all cases were treated in isolation wards with single patients and single rooms. The department of Infectious Diseases, the department of critical Care Medicine, the Department of Respiratory Medicine, the Department of Integrated Traditional Chinese and Western Medicine, the Department of imaging and laboratory medicine and other departments of the hospital have formed a multidisciplinary expert group to analyze the patients' condition every day, conduct collective consultation, analyze the characteristics of each case and formulate a targeted "one person, one policy" diagnosis and treatment plan. We will strengthen early comprehensive treatment, attach equal importance to traditional Chinese medicine and western medicine, and all cases will be treated with traditional Chinese medicine. According to the changes of the condition, we will differentiate symptoms and adjust formulas on a daily basis, strengthen basic nursing and humanistic care, and improve the treatment effect.
Second, closely observe changes in the condition and do a good job in the treatment of severe cases. Among the 17 confirmed cases, one was 57 years old, while the rest were between 61 and 69 years old. Fourteen of them had diabetes, hypertension, malignant tumor, rheumatoid disease, coronary heart disease and other underlying diseases. At present, all cases were in the early stage of the disease within one week of onset. 10 cases showed fever, 1 case had a temperature of over 40℃, and 14 cases had definite pulmonary lesions as indicated by chest CT. Based on the characteristics of the above cases, the panel assessed that the patients were at risk of progression, and some cases may become severe. After admission, 4 patients progressed from mild to normal, and 1 patient progressed from normal to severe. At present, the severe patient has been treated with a comprehensive treatment plan combining traditional Chinese and Western medicine. ICU doctors closely observe the patient's condition changes, and make daily expert consultation to adjust the treatment plan in time according to the changes of his condition. To cope with the possible increase of severe cases, our hospital has formulated the diagnosis and treatment plan for severe and critical cases. Relevant personnel have been arranged in place. Equipment in the rescue treatment ward is on standby, and sufficient life support consumables have been reserved in store, making full preparations for the timely detection and effective treatment of severe cases.
Third, three-level pre-examination and triage should be strictly implemented to prevent and control hospital infection. In light of the current development and changes of the epidemic situation, the content of the epidemiological survey monitoring system should be updated in a timely manner; the three-level pre-examination and triage should be strictly implemented; all hospitalized patients should be strictly screened, and nosocomial infection prevention and control measures should be strictly implemented for patients from medium-high risk areas, so as to effectively reduce the risk of nosocomial infection.