Qiu Haibo. Figure / Ding Gang, financial news reporter
Novel coronavirus pneumonia expert Qiu Haibo, vice chairman of Zhongda Hospital Affiliated to Southeast University and vice president of Zhongda Hospital Affiliated to Southeast University, divided Wuhan's epidemic into four stages. The understanding of new crown pneumonia was gradually improved, and clinical standardized treatment was gradually strengthened.
Reporter Xiao Hui
Qiu Haibo, vice president of the affiliated Zhongda Hospital of Southeast University, is about to usher in his 90th day of anti epidemic in Wuhan. When the provincial medical teams will complete the evacuation this week, eight members of the national expert group, including him, and more than ten experts from Beijing Union Medical College Hospital and Jiangsu people's hospital need to stay to guide Wuhan's severe treatment. As the first doctor of critical medicine in China, Professor Qiu Haibo, 53, has two identities in Wuhan: member of the expert group of the central anti epidemic guiding group and expert of the medical treatment group of the national health and Health Commission. But Qiu Haibo said that he was a clinician first. In more than two months in Wuhan, he went back to various hospitals to guide critical treatment. When the early oxygen supply pressure was insufficient, he and other doctors Push the oxygen tank into the ward together; in case of emergency, he intubated the ventilator himself. Professor Qiu Haibo, 53, spent more than two months in Wuhan, commuting to various hospitals to guide the new crown patients in critical treatment. Some media sent two photos of Professor Qiu Haibo at the beginning and the end of the anti epidemic, which were called "anti epidemic expert's white head in January". Qiu Haibo told reporters that the photos were due to the poor vision caused by light and shadow, not as exaggerated as "white head in January". However, the difficulty in rescuing severe patients after the early breakdown of medical resources in Wuhan really worried him. After more than two months of exploration and the establishment of standardized treatment path, the death rate of severe patients decreased significantly. Now, the number of the last serious patients is less than 100. Qiu Haibo joked: "you will write that the anti epidemic has entered the final stage. The pressure is low, and Professor Qiu's hair is black again." Qiu Haibo said in an interview with Caixin that there is a gradual process in understanding the new coronavirus, and the critical treatment is also a gradual process of improvement, "this process is very difficult, but we won the war.". Caixin reporter from Wuhan ICU in four stages: you have been involved in the fight against the new crown epidemic in Wuhan for more than two months. According to your observation, which stages can the fight against the epidemic in Wuhan be divided into? Qiu Haibo: from the perspective of medical treatment, anti epidemic in Wuhan can be divided into four stages: the first stage is from late January to early February. Medical resources cannot meet the needs of ordinary and severe patients in Wuhan, many patients cannot be admitted, basic medical care is not guaranteed, and the rescue and treatment plan is still in the exploratory stage; the second stage is from mid February to early March, medical resources and strength In terms of quantity, it has basically reached the goal of collecting all receivables and standardizing the treatment plan step by step; in the third stage, from the middle of March to the end of March, the treatment plan has been updated to the seventh edition. It should be said that the treatment is becoming more and more standardized, and the homogeneity of the treatment of all medical teams is getting higher and higher; in the fourth stage, from the beginning of April to the present, it is the ending stage, with the total number of new crown patients decreasing and about 100 severe patients, and The new coronavirus has been eliminated in most of the patients, and the nucleic acid test turned negative, with the main diseases and complications. In the first stage, because a large number of patients are hard to find a bed, it is necessary to transfer a patient or die a patient before they have a bed to arrange new patients to live in. So many of the patients living in the ICU are in the critical period, and the medical staff, medical equipment and oxygen are not enough. In addition, at the beginning, the understanding of the disease is not very clear, and the diagnosis and treatment path is not so clear. It is difficult for the patients living in the ICU to get good treatment, and the mortality rate is relatively high. This stage is the hardest, and doctors and patients are desperate. The novel coronavirus pneumonia is a new infectious disease. It is appropriate to summarize the clinical characteristics and know how to treat the patients. What we need to do is to go into the ward to see the patients and analyze the characteristics of each patient. It's only after looking at the patient that you know what the patient's characteristics are, how his medical history develops, where it worsens, and what kind of response to treatment. It's the same as reporting by your reporters. You have to go to the scene to see what happened. The doctor is also the same. If you don't see the patient in the ward, you can talk about the recommended treatment plan. It's all nonsense. Caixin reporter: what did you find in the clinical examination? Qiu Haibo: seeing patients one by one in the ward, we summed up some experiences and lessons. From the perspective of clinical manifestations, the time for patients to develop from symptoms to severe is generally 7-10 days. At this stage, some patients' symptoms are not very obvious, fever is not high, cough is not heavy, chest tightness is not heavy, and even some people do not have fever and cough. I describe this disease as very strange. In the early stage, it was covered up and ignored. When it was found, it became severe. The typical characteristics of severe cases are low oxygen saturation, chest tightness and dyspnea. This time, we found that the actual oxygen saturation of the patient was very low, but the characteristic of chest distress was not obvious. We called it silent hypooxia. The more unresponsive the patient, the more dangerous it is. Because patients are ignored in the early stage, it will be more difficult to treat when the disease is aggravated, which is a great lesson for us. Patients can get out of bed and walk to the bathroom, but they suddenly fainted and even died suddenly in the bathroom, which was rarely encountered before. This clinical feature needs to be summarized in clinical practice, not by listening to others in the office. After learning about this situation, we put forward suggestions to the national health and Health Commission. When patients have symptoms, they should do oxygen saturation monitoring as soon as possible, oxygen therapy and intubation in time. The way of diagnosis is to find out step by step. It's not that we will start, but that we will gradually form a set of diagnosis and treatment process in the exploration
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