Source:
http://wjw.hubei.gov.cn/fbjd/dtyw/202002/t20200213_2026921.shtml
"New Coronavirus Infection Prevention and Control Work" Press Conference 22 (Hubei)
Time: 2020-02-12
Guests: Han Ding, Deputy Dean of Peking Union Medical College Hospital; Zhou Jun, Secretary of the Party Committee of China-Japan Friendship Hospital; Ma Xin, Deputy Dean of Huashan Hospital, Fudan University.
Xiang Peifeng, Deputy Minister of the Propaganda Department of the Provincial Party Committee:
Reporters friends, good evening friends!
The Hubei Provincial New Coronavirus Infected Pneumonia Epidemic Prevention and Control Headquarters held the 22nd press conference. Introduce the relevant situation of the National Health and Health Commission's medical team assisting Hubei. Today we invited Mr. Han Ding, the Deputy Dean of Peking Union Medical College Hospital, Mr. Zhou Jun, the Secretary of the Party Committee of China-Japan Friendship Hospital, and Mr. Ma Xin, the Deputy Dean of Huashan Hospital affiliated to Fudan University. They were invited to introduce the situation and answer questions from reporters.
First of all, Mr. Han Ding would like to introduce the situation of the Peking Union Medical College Aid Medical Team.
Han Ding, Deputy Director of Peking Union Medical College Hospital:
Peking Union Medical College Hospital was notified on the first day of the first year of the new year. The National Health and Health Commission urgently notified the establishment of a national anti-epidemic medical team, consisting of 6 affiliated hospitals, including Beijing Hospital, Peking Union Medical College Hospital, Peking University Hospital, and Peking University. The People's Hospital, the Third Hospital of Beijing Medical University, and the China-Japan Friendship Hospital have 6 subordinated and subordinated hospitals. Each hospital sends 20 experts and medical staff with severe respiratory infections, and Xiehe Hospital sends a deputy dean to lead the team. We arrived in Wuhan on the second night of the Chinese New Year and docked with the Tongji Hospital's Sino-French New Town area to take care of the critically ill patients.
On February 6th, we received a notice that the Peking Union Medical College Hospital will take over the intensive ward for infectious diseases in the Sino-French New City Hospital. The second group was led by Secretary Zhang Shuyang, and 142 medical staff participated in the assistance. Because the intensive care unit requires comprehensive organ support, in addition to respiratory infection experts, our experts also include cardiac experts, digestive, kidney, endocrine, and neurological experts to form a multi-disciplinary collaborative team to Rescue critically ill and critically ill patients. At present, there are 164 medical staff fighting in the front line of Beijing Union Medical College in Wuhan.
Zhou Jun, Secretary of the Party Committee of the China-Japan Friendship Hospital:
The China-Japan Friendship Hospital is a direct hospital of the National Health and Health Commission. On December 31 last year, in accordance with the arrangements of the National Health and Health Commission, Vice President Cao Bin of our hospital went to Wuhan as a member of the National Expert Group to guide prevention and control work. So far, the China-Japan Friendship Hospital has sent five batches of 53 members in Wuhan. These players are mainly divided into two parts. One team is also in the Tongji Hospital's Zhongfa Xincheng District to treat some critically ill patients. We have more than 100 medical experts in this hospital, of which 60 are long-term respiratory and critically ill patients. Clinic.
The second team is responsible for the medical tasks of the Wuhan Living Room Cangfang Hospital for ordinary patients. We have undertaken medical tasks for more than 1,500 people together with the brother province team. The China-Japan Friendship Hospital, led by Vice President Cao Bin, is also conducting research on some clinical trials of drugs, especially Redecive.
Ma Xin, Deputy Dean of Huashan Hospital, Fudan University:
There are four medical teams in Huashan Hospital affiliated to Fudan University in Wuhan. The first team of four members set off on New Year's Eve, the second group of four members set off on the fourth day of the new year, and the third group was led by the team last Tuesday. A total of 46 medical rescue teams took a train from Shanghai Hongqiao Railway Station to Wuhan. At the same time, we brought 6 mobile hospitals, which are also square cabin hospitals. We treated patients with mild illnesses in the square cabin hospital of Wuhan Hongshan Stadium. The day before yesterday, our fourth team, a total of 215 people, arrived in Wuhan from Shanghai Hongqiao Airport by plane. This team is preparing to build a system to receive the intensive care unit of the Guanggu District of Tongji Hospital. Among them, there are 30 doctors and 180 nurses, whose main job is to treat critically ill patients and reduce patient mortality.
At present, as the general leader, I lead these four teams for staffing and material deployment. These four teams, mainly from Huashan Hospital infection doctor, respiratory doctor, intensive care doctor, and related academic doctors, we form a close cooperation team, we support each other, consult each other, and jointly improve the healing power of patients. Thank you.
Xiang Peifeng, Deputy Minister of the Propaganda Department of the Provincial Party Committee:
Thank you Mr. Ma Xin. Now, please ask the media to start asking questions, please inform the name of the media organization before asking questions.
People's Daily: The three leaders just introduced the basic situation of their respective medical teams. Previously, we also learned that many hospitals have deployed their backbone forces and brought a lot of equipment with them. Could you please introduce some of your housekeeping skills, and what are their advantages and specialties in critical care?
Han Ding, Deputy Director of Peking Union Medical College Hospital:
This question is very good, in fact each hospital has its own advantages. What we undertake is the intensive disease intensive ward for the infectious diseases in the Tongji Hospital's New China Hospital, that is, the most severely admitted patients. Therefore, the hospital was very well prepared. The director of the severe infection and respiratory department in the rear area came to support. Many experts and medical staff have experience in fighting SARS.
At the same time, we brought related specialists to support Wuhan, including experts in liver, digestive function, kidney and even nervous system, endocrine metabolism. Because critically ill patients will eventually accumulate in various organs and have some basic diseases, we will make full use of this comprehensive advantage and expert advantage. The most advanced treatment support methods in China should be used. We treated a total of 32 patients. In addition to conventional intravenous drugs and nutritional support, almost all of the critically ill patients were intubated on the ventilator. Individual patients also used ECMO, emergency pericardial puncture and drainage, etc. to achieve the goal of reducing mortality.
Zhou Jun, Secretary of the Party Committee of the China-Japan Friendship Hospital:
The China-Japan Friendship Hospital has advantages in the diagnosis and treatment of respiratory diseases. On the whole, the China-Japan Friendship Hospital has achieved coverage from the prevention of respiratory diseases to the research and treatment of end-stage respiratory diseases. This time we want to give full play to the advantages of the China-Japan Friendship Hospital in the diagnosis and treatment of respiratory diseases. The experts from the relevant teams have come to Wuhan, and it can be said that a very strong technical force has formed. In order to give full play to the level and role of this team, the China-Japan Friendship Hospital shipped three consecutive batches of equipment worth more than 15 million yuan from Beijing in less than ten days, including invasive ventilators, ECMO, and bedside hemofiltration. And monitors. I believe our team will be able to play a role in intensive care and reduce mortality. Thank you.
Ma Xin, Deputy Dean of Huashan Hospital, Fudan University:
This time Huashan Hospital came to Wuhan, it brought very capable backbones and high-precision equipment. In the backbone, our Infectious Diseases team and Infectious Diseases team provided very important support. Everyone knows that Professor Zhang Wenhong, the net red doctor, is the director of our infectious disease department. This time, I brought some other directors from their department to the medical team. The Department of Infectious Diseases of Huashan Hospital is a discipline with a glorious history, ranking first in the country for 9 consecutive years. They have accumulated a wealth of experience in the control of infectious diseases.
Our infectious physician played a huge role in this epidemic prevention process. Because epidemic prevention and control, process design, and sensory control design are very important, this time our mobile hospital is set up in Hongshan Stadium. This is a square cabin hospital with 800 beds. We quickly treat 500 to 600 patients. This is a huge challenge. Because the gymnasium is not a medical institution, the courtyard feel process is particularly important. Its architectural pattern, electrical wiring, water, and toilets are not designed according to the hospital. At this time, the hospital feel experts play an important role. He wants to line up troops and reasonably divide clean areas, polluted areas, and semi-polluted areas. First of all, reduce the infection rate of medical staff and strive for zero infection. In addition, through reasonable division, patients can be well isolated. Yesterday, 28 patients were discharged from the Fangcai Hospital of Hongshan Stadium. The sensory control team of Huashan Hospital made a very outstanding contribution.
The day before yesterday, our team of 210 people took over the intensive care unit in the Guanggu District of Tongji Hospital. Professor Chen Yi, deputy director of the infection department, divided the rehabilitation ward into very fine polluted areas, semi-polluted areas and clean areas to provide our medical team A very good working environment, while allowing critically ill patients to receive safe treatment.
In addition to the personnel, we also have sufficient footholds in Huashan Hospital on the high-precision equipment. Everyone knows that during the epidemic prevention and control and the treatment of severe pneumonia, ECMO, non-invasive ventilator, invasive ventilator, hemodialysis equipment and equipment are needed, and this time we have brought them. I believe that these high-precision technology and high-precision equipment will play a very important role in the treatment of critically ill patients. Thank you.
Xinhua News Agency: Regarding the medical treatment of New Coronary Pneumonia, the principle of "Four Concentrations" is adopted. What does it specifically refer to and what kind of effect do you hope to achieve?
Zhou Jun, Secretary of the Party Committee of the China-Japan Friendship Hospital:
In accordance with the principles of centralized patients, centralized experts, centralized resources, and centralized treatment, it is necessary to concentrate the strength of superior forces to enable timely and effective treatment of critically ill patients. Specifically, on the one hand, the patients are brought together, especially for the critically ill patients, to be treated intensively, and the advantaged resources are used to carry out treatment in relatively strong medical institutions. Although Wuhan is very strong in medical resources, medical technology, and strength, it still seems inadequate to face so many patients, and it needs to gather the nation's main forces. Many hospitals across the country have brought some key equipment and strived to improve the cure rate and level of patients.
Therefore, I think the "Four Concentrations" principle is very important for controlling the entire epidemic. Thank you.
CCTV reporter from CCTV: According to the previous press conference, the Tongji Hospital Sino-French New City Hospital is a hospital for the treatment of critically ill patients. The medical teams of many domestic top hospitals are gathered here. Could you please ask the team leader to introduce them in Tongji Hospital? How did the AFP campus work?
Han Ding, Deputy Director of Peking Union Medical College Hospital:
There are a total of 18 national, provincial and municipal medical teams in the Tongji Hospital's Sino-French New City Hospital District, and each medical team has about 150 people. How does such a large team work? It depends on the overall division of labor and cooperation. The overall deployment and guidance was carried out by Director Ma Xiaowei of the National Health Commission. Each medical team is responsible for the construction of a ward, and each ward has about 50 beds.
Each medical team forms a multidisciplinary collaborative team in the ward to treat patients, and these medical teams conduct remote consultations and remote rounds by remote means and behind. In addition, these medical teams also set up medical offices with each other, which is responsible for organizing patient consultations throughout the entire hospital area, and performing treatment quality control and safety management.
These medical teams are from the top domestic hospitals. I believe that when we cooperate, we will have the confidence and ability to complete the tasks entrusted to us by the country. confidence. Thank you.
Zhou Jun, Secretary of the Party Committee of the China-Japan Friendship Hospital:
The China-Japan Friendship Hospital, like the Peking Union Medical College Hospital, undertakes the treatment of patients in the China-French New City Hospital of Tongji Hospital. We are all members of the Tongji Hospital family and work under the specific leadership and arrangements of Tongji Hospital. The China-Japan Friendship Hospital has also undertaken a ward and 50 beds in the Tongji Hospital District. The hospital has been fully filled up, and all of them are critically ill, and a considerable part of them are critically ill. After we came to the hospital to adapt to the new environment as soon as possible, we first designed a series of procedures from receiving patients to transferring patients, including patient identification, rescue, transfer, critical case discussion, and death case discussion.
The second is to establish a new system, including a transfer system, a duty system, and a medical staff hospital sensory control system, which requires everyone to work in strict accordance with the self-protection series of specifications. These systems are very necessary, we are facing an infectious disease, and we must be able to ensure that the team members achieve zero infection. In the next step, we need to classify patients according to the centralized management model, centralize the critically ill patients, and let the main expert resources work harder on the critically ill patients. At the same time, we are preparing to carry out the next series of ECMO and invasive ventilator treatments. Strive to adopt such a series of arrangements so that the entire medical work can achieve our desire to increase the cure rate and reduce the mortality rate while ensuring the quality and safety of the medical treatment. Thank you!
Reporter of Central Radio and Television Central Broadcasting Corporation: This question was raised to Dean Ma Xin. According to our understanding, the medical team of Shanghai Huashan Hospital is distributed in multiple hospitals. Could you please tell us how the medical team works, especially the critical care? aspect.
Ma Xin, Deputy Dean of Huashan Hospital, Fudan University:
There are a total of four medical teams from Huashan Hospital to Wuhan. The first four-person medical team is at Jinyintan Hospital and the second four-person medical team is at Wuhan Third Hospital. These are two small medical teams. The third medical team is in the square cabin hospital of Hongshan Stadium. This team has 46 people, and the fourth team has a larger number of 215 people. In the intensive care unit of the Guanggu District of Tongji Hospital, these four teams are in the distribution of materials. It is a unified management and unified deployment. Whoever has a shortage or shortage of materials, the four teams discuss each other and deploy each other. In terms of personnel management, we are relatively independent, but sometimes we need consultations and individual support, and we also support each other.
The most distinctive of these teams are the 3rd and 4th, and the 3rd is a team of square cabin hospitals. This team's work style is different from our other teams, because everyone knows that the square cabin hospital is also A new thing is a coordination thing for our doctors and for our patients. A generous cabin may have 1,000-2000 beds and a small number of 500 beds. During the treatment here, our team needs to cooperate with each other. At the beginning, there were certain challenges. Like Hongshan Stadium, a total of 13 medical units work here. We need all of us to cooperate with each other, and everyone needs to be very coordinated. Here we rely on the People's Hospital of Wuhan University. The People's Hospital of Wuhan University serves as a foundation and a foundation. Everyone cooperates with the work of the People's Hospital of Wuhan University. As a supporting unit, we give full play to our strengths and different strengths to bring out our strengths. . Therefore, the operation of the square cabin hospital is quite good, and there are preliminary good results. A large number of patients will be discharged from the hospital.
In terms of critical care, we have received the intensive care unit of the Guangji Branch of Tongji Hospital. Although there are not many beds, all of them are critically ill patients. A considerable part of them need to use ventilators, invasive ventilators, ECMO. Our requirements are also very high. Counting down to 20 nurses and 4 to 5 doctors for each case, we will put them in critical care. There will be many invasive operations in the rescue process, and the risks are relatively high, which poses a great challenge to the doctor's requirements for sensory control. We also brought the elite team of sensory control experts, infectious diseases department, and ultrasound department from the hospital. I believe that they can run together and learn from each other, which will definitely give them critical care.
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