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湖北确诊病例一日暴增近1.5万,发生了什么?

CGTN CGTN 2020-08-24
2020年2月13日,根据湖北省公布的新增病例数据显示,2月12日0时-24时,湖北省新增新冠肺炎病例14840例(含临床诊断病例13332例),相比之前的每日几千例新增病例,这一爆炸性的数字引起了全网热议。

据湖北卫健委官网,国家卫生健康委办公厅、国家中医药管理局办公室印发的《新型冠状病毒感染的肺炎诊疗方案(试行第五版)》在湖北省的病例诊断分类中增加了“临床诊断”,以便患者能及早按照确诊病例接受规范治疗,进一步提高救治成功率。

根据该方案,近期湖北省对既往的疑似病例开展了排查并对诊断结果进行了订正,对新就诊患者按照新的诊断分类进行诊断。为与全国其他省份对外发布的病例诊断分类一致,从今天起,湖北省将临床诊断病例数纳入确诊病例数进行公布。
 

Central China's Hubei Province, the epicenter of the novel coronavirus outbreak, reported 14,840 new infection cases (including 13,332 clinical cases diagnosed via CT scan) on Wednesday, bringing to a total of 48,206 confirmed cases in the province.

The Hubei Provincial Health Commission said the 13,332 clinically diagnosed cases, which have been seen as confirmed cases from Thursday, were suspected cases and were diagnosed with expanded testing methods including CT scans.  

Clinically diagnosed cases are unique to Hubei statistically. The inclusion of those cases drives the surge in the number of new confirmed cases.

什么是临床诊断病例?


中央指导组专家、北京朝阳医院副院长童朝晖说,“增加临床病例的诊断,有益于临床医生对疾病多一个判断。实际上,有一大部分疑似病例按照临床诊断的标准,一是已有流行病学史;二是发热、呼吸道咳嗽、憋气的症状,这是临床症状;三是临床有体征;第四个是CT影像。在临床工作中,要通过这几个方面综合诊断。”

“所以这一次在湖北地区增加了临床诊断病例,因为大家知道前一段时间我们是主要靠核酸来进行确诊病例,”他说。



Clinically diagnosed cases are defined as suspected cases with CT images showing characteristics of viral pneumonia, including lung inflammation, according to the latest diagnosis and treatment program outlined by the National Health Commission.  

In other words, a large number of cases previously categorized as "suspected" are now clinical confirmations in Hubei, leading to the sharp uptick in total confirmed cases.

The provincial health commission said the diagnosis criteria revision has been made to give those who have been clinically diagnosed the timely standard treatment of confirmed cases to further raise the treatment success rate.

卫健委:全国已调集两万多医护人员支援湖北
Over 20,000 medical workers dispatched to Hubei Province


在2月13日召开的国务院联防联控机制发布会上,国家卫健委医政医管局监察专员郭燕红说,目前,全国共调集了两万多医护人员,组成180多个医疗队支援湖北和武汉。

同一天,军队又增派2600名医护人员支援武汉抗击新冠肺炎疫情。参照武汉火神山医院运行模式,承担武汉市泰康同济医院、湖北省妇幼保健院光谷院区确诊患者医疗救治任务。

截至目前,军队共派出3批次4000余名医护人员支援武汉抗击新冠肺炎疫情。
郭燕红说,“这一次确实是举全国之力支援武汉、支援湖北。”

China Health Commission on Thursday said as of Wednesday it has dispatched 189 teams of 21,569 medical staff to Hubei Province to provide medical care to patients infected with the novel coronavirus.

On Wednesday alone, a total of 2,897 medics from 17 provinces and municipalities were sent to Hubei.

Another 2,600 military medical personnel were sent to the central China city of Wuhan - the epicenter of the coronavirus outbreak - with approval from Xi Jinping, chairman of the Central Military Commission. This marks the third deployment of military medics in the effort to contain the outbreak.

根据国家卫健委统计,2月12日0时至24时,各省区市和新疆生产建设兵团报告新增确诊病例15152例,全国累计确诊新冠肺炎59804例。

疫情防控进入关键期
Why now?

专家说过2月中下旬疫情可能到达高峰,而控制传染源才能防止大流行

2月11日,国家卫健委高级别专家组组长钟南山就曾说过,根据模型预测,疫情在2月中下旬疫情可能到达高峰。而目前,疫情拐点无法预测,将由返程高峰的防控情况决定。(钟南山:2月中下旬疫情可能到达高峰)

作为此次疫情源头的武汉,和所在的湖北省,更加是全国防疫的重点。国家卫健委高级别专家组成员李兰娟院士,在一月底提出武汉要实行人员出入管控的时候就曾说过,只有严格的控制传染源,杜绝其他省份的输入性的病人,才能阻止传染病的继续蔓延。

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