According to the official website of hubei health and fitness commission on Thursday (February 13), 14,840 new cases of coronary pneumonia (including 13,332 clinically diagnosed cases) were reported in hubei between 0:00 and 24:00 on February 12, 2020, and 242 new cases (including 135 clinically diagnosed cases and 802 newly discharged cases (including 423 clinically diagnosed cases) were reported in the province. By 24:00 on February 12, 2020, a total of 48,206 new cases of coronary pneumonia (including 13,332 clinically diagnosed cases) had been reported in hubei province, and a total of 3,441 cases had been cured and discharged from hospital. A total of 1310 cases died.
A total of 14,840 new cases of coronary pneumonia (including 13,332 clinically diagnosed cases) were reported in a single day in hubei province, causing widespread concern.
According to hubei WeiJianWei, along with the in-depth understanding of the new type of coronavirus pneumonia and clinical experience, according to the characteristics of the outbreak, hubei province, the national health committee general office, the state administration of traditional Chinese medicine issued by the office of the new type of coronavirus infection pneumonia diagnosis and treatment scheme (trial version 5) increased in the cases of hubei province diagnosis classification “clinical diagnosis”, so that patients can be receiving standard treatment, according to the confirmed cases as early as possible to further improve the treatment success rate. According to the plan, hubei province has recently carried out the screening of previously suspected cases and revised the diagnosis results, and diagnosed new patients according to the new diagnostic classification. In order to be consistent with the diagnostic classification of cases published by other provinces in China, hubei province has included the number of clinically diagnosed cases into the number of confirmed cases to be published from today.
Before that, hubei health and fitness commission’s official website, in addition to the release of suspected cases, confirmed cases, the first published new coronary pneumonia clinical diagnosis of specific Numbers.
According to the release of WeChat in wuhan, the notified clinical cases are in line with the latest version of “pneumonia diagnosis and treatment program for novel coronavirus infection”, and the clinically diagnosed cases can be treated with reference to the confirmed cases.
Xiang hao, director of the department of global health, school of health, wuhan university, analyzed and published clinical diagnosis cases, which should be in accordance with the requirements of “pneumonia diagnosis and treatment program for new coronavirus infection (trial version 5)”. This version distinguishes hubei province from other provinces in terms of case diagnosis.
Other provinces outside hubei remain classified as “suspected cases” and “confirmed cases”, with hubei adding a “clinical diagnosis” category.
In addition, the criteria for “suspected cases” in hubei province were relaxed as long as they met: fever and/or respiratory symptoms; In the early stage of the disease, the total number of white blood cells is normal or decreased, or the lymphocyte count is decreased. These two clinical manifestations can be considered as suspected cases. Suspected cases with radiographic features of pneumonia are clinically diagnosed.
Xiang hao explained that this means that a suspected case will become a clinical diagnosis as long as it has the characteristics of pulmonary lesions of new coronary pneumonia on CT and no nucleic acid test.
Professor feng zhanchun, dean of the school of medical and health management, tongji medical college, huazhong university of science and technology, introduced that the new coronary pneumonia is a new infectious disease, the understanding of the disease is still deepening, its diagnostic criteria and treatment plans are also improving.
Feng of spring that the early clinical diagnosis cases belong to suspected cases, patients with pneumonia imaging characteristics, singled out the isolation treatment as soon as possible, it just accelerated the speed of standard treatment, reduced the queue for diagnosis before treatment, is good for control of the epidemic situation development, does not mean the surge in new cases.
According to CCTV news, tong zhaohui, an expert from the steering group of the CPC central committee, pointed out that we also have clinical diagnosis in our daily work. When diagnosing pneumonia at ordinary times, actually etiology wants to rely on clinical 7 %, 80 % to diagnose 2 %, 30 %. So this time, there are more clinical cases diagnosed in hubei. Recently, we mainly rely on nucleic acid to confirm the cases, but in fact, a large number of suspected cases according to the clinical manifestations: 1. 2. Symptoms of fever, respiratory cough and suffocation. Then physical examination was performed to examine the clinical features, and a comprehensive diagnosis was made after CT imaging.
According to WeChat ID released by wuhan, wuhan, hubei is the worst-hit area, and a large number of suspected cases need to be confirmed by nucleic acid testing. Due to limited nucleic acid kit supply and testing ability, and a certain proportion of new patients with coronary pneumonia have negative nucleic acid test, many first-line doctors call for CT imaging features as the criteria for diagnosis, to speed up the diagnosis of patients, as soon as possible to the diagnosis of patients admitted to hospital standardized treatment. Considering the actual situation in hubei and wuhan, the government added more clinically diagnosed cases in the fifth version of the new diagnosis and treatment plan for coronary pneumonia. For those suspected cases with obvious imaging features of pneumonia as clinically diagnosed cases, isolation treatment should be carried out immediately to reduce the disease delay, control the source of infection to the maximum extent and block the transmission route.
Zeng guang, chief scientist of epidemiology at the Chinese center for disease control and prevention, said the “clinically diagnosed case” is one that has not been confirmed in the laboratory and has not tested positive for nucleic acid, but that the clinical symptoms “look like”, according to the global times.
Zeng said such “delayed positive” patients do exist and cannot be ruled out, so they can spread easily in society. By including them in the new cases, they can be isolated and admitted to the hospital, which is beneficial to both society and the patients themselves. He believes that the inclusion of “clinically diagnosed cases” into “confirmed cases” for publication is the right step and closes a gap in transmission.