上海本土新增“3238+21582”，在风险人群中发现的阳性感染者比例在下降

上海市卫健委今早（17日）通报：2022年4月16日0—24时，新增本土新冠肺炎确诊病例3238例和无症状感染者21582例。

There were 3,238 confirmed locally transmitted COVID-19 cases and 21,582 local asymptomatic carriers on Saturday, the municipal health commission said Sunday. 

在风险人群中发现的阳性感染者比例在下降

在17日举行的上海市疫情防控新闻发布会上，上海市卫生健康委主任邬惊雷表示，在21582例本土无症状感染者中，21167例在闭环隔离管控中发现，415例在相关风险人群核酸筛查中发现。在风险人群中发现的阳性感染者比例在下降。这两天发现的阳性感染者人数依然处于高位，但相对维持稳定。

邬惊雷还表示，昨天，全市本土确诊病例出院373例，无症状感染者解除集中隔离医学观察10337例，他们将返回居住地接受健康监测。

The proportion of people with COVID-19 found in at-risk groups in Shanghai is declining. Although the number of positive cases found in the past two days is still high, they are relatively stable, local authorities said.

"Among the 21,582 asymptomatic cases, 415 were found in at-risk groups," said Wu Jinglei, director of the Shanghai municipal health commission, during Sunday's press conference on the COVID-19 situation.

A total of 373 locally transmitted COVID-19 patients were discharged from hospitals after recovery, and 10,337 COVID-19 patients were released from centralized medical observation on the previous day, it said.

上海：对重症患者实行“一人一方案”诊疗

此外，邬惊雷还就重症病例的救治情况做了通报。

邬惊雷介绍，目前上海有重型病例16例，最小1例33岁，其他都是70岁以上的老年人，这16例当中，只有1例是全程接种疫苗的，其他都没有接种过新冠肺炎病毒疫苗。这位33岁的患者患有严重的自身免疫性疾病，免疫功能下降非常明显，同时因为肾脏功能不好，需要血液透析来维持。该患者入院时候显示肺部有病变，同时有心包积液。经过积极的抗病毒治疗，配合中医药治疗，目前肺部CT表现有改善，相关基础性疾病、自身免疫性疾病正在积极治疗当中。

对于合并有严重基础性疾病的老年重症患者，按照“一人一方案”的原则，增配救治力量，特别要开展多学科的会诊，多学科的联合治疗。针对这些患者伴有严重基础性疾病的特点，在使用一些小分子药物、中医特色的药物、汤剂等积极治疗新冠肺炎的同时，可能还要加强氧供，甚至要用呼吸机以及体外膜肺共同形成一个优势互补，加速病毒转阴。

Wu also mentioned the current number of severe cases in the city, saying "there are now 16 severe cases of COVID-19 in Shanghai, among which the youngest one is 33 years old, and the others are all people over 70 years old."

"Only one case of the 16 was fully vaccinated, while the others have not been vaccinated against COVID-19 at all," Wu added, noting that the 33-year-old also suffers from a pre-existing severe autoimmune disease that significantly weakened the patient's immune system.

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