Ib txoj kev tshawb nrhiav pom tias hauv kev tshawb fawb ntawm cov neeg mob hauv tsev kho mob COVID-19, cov ntshav oxygen qis dua 92% thiab ua pa nrawm nrawm yog cuam tshuam nrog kev nce hauv kev tuag, uas qhia tias cov neeg uas kuaj pom tus kab mob zoo yuav tsum nyob hauv tsev Nco ntsoov tias. Cov cim no yog coj los ntawm cov kws tshawb fawb ntawm University of Washington hauv Seattle.
Txoj kev tshawb no, luam tawm hnub no nyob rau hauv Influenza thiab Lwm yam kab mob ua pa, ua ib daim ntawv ntsuam xyuas ntawm 1,095 tus neeg laus tus mob coronavirus uas tau mus pw hauv tsev kho mob hauv Washington University Hospital lossis Chicago Rush University Medical Center txij lub Peb Hlis 1 txog rau Lub Rau Hli 8, 2020.
Yuav luag txhua tus neeg mob uas muaj cov pa oxygen tsawg (99%) thiab ua tsis taus pa (98%) tau muab cov pa oxygen ntxiv thiab corticosteroids los ua kom qhov mob.
Ntawm 1,095 tus neeg mob, 197 (18%) tuag hauv tsev kho mob.Piv nrog rau cov neeg mob hauv tsev kho mob uas muaj cov ntshav oxygen saturation, cov neeg mob uas tsis muaj cov ntshav oxygen saturation yog 1.8 txog 4.0 npaug ntau dua yuav tuag hauv tsev kho mob.Ib yam li ntawd, cov neeg mob ua pa siab yog 1.9 txog 3.2 npaug feem ntau yuav tuag ntau dua li cov neeg mob ua pa ib txwm muaj.
Tsawg tus neeg mob qhia tias ua tsis taus pa (10%) lossis hnoos (25%), txawm tias lawv cov ntshav oxygen qib 91% lossis qis dua, lossis lawv ua pa 23 zaug hauv ib feeb lossis ntau dua."Hauv peb txoj kev tshawb fawb, tsuas yog 10% ntawm cov neeg mob hauv tsev kho mob tau tshaj tawm ua pa luv.Cov tsos mob ua pa ntawm kev nkag mus tsis cuam tshuam nrog hypoxemia [hypoxia] lossis kev tuag.Qhov no qhia meej tias cov tsos mob ua pa tsis tshwm sim thiab tej zaum yuav tsis raug txheeb xyuas cov neeg mob uas muaj kev pheej hmoo siab, "tus kws sau ntawv sau, ntxiv tias kev txheeb xyuas qeeb yuav ua rau cov txiaj ntsig tsis zoo.
Lub cev loj dua qhov Performance index muaj feem xyuam rau cov pa oxygen qis dua thiab ua pa nrawm dua.Lub cev kub, lub plawv dhia thiab ntshav siab tsis muaj dab tsi ua rau kev tuag.
Cov tsos mob tshwm sim tshaj plaws ntawm kev nkag mus yog kub taub hau (73%).Qhov nruab nrab hnub nyoog ntawm cov neeg mob yog 58 xyoo, 62% yog txiv neej, thiab muaj ntau yam kab mob xws li ntshav siab (54%), ntshav qab zib (33%), kab mob coronary artery (12%) thiab plawv tsis ua hauj lwm (12%).
"Cov kev tshawb pom no siv rau cov kev paub hauv lub neej ntawm cov neeg mob COVID-19 feem ntau: nyob hauv tsev, ntxhov siab, xav paub yuav ua li cas paub seb lawv tus mob puas yuav ua tau zoo, thiab xav tsis thoob thaum nws ua rau muaj kev nkag siab zoo mus rau hauv tsev kho mob," tus thawj coj sau ntawv Neal Chatterjee Medical Tus kws kho mob tau hais hauv lub rooj sib tham xov xwm ntawm University of Washington
Tus kws sau ntawv tau hais tias cov txiaj ntsig ntawm txoj kev tshawb fawb qhia tias txawm tias cov neeg muaj kev pheej hmoo siab nrog cov tsos mob ntawm tus kab mob COVID-19 kuaj pom qhov zoo thiab muaj cov txiaj ntsig tsis zoo vim muaj hnub nyoog dhau los lossis rog yuav tsum suav lawv ua pa ib feeb thiab tau txais lub mem tes oximeter los ntsuas lawv.Tus sau ntawm lawv cov ntshav oxygen concentration kawm tau hais hauv tsev.Lawv hais tias lub pulse oximeter tuaj yeem raug txiav rau koj lub ntsis ntiv tes thiab raug nqi tsawg dua $ 20.Tab sis txawm tias tsis muaj pulse oximeter, qhov ua pa nrawm tuaj yeem ua rau muaj kev cuam tshuam ua pa.
"Ib qho kev ntsuas yooj yim dua yog qhov ua pa - koj ua pa pes tsawg zaus hauv ib feeb," tus kws sau ntawv tus thawj coj Nona Sotoodehnia, MD, MPH tau hais hauv xov xwm tshaj tawm.“Yog tias koj tsis xyuam xim ua pa, cia ib tug phooj ywg lossis cov neeg hauv tsev neeg saib xyuas koj ib feeb.Yog tias koj ua pa 23 zaug hauv ib feeb, koj yuav tsum hu rau koj tus kws kho mob. "
Sotoodehnia tau taw qhia tias glucocorticoids thiab cov pa oxygen ntxiv tuaj yeem pab cov neeg mob COVID-19."Peb muab cov neeg mob ntxiv cov pa oxygen los tswj cov ntshav oxygen saturation ntawm 92% txog 96%,"."Nws yog ib qho tseem ceeb kom nco ntsoov tias tsuas yog cov neeg mob uas siv cov pa oxygen ntxiv tuaj yeem tau txais txiaj ntsig los ntawm kev cawm txoj sia ntawm glucocorticoids."
Cov kws tshawb fawb kuj tau thov kom hloov kho rau COVID-19 cov lus qhia ntawm Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv (CDC) thiab Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb (WHO), uas qhia cov neeg mob coronavirus kom nrhiav kev kho mob thaum lawv pom cov tsos mob pom tseeb xws li "dyspnea. ”thiab “dyspnea.”Kev mob tsis tu ncua lossis siab hauv siab.”
 Tus neeg mob yuav tsis ntsib cov tsos mob no, txawm tias qhov ua pa nrawm nrawm thiab cov ntshav oxygen tau poob mus rau theem txaus ntshai.Cov lus qhia tseem ceeb tshwj xeeb tshaj yog rau cov chaw kho mob thawj zaug (xws li cov kws kho mob hauv tsev neeg thiab cov chaw muab kev pabcuam telemedicine).
Chatterjee tau hais tias: "Peb pom zoo kom CDC thiab WHO txiav txim siab hloov kho lawv cov lus qhia kom coj mus rau hauv tus account cov neeg tsis muaj tsos mob no uas tsim nyog tau mus pw hauv tsev kho mob thiab saib xyuas."“Tab sis tib neeg tsis paub cov lus qhia ntawm WHO thiab Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv.Txoj cai;peb tau txais cov lus qhia no los ntawm peb cov kws kho mob thiab cov ntaub ntawv xov xwm. "
CIDRAP-Center for Infectious Disease Research and Policy, Office of the Vice President for Research, University of Minnesota, Minneapolis, Minnesota
© 2021 Lub Regents ntawm University of Minnesota.tag nrho cov cai.Lub Tsev Kawm Ntawv Qib Siab Minnesota yog ib tus kws qhia ntawv thiab tus tswv ntiav sib npaug.
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Post lub sij hawm: Jun-18-2021