Report on the Difficulty in Infection Control and Treatment of Patients with Severe COVID-19 Pneumonia Who Required Assisted Ventilation and Ventilator Management at a Local Community-based Hospital in Japan

Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases Pub Date : 2020-07-20 DOI:10.11150/KANSENSHOGAKUZASSHI.94.553

K. Takada, J. Takatsuka, Chihiro Onagi, Kimi Yoshida, Kazuo Ueda, N. Tokura, Taro Nakano, T. Kinoshita, A. Oki, T. Fujii, A. Ebihara

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引用次数: 1

Abstract

Our hospital was introduced in the media as the hospital at which the first patient who died of COVID-19 infection in Japan was hospitalized Patients with pneumonia associated with COVID-19 sometimes show rapid deterioration of the respiratory status, with a poor prognosis The cases encountered by us that we report here also needed intensive long-term respiratory management ARDS is an important pathological condition complicating COVID-19 pneumonia From the perspective of the continuing pathology of ARDS, we treated the patients with a steroid and sivelestat However, it became clear that the respiratory pathology in the patients could not be adequately addressed by the uniform treatment protocol for ARDS In conclusion, inpatient treatment in a local community-based small hospital without an ICU can be extremely difficult

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日本某地方社区医院COVID-19重症肺炎患者需要辅助通气和呼吸机管理的感染控制和治疗困难报告

媒体介绍我们医院是日本首例COVID-19感染死亡患者住院的医院。COVID-19相关肺炎患者有时会出现呼吸状况迅速恶化的情况。我们报告的病例也需要加强长期的呼吸系统管理，ARDS是COVID-19肺炎并发症的重要病理状态，从ARDS的持续病理角度来看，我们对患者进行了类固醇和西维司他的治疗，但很明显，ARDS的统一治疗方案无法充分解决患者的呼吸系统病理问题。在没有重症监护室的当地社区小医院进行住院治疗可能极其困难

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Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases

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