湖北確診病例一日暴增近1.5萬,發生了什麼?

2020年2月13日,根據湖北省公佈的新增病例數據顯示,2月12日0時-24時,湖北省新增新冠肺炎病例14840例(含臨床診斷病例13332例),相比之前的每日幾千例新增病例,這一爆炸性的數字引起了全網熱議。


據湖北衛健委官網,國家衛生健康委辦公廳、國家中醫藥管理局辦公室印發的《新型冠狀病毒感染的肺炎診療方案(試行第五版)》在湖北省的病例診斷分類中增加了“臨床診斷”,以便患者能及早按照確診病例接受規範治療,進一步提高救治成功率。


根據該方案,近期湖北省對既往的疑似病例開展了排查並對診斷結果進行了訂正,對新就診患者按照新的診斷分類進行診斷。為與全國其他省份對外發布的病例診斷分類一致,從今天起,湖北省將臨床診斷病例數納入確診病例數進行公佈。

湖北確診病例一日暴增近1.5萬,發生了什麼?


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.


什麼是臨床診斷病例?


中央指導組專家、北京朝陽醫院副院長童朝暉說,“增加臨床病例的診斷,有益於臨床醫生對疾病多一個判斷。實際上,有一大部分疑似病例按照臨床診斷的標準,一是已有流行病學史;二是發熱、呼吸道咳嗽、憋氣的症狀,這是臨床症狀;三是臨床有體徵;第四個是CT影像。在臨床工作中,要通過這幾個方面綜合診斷。”


“所以這一次在湖北地區增加了臨床診斷病例,因為大家知道前一段時間我們是主要靠核酸來進行確診病例,”他說。


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.


衛健委:全國已調集兩萬多醫護人員支援湖北

Over 20,000 medical workers dispatched to Hubei Province


湖北確診病例一日暴增近1.5萬,發生了什麼?


在2月13日召開的國務院聯防聯控機制發佈會上,國家衛健委醫政醫管局監察專員郭燕紅說,目前,全國共調集了兩萬多醫護人員,組成180多個醫療隊支援湖北和武漢。


同一天,軍隊又增派2600名醫護人員支援武漢抗擊新冠肺炎疫情。參照武漢火神山醫院運行模式,承擔武漢市泰康同濟醫院、湖北省婦幼保健院光谷院區確診患者醫療救治任務。


截至目前,軍隊共派出3批次4000餘名醫護人員支援武漢抗擊新冠肺炎疫情。

郭燕紅說,“這一次確實是舉全國之力支援武漢、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.


根據國家衛健委統計,2月12日0時至24時,各省區市和新疆生產建設兵團報告新增確診病例15152例,全國累計確診新冠肺炎59804例。


疫情防控進入關鍵期

Why now?


專家說過2月中下旬疫情可能到達高峰,而控制傳染源才能防止大流行


2月11日,國家衛健委高級別專家組組長鍾南山就曾說過,根據模型預測,疫情在2月中下旬疫情可能到達高峰。而目前,疫情拐點無法預測,將由返程高峰的防控情況決定。(鍾南山:2月中下旬疫情可能到達高峰)


作為此次疫情源頭的武漢,和所在的湖北省,更加是全國防疫的重點。國家衛健委高級別專家組成員李蘭娟院士,在一月底提出武漢要實行人員出入管控的時候就曾說過,只有嚴格的控制傳染源,杜絕其他省份的輸入性的病人,才能阻止傳染病的繼續蔓延。


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