普里兹仁总医院重症监护室新冠肺炎患者的救治

Afrim Avdaj, Anisa Mukaj, A. Bytyqi, Artur Avdaj, Syla Osmanaj, Mentor Rexhbeqaj, Anila Cake, Agron Bytyqi
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摘要

导语:由于新冠肺炎大流行,医院特别是重症监护室已经并且可能被低氧血症患者超载,面临着许多挑战。方法:对科索沃某医院连续发生呼吸衰竭患者的特点、临床病程及转归进行回顾性观察研究。除了在ICU收集的症状加重并确诊为COVID-19的患者的数据外,还查阅了以“冠状病毒”、“SARS-CoV2”、“重症监护和治疗”为关键词的医学期刊上的类似出版物。结果:7月、8月、9月共收治新冠肺炎确诊患者797例,其中94例(11.79%)在普里兹仁总医院中心ICU就诊,男性占59.58%,年龄最小34岁,最大84岁,平均年龄65.53岁。至于逗留日数,由0至21天不等,平均逗留日数为5.06天。94例住院患者出院情况好转13例(13.83%),转出ICU 19例(20.21%),死亡62例(65.96%)。死者中最年轻的46岁。年龄最大的是84岁,而死者的平均年龄为68.06岁。结论:需要适应管理和安全的治疗方案,以及多学科治疗的需求。需要转入ICU的COVID-19患者情况复杂,死亡率高。
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Treatment of COVID-19 Patients at Intensive Care Unit of General Hospital of Prizren
Introduction: Due to the COVID-19 pandemic, hospitals and especially the intensive care unit are and can be overloaded by the hypoxemic patients, and face many challenges. Methods: There was used retrospective observational study in a Kosovo hospital, the review of characteristics, clinical course and outcomes of all consecutive patients who had respiratory failure. In addition to data collected in ICU of patients with worsening symptoms and COVID-19 confirmed, similar publications in medical journals with keywords, coronavirus, SARS-CoV2, intensive care and treatment have also been reviewed. Results: During July, August and September, 797 confirmed patients with COVID-19 were admitted to the hospital, of which ninety-four patients (11.79%) were treated in the Central ICU of Prizren General Hospital. 59.58% were male, the youngest age was 34 years old, the oldest 84 and the average was 65.53 years old. Regarding the days of stay there were 0 up to 21 days of stay, the average was 5.06 days of stay. Out of 94 patients admitted 13 (13.83%) were discharged in improved condition at home, 19 (20.21%) were transferred out of ICU and 62 (65.96%) have died. The youngest of the dead was 46 years. while the oldest was 84 y, the average age of the dead was 68.06 years old. Conclusion: It is needed to adapt management and safe treatment protocols as well as the demand for multidisciplinary treatment. Patients with COVID-19 who need to be transferred to the ICU are complex and have a high mortality rate.
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