重癥患者用恢復(fù)期血漿治療效果如何?
中國日報網(wǎng) 2020-02-17 14:53
有效藥物是防控疫情的制勝武器,重癥救治是降低病亡率的關(guān)鍵。
In the latest guideline over the diagnosis and treatment of the virus issued on Feb 5, the top health authorities said plasma of recovering patients could be employed to fight the disease.
國家衛(wèi)生健康委員會2月5日發(fā)布的《新型冠狀病毒感染的肺炎診療方案(試行第五版)》,提出可采用恢復(fù)期患者的血漿治療新冠病毒。
業(yè)內(nèi)專家指出,從臨床病理發(fā)生過程看,大部分新冠肺炎患者經(jīng)過治療康復(fù)后,身體內(nèi)會產(chǎn)生針對新冠病毒的特異性抗體(antibodies for the novel coronavirus),可殺滅和清除病毒。
2月8日,以新型冠狀病毒感染的肺炎診療方案(試行第五版)為指南,首期在武漢市江夏區(qū)第一人民醫(yī)院開展了3名危重患者的新冠特免血漿治療,目前連同后續(xù)醫(yī)院治療的危重病人超過了10人。
Seven patients are receiving treatment using the therapy at Jiangxia First People's Hospital, in Wuhan's Jiangxia district, Liu Bende, vice-president of the hospital, said.
武漢市江夏區(qū)第一人民醫(yī)院副院長劉本德表示,該醫(yī)院有7名患者正在接受恢復(fù)期血漿治療。
Twelve to 24 hours after the therapy, patients have seen a decline in indicators of inflammation and a hike in lymphocytes, among other favorable turns.
患者接受治療12至24小時后,實驗室檢測主要炎癥指標(biāo)明顯下降,淋巴細(xì)胞比例上升,血氧飽和度、其他重點指標(biāo)全面向好。
"Of the patients, those in serious condition have not deteriorated so far, while those in a milder condition have showed improvement," he said. "In general, we have not seen serious side effects or complications due to the therapy."
他指出,接受該療法的患者中,重癥患者情況沒有惡化,癥狀較輕患者情況有改善??傮w來說,沒有發(fā)現(xiàn)因血漿療法而產(chǎn)生嚴(yán)重的副作用或并發(fā)癥。
2月13日,湖北省武漢金銀潭醫(yī)院院長張定宇在發(fā)布會上懇請康復(fù)后的患者捐獻(xiàn)血漿,共同拯救還在與病魔作斗爭的病人。
那么,符合哪些條件的恢復(fù)期患者的血漿,才會被采樣并使用?
上海市公共衛(wèi)生臨床中心醫(yī)務(wù)部主任沈銀忠表示,
Cured patients have to meet certain criteria before donating plasma. "First, donors must be in good health… we won't collect their plasma forcefully," Shen said. "They must donate voluntarily."
康復(fù)患者捐獻(xiàn)血漿要符合一些特定的要求,首先,捐獻(xiàn)者身體要健康,我們不可能強行去采他的血,患者要自愿。
江夏區(qū)第一人民醫(yī)院副院長劉本德表示,
Plasma from patients with chronic diseases cannot be used, even if they have recovered from novel coronavirus pneumonia.
患有慢性病的新冠肺炎康復(fù)患者捐獻(xiàn)的血漿也不能使用。
康復(fù)者治愈后多久可以捐獻(xiàn)?
金銀潭醫(yī)院院長張定宇表示,建議康復(fù)者在治愈兩周后參加捐獻(xiàn)(donate plasma two weeks after full recovery),這樣能保證他體內(nèi)的病毒已經(jīng)得到很好地清除。
【相關(guān)詞匯】
恢復(fù)期血漿 convalescent([?kɑnv??lesnt]) plasma
獻(xiàn)血 donate blood
提高收治率和治愈率 improve the admission and survival rates
特效藥 wonder drug
參考來源:新華網(wǎng)
(中國日報網(wǎng)英語點津 Helen)