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卫生部昨日印发《甲型H1N1流感轻症患者居家隔离治疗管理方案(试行版)》(以下简称试行方案),要求对居家隔离患者的体温和病情变化,进行每日不少于2次的监测并报告。

  患者尽量单间居住

  卫生部日前调整我国甲流防控策略,明确甲流轻症患者可进行居家隔离治疗,但是如何保证居家隔离者不将病毒传染给家人等问题,尚无具体方案。免费多视频网站vip会员账号

  昨日,试行方案的下发,对上述问题进行了明确。卫生部北京痤疮医院医师讲治好的症状有哪些要求,居家隔离时,患者尽量单间居住,宜使用单独卫生间,并且患者在家庭共同区域活动时须戴外科口罩。至少需在家中隔离观察7天,隔离观察期间,患者应尽量避免离家;如需离家(如到医院就诊)须戴外科口罩。

  居家治疗需患者同意

  卫生部要求,社区医生应每日监测居家患者的体温和病情变化并报告,北京白癜风哪家医院最专业每日不少于2次。当患者出现持续高热,咳嗽加重等症状,以及原有基础疾病明显加重,基层医师应及时将患者转至定点医院诊治。

  另外,流感高危人群应住院治疗。但是特殊情况必须居家隔离治疗时,应密切监测病情,一旦出现病情变化须及时转至定点医院诊治。

  卫生部再次明确,甲型流感轻症患者是否居家隔离治疗,由定点医院经治医师按照省级卫生行政部门有关规定,结合具体病情,征得患者同意后进行。

  新版甲流诊疗方案

  【无症感染】

  无症状的感染者列为主要传染源。甲流患者约10%病例不发热。(一些人虽感染甲流病毒也可能不发病。)

  【重症病例】

  出现其中一项情况:合并肺炎和/或低氧血症、呼吸衰竭;合并感染中毒性休克;合并多脏器功能不全或多脏器功能衰竭。

  【出院标准】

  体温正常3天,其他流感样症状基本消失,临床情况稳定,咽拭子甲型H1N1流感病毒核酸检测阴性的患者就可以出院。
北京皮肤科诚信医院白癜风告别援助

  不宜居家治疗人群

  1.5岁以下儿童北京正规治疗白癜风多少钱

  2.65岁及以上老年人

  3.妊娠妇女

  4.伴有以下疾病或状况者:慢性呼吸系统疾病、心血管系统疾病(高血压除外)、肾病、肝病、血液系统疾病、神经系统及神经肌肉疾病、代谢及内分泌系统疾病、免疫功能抑制(包括应用免疫抑制剂或HIV感染等致免疫功能低下)等

  5.集体生活于养老院或其他慢性病疗养机构的人员

  ■诊疗方案

  轻症患者可不用达菲

  新版甲流诊疗方案发布,出院标准放宽

  轻症患者可不用达菲

  本报讯(记者吴鹏)卫生部昨日发布新版甲型H1N1流感诊疗方案,方案中首次明确,约10%病例不发热,同时,卫生部正式发文指出,轻症患者不必使用达菲治疗。

  无症状感染者列为主要传染源

  与第一版诊疗方案相比,新版诊疗方案首次将无症状的感染者列为主要传染源,专家认为,甲流病毒感染者在发病前一天已经具有传染性,同时,一些人虽感染甲流病毒也可能不发病。

  记者了解到,在疫情爆发初期,广东省就出现了无症状的甲流隐性患者,而北京出现的南湖中园小学聚集性病例,也被认为一名自愈的家政人员为传染源。

  同时,诊疗方案中称,甲流患者约10%病例不发热。

  重症病例情况明确

  在新版诊疗方案中,也明确了甲流重症病例的情况。

  方案中称,当确诊或疑似病例出现其中一项情况即为重症病例,包括合并肺炎和/或低氧血症、呼吸衰竭;合并感染中毒性休克;合并多脏器功能不全或多脏器功能衰竭。

  方案中表示,重症患者应配合相应的治疗,对于临床症状较轻且无合并症的病例,无需积极应用达菲类药物。

  患者出院标准放宽

  在昨日下发的新版方案中明确,只要体温正常3天,其他流感样症状基本消失,临床情况稳定,咽拭子甲型H1N1流感病毒核酸检测阴性的患者就可以出院。
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