市中病院で経験した，人工呼吸器装着が必要であった重症COVID-19 肺炎の感染対策，治療について

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タイトル別名
  • 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
  • 症例 市中病院で経験した,人工呼吸器装着が必要であった重症COVID-19肺炎の感染対策,治療について
  • ショウレイ シ ジュウ ビョウイン デ ケイケン シタ,ジンコウ コキュウキ ソウチャク ガ ヒツヨウ デ アッタ ジュウショウ COVID-19 ハイエン ノ カンセン タイサク,チリョウ ニ ツイテ

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<p>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.</p>

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 94 (4), 553-562, 2020-07-20

    一般社団法人 日本感染症学会

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