➥由於新冠肺炎病毒是透過血管收縮素轉化酶2 [(Angiotensin-converting enzyme 2(ACE2)]進入細胞,因此,使用腎素-血管收縮素-醛固酮系統抑制劑[inhibitors of renin-angiotensin-aldosterone system (RAAS)]患者有可能提高感染新冠肺炎後住院的風險。
Abajo博士和其研究團隊針對西班牙馬德里市的1139位新冠肺炎病患和年齡、性別、地區匹配的11390位對照組進行觀察性研究;研究結果指出與使用其他降血壓藥物者相比,不論是使用血管張力素轉化酶抑制劑(angiotensin converting enzyme inhibitors),或是血管張力素受體阻滯劑(angiotensin receptor blockers),在住院率或疾病嚴重程度上均無統計上顯著差異。
但於感染新冠肺炎的糖尿病患中,使用腎素-血管收縮素-醛固酮系統抑制劑者與使用其他降血壓藥物者相比,有降低因感染新冠肺炎而住院的風險,並具統計上顯著差異;因此,研究結果不建議患者停止使用腎素-血管收縮素-醛固酮系統抑制劑來預防因感染新冠肺炎後可能變成重症病患的風險。(「財團法人國家衛生研究院」蔡慧如博士 摘要整理 ➥http://forum.nhri.org.tw/covid19/virus/j_translate/j1116/ )
📋 Use of renin–angiotensin–aldosterone system inhibitors and risk of COVID-19 requiring admission to hospital: a case-population study (2020/05/14)+中文摘要轉譯
■ Author:
Prof Francisco J de Abajo, Sara Rodríguez-Martín, Victoria Lerma, et al.
■ Link:
(The Lancet) https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31030-8/fulltext#%20
🔔豐富的學術文獻資料都在【論壇COVID-19學術專區】
■ http://forum.nhri.org.tw/covid19/
#2019COVID19Academic
衛生福利部
疾病管制署 - 1922防疫達人
疾病管制署
國家衛生研究院-論壇
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hospital admission中文 在 Mylife Facebook 的最佳貼文
医生 : 当您来看医生时,请说实话。不要向我们隐瞒
前几天就和大家分享到我们吉打这里发生了大事件
因为孕妇隐瞒,而且本身有新冠肺炎
导致接触过这位孕妇的医生和护士都被通知隔离
以下的信息是来自 Dr.Kevin Goh :
我是一名在Pantai Hospital Laguna Merbok 工作的麻醉师。
18/3(星期三),我从睡眠中被叫醒,准备进行紧急剖腹产。
我以最快的速度准备好,开车前往医院!
剖腹产照正常进行,母婴均处于良好状态。
在医院完成所有工作后,我照常回家。我还到父母家吃晚饭。
晚上11点左右,医院的COO信息告诉我,早上产妇的父母都被检测出COVID19阳性。
她的父亲实际上曾出席位于大城堡的传教士大集。
她在入院时填写申报表时撒了谎。隐瞒了她曾与确诊病患有过亲密接触。而在手术后发烧,她才决定公开相关信息。
听到这个消息,我的心瞬间沉了!
不是因为我可能被感染,而是因为我的家人将可能因为我的工作而面临危险。
当时为晚上11点,什么也做不了。
整个晚上我和妻子都是痛苦煎熬。
第二天早上(19/3),医院迅速采集患者的咽喉分泌样本,并将其送到吉隆坡进行即时处理。
等待结果过程是另一个痛苦。
结果,报告呈阳性反应!对于我和我的同事来说,无疑是另一场噩梦。
医院安排了我所有的手术室及接触过该产妇的医生护士及顾问进行测试。感谢上帝,我们所有的结果都是阴性的!
等待结果比等待SPM / STPM放榜更为紧张
即使结果是阴性的,我们仍需要隔离14天。
就只是因为一个自私的人。
医院因此关闭3天,以进行全面的消毒和清洁。
医生,麻醉师,员工,分娩室员工因此受苦。
当您接受咨询时,请说实话。不要向我们隐瞒任何信息。
至少如果您告诉我们事实,我们将可以做得更好,或在操作时穿着合适的个人防护装备。
不告诉我们就像谋杀我们,要求我们在没有枪和防弹背心的情况下进行战争!
信息来自 Dr.Kevin Goh
中文是翻译而来的,原文是英语
I m an anaesthesiologist working in Pantai Hospital Laguna Merbok PHLM. On the 18/3 (Wednesday), I was woken up from my sleep for an emergency Caesarean section. As quickly as I could, I got myself ready and drove as fast as
I could to the hospital to attend to the patient. Everything was done for the safety of my patient and baby in my mind. The caesarean was done as per normal and both mother and baby were in good condition.
After all the work done in the hospital, I went home to my family as usual. I even went to my parents house for a dinner. (For ur info, my dad is a 75 yo man who had undergone bypass surgery).
At night at about 11pm, the hospital COO messaged me to inform me that the patient’s parents were both tested COVID19 positive. Her father actually went to the tabligh gathering in KL. She lied when she filled up the declaration form during admission. She said she had no contact with anyone who was positive. She decided to disclose the information after she herself developed fever after the op. How selfish was she?
My heart sank after hearing the news. Not because I would be potentially infected but my family would be in danger because of my work.
Nothing could be done at 11pm. The whole night was an agony for my wife and me.
The next morning (19/3) the hospital quickly took the patient’s throat swab and sent it to KL for immediate processing. Waiting for the result was another suffering. Lo and behold, the result came back as POSITIVE. This was another nightmare for my colleagues and me.
The hospital arranged all my OT staffs, Labour room staffs and almost all consultants to be tested. Thank God, all our results were NEGATIVE. This waiting for the result was worse than waiting for SPM/ STPM results
Even though the results were negative, some of us still need to be quarantined for 14 days.
The hospital is closed for 3 days for proper disinfectant and cleaning.
Because of one single
Selfish person,
The surgeon, anaesthesiologist, OT staffs, labour room staffs had to suffer.
The hospital has to be closed.
Please tell the truth when u consult us.. Do not hide any information from us. At least if u tell us the truth, we will be more prepared as in wearing proper PPE while doing operation. Not telling us is like ambushing us, asking us to go to war without gun and bullet proof vest.
#tellthetruth #dontbeselfish #dontbeliar #proudtobeanaesthetist #pantaihospitallagunamerbok
hospital admission中文 在 Dr 文科生 Facebook 的最佳解答
【聯合聲明:強烈讉責醫管局向警方洩漏病人私隱】
今日下午,醫學界立法會議員陳沛然醫生召開記者會,展示證據,揭發醫管局內電腦系列內設有「後門」,令任何人可在毋須登入下取得病人資料。系統當中更有列明「For Police」,專為警方而設的版面,當中載有英文全名、身份證號碼、年齡、性別、電話號碼、出入院時間及住院病房等病人資料,更有標籤將部份病人分類至「立法會外大型集會」人士。陳議員亦取得醫管局內部通訊電郵,要求員工於電腦系統內標籤參加「立法會外大型集會」的求醫人士。
我等一眾醫學生組織,謹此對醫管局洩漏病人私隱一事予以強烈讉責。醫學院教導同學,維護病人私隱為最重要的醫學倫理之一,更時常強調醫患關系乃醫療工作之基石。今日,醫管局管理全港公立醫院,卻在無任何臨床需要及未得病人同意下將病人私隱拱手交予警方,違背專業道德。上周起,因應警方進入醫院拘捕傷者,已有不少市民對醫護失去信心,甚至有市民因此避免到醫院求醫。為挽回事件對醫患關係的破壞,醫管局必須盡速公開向廣大市民及受影響病人致歉、交待事件,並修補漏洞。同時,個人資料私隱專員公署亦應介入調查,保障市民權益。
青醫匡時 香港大學醫學生時政組織
香港大學學生會醫學會
香港大學學生會醫學會護理學會
香港中文大學學生會醫學院院會
香港中文大學那打素護理學院院會
香港中文大學教務會民選學生成員(醫學院)
————————————————————
【Joint Statement of Condemnation towards the Hospital Authority for Exposing Patient Information to the Police Force】
In a press conference held this afternoon, Dr Hon Pierre Chan, member of the Legislative Council for the Medical functional constituency, showcased evidence of a “backdoor” in the Hospital Authority’s electronic patient record (ePR) system that grants anyone access to patient information without the need of logging in. The interface is remarked with “For Police”, and exposes information including patients’ full name, HK Identity Card number, age, sex, phone number, admission time and ward, with indication of whether they have participated in the “mass gathering outside Legco”. Dr Hon Chan has also acquired an earlier email circulating in the Hospital Authority intranet showing frontline healthcare staff being requested to identify and label patients who have participated in the “mass gathering outside Legco”.
We, as medical students from the University of Hong Kong and The Chinese University of Hong Kong, hereby strongly condemn the Hospital Authority for infringing upon patients’ privacy. “Confidentiality” is one of the four pillars of medical ethics, and is the cornerstone of the doctor-patient relationship. As the largest public healthcare provider in Hong Kong, the Hospital Authority has violated the medical code of conduct by exposing patients’ information to the police without patient consent nor clinical necessity. Since last week, the police have been arresting injured protesters receiving medical care within Hospital Authority premises, sabotaging doctor-patient trust and deterring citizens from seeking medical attention in public hospitals.
The Hospital Authority must apologise to all affected citizens in Hong Kong, conduct a formal inquiry into the incident and block the backdoor immediately. We also call for investigatory action from the Office of the Privacy Commissioner for Personal Data of Hong Kong to protect citizens’ rights to privacy.
Eramedics, HKU Medical Students' Current Affairs Concern Group
Medical Society, HKUSU
Nursing Society, Medical Society, HKUSU
Medical Society, CUSU
Nursing Society, the Nethersole School of Nursing, CUSU
Elected Student Senator (Faculty of Medicine), CUHK
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