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China Medical Latest Trail Version March 4, 2020

March 4, 2020 Done 最新 」 新冠肺炎康复者恢复期血浆 临床治疗方案 ( 试行第二版 ) 国家卫健委 SIFIC 感染循证资讯 3 / 5 新冠肺炎康复者恢复期血浆临床 治疗方案 ( 试行第二版 ) 为进一步加强新冠肺炎患者医疗救治 , 推动新莊炎康复者 传复期生素治疗工作 , 按国献血法 》 等 有关法律法规 , 根据最新版 新冠肺炎治疗方案及有关技术操作规程和质量管理要求 , 制定本 方案 。 一组织实施 由省级卫生健康行政部门 , 军队有关大单位卫生等门牵头组 织 。 原則上由定点救治医生组织話題 着合臺件的康复着自其无偿 較直蒙 由承担此次新姿站姿科訴任务的血液晶皇产单 位提供设备和技术支持 , 会同省级卫生健康行或者门 、 军队指定的 董娘血液中或申重點开展量素 素業 , 對臺工作 , 集多查 , 军 指定的重霍患者集中收治医院集中使用 。 二捕載而業者招募 ( 一 ) 捕献血袭者和基 1 . 捐獻血蒙的重复着三害 」 對著以下秦帶 。 更主要至就 闻不少于 3 月 ; 符合最新版新症肺炎诊 疗方案中轄際馬書和出院 标准 ; 李警应当满 18 岁 , 原则上不超过 55 岁 , 男性体重不低于 50 公斤 , 女性不低于 45 公斤 ; 无经是传善族史 ; 整曲康医等掌合电 = English: 10: 38 Order e mp. weixin. qq. com Done The latest `` Clinical treatment plan for convalescent patients with new coronary pneumonia recovery (trial version 2) National Health Commission SIFIC infection evidence-based information 3/5 Clinical analysis of convalescent plasma in recovering patients with new coronary pneumonia Treatment plan (trial version 2) In order to further strengthen the medical treatment of patients with new coronary pneumonia, to promote the rehabilitation of Xinzhuang inflammation patients in the rehabilitation period, according to the relevant laws and regulations of the National Blood Donation Act, according to the latest version of the new coronary pneumonia treatment plan and related technical operating procedures and quality management requirements, develop This program. Organization implementation It is led by the provincial health administrative department and the army's relevant large unit health department. In principle, the fixed-point physician will organize the topic of rehabilitation and write it free of charge. It is more straightforward. It will be the blood LCD emperor's order issued by the new posture standing department. Provide equipment and technical support, work with the provincial health and health department or the door, the military designated Dong Niang blood or Shen to focus on the development of the vegetarian industry, work in Taiwan, set up multiple investigations, the military designated patients with heavy horror centralized treatment hospital use. Recruitment and industry recruitment (1) Capture of blood donors and base 1. Donate blood to Mongolia and repeat the three evils. "To the following Qin belt. It is more important to smell no less than March; it meets the inter-jurisdictional Mashu and discharge standards in the latest version of the new pneumonia diagnosis and treatment plan; Li Jing should be 18 years old, in principle, not more than 55 years old, and the weight of men must not be less than 50 kg. Female no less than 45 kg; no menstruation is to pass on the history of the good family; Page (2) Chinese_Traditional: 10 : 44 amp . weixin . qq . com Done 标准 ; 年龄应当清 18 岁 , 原則上不超过 55 岁 , 男性体重不低于 50 公斤 , 女性不低于 45 公斤 ; 无 经生传播疾病史 ; 经冷床医蛋整合患 者治疗等有关情况清丝可以載皇蒙者 。 2 . 讲献血浆者身份核实 , 就蒙者在献血前应当出示真实 有效的身份证件 , 采集人员应当进行核对 并登记 , 不得冒用他人 第曲調戲土豪 。 3 . 載土業者知情同意 。 各省级卫生健康行政部门应当结合辖区内实际情况制定掛載 五業者知情 同意书 , 包括献土前告知和健康在当内容 。 ( 1 ) 告知义务 , 在獻血業者 , 采集人員应当才能显業者 行书面告知义务 , 并取得拥献血浆者签字的知情同意书 。 ( 2 ) 告知內容 : 可以参照 《 血站技术操作规程 ( 2019 版 ) 》 中有 关就业前告知內容 , 还应当包括 拥献血浆目的 、 献血浆数量 , 可 能出現的不良反应及应对措施 , 联系方式等 。 ( 一 ) 拥献血慧者的健康运动 、 体格检查和捕献血菜前血液检 測 。 捕献血袭者应当如实描述健康 状况 。 血站开展排戲曲業者佳 格检查可以参考 《 血站技术操作规程 ( 2019 版 ) 》 , 獻血装前血 液 經測内容可參考 《 单来虽業站技术操作规程 ( 2011 版 ) 。 无偿捐献血常的新規肺炎康复者享受无偿献血者情導 , 攜獻 車業 200 毫升力增獻一次全生 。 這就 蒙后 , 发表 《 獻生逢 》 并 善 , 載重蒙着信息素入全国流管理信息系统 。 三 、 血茶的采集制备 ( 一 ) 血慧的素集 。 1 . 血浆采集 , 采用血液成分草系就采集 , 等次采集血浆 量 200 - - = English: 10: 44 amp. weixin. qq. com Done Standards; age should be 18 years old, in principle, no more than 55 years old, males should weigh no less than 50 kg, and females should be no less than 45 kg; no history of menopausal transmission disease; Treatment and other related situations Qingsi can carry the emperor Mongolian. 2. To verify the identity of the plasma donor, the Mongolian person should present a true and valid identity document before blood donation, and the collector should check and register, and must not use other people's tunes as a tyrant. 3. Informed consent of the soil carrier. Provincial health and administrative departments shall formulate the written informed consent form of the five practitioners in accordance with the actual conditions in the area, including the information before the donation and the health content. (1) the obligation to inform, In the blood donation industry, the collector should be able to notify the industry in writing and obtain the informed consent signed by the blood donor. (2) Content of notification: You can refer to the content of pre-employment notification in the "Technical Operation Regulations of Blood Station (2019 Edition)", which should also include the purpose of donating blood plasma, the amount of blood donation, possible adverse reactions and countermeasures, contact information, etc. . (1) Health campaigns, physical examinations, and blood tests for blood donors before they are collected. Anyone who catches a blood donation should truthfully describe his health. For the blood test of the pharmacist, you can refer to the "Technical Operation Regulations of Blood Station (2019 Edition)". For the content of blood tested before donating blood, please refer to the "Technical Operation Regulations of Shanlai Although Industry Station (2011 Edition)". Rehabilitated pneumonia donors who donate blood for free often enjoy the mentorship of unpaid blood donors, and donate a whole life with 200 ml of car donation. After this, he published "Dedication for Everyone" and carried the pheromone into the national flow management information system. Third, the collection and preparation of blood tea (1) Xuehui element collection. 1. Plasma collection, using the blood component of the grass system to collect, the amount of plasma collected 200 times - Page (3) Chinese_Traditional: 10 : 45 amp . weixin . qq . com Done 400 毫升 , 基隆素美意書店些法委养清非定 , 同时留样进行 畫素质量检测 。 两次亲業善不少于 14 天 。 2 。 素產業嘉害类作宣言對警合单亲業者技术準作業程 ( 2011 版 ) 》 和 《 兰若技术操作规程 ( 2019 ) 相关要素 , 采集人員 应当现场严密观察通航土業者 的情况 , 及时義站和长理就是素 者发生的不良反应 。 3 . 血浆分装 : 善導致血浆分或 100 - 200 毫升 / 蒙 , 里蒙分裝成 当遵循无菌操作的原點 。 4 . 血浆速赛 : 赛業或分装的上装亞寄关期保存 , 則快速冷冻至 零下 20 摄氏度 。 5 。 血蒙春 ; 且慧型雷暴期存 , 应当在零下 20 羅氏度以下 保存 ; 不超过 48 小时的 , 可在 26 摄氏 度保存 。 ( 二 ) 血浆的包装 。 1 . 标签要求 , 参照 《 血站技术操作规程 ( 2019 版 ) 》 。 2 . 标签中文名 : 新装康复者血禁 。 3 . 标签英文名 : COVID - 19 CP ( COVID - 19 convalescent plasmi ) 。 4 . 包装留样 ; 检合格后包装 , 節三段血袋导管 , 一段不少于 8 王素 ( 柔皇蒙机构留香 ) , 高度不少于 3 厘米 ( 集最 普医生用 ) 。 四 、 血装的实验密检测 应当由里蒙柔美机构或委托具备能力的实验室检测机构 ( 一 ) 一般重量检 : 检测标准进 “ 五站技术操作规程 ( 2019 版 ) 》 。 ( 二 ) 检测项目和检测方法 。 遵照 《 血站技术操作规程 ( 2019 = English: 10: 45 amp. weixin. qq. com Done 400ml, some law commissions of Keelung Sumeiyi Bookstore have been cleaned up, while keeping samples for pixel quality inspection. Twice as pro-good for no less than 14 days. 2 . Proclamation of the Vulnerable Class in the Vegetarian Industry (2011 version) "and" Lanruo Technical Operation Regulations (2019) ", the collectors should closely observe the situation of the general operator in the field, and the timely response station and Changli are the adverse reactions of the prime practitioner. 3. Plasma packing: It is good to cause the plasma to be divided into 100-200 ml / Mongolia, and the liming is divided into the original point when the aseptic operation is followed. 4. Plasma speed race: The race industry or the top pack of the top pack is stored during the sub-depot period, and then it is quickly frozen to minus 20 degrees Celsius. 5. Xue Mengchun; and the type of thunderstorm should be stored below minus 20 ° C; if it is not more than 48 hours, it can be stored at 26 ° C. (B) Packaging of plasma. 1. For labeling requirements, refer to "Blood Station Technical Operation Regulations (2019 Edition)". 2. Chinese name of the label: blood confinement for newly rehabilitated people. 3. English name of the label: COVID-19 CP (COVID-19 convalescent plasmi). 4. Packing samples; Packed after inspection, three sections of blood bag catheter, one section of not less than 8 Wang Su (Rouhuangmeng Liu Liuxiang), the height is not less than 3 cm (for most doctors). Fourth, the experimental dense testing of blood packs should be carried out by Limou Roumei Agency or a competent laboratory testing agency (1) General weight inspection: The inspection standard is included in the "Five Station Technical Operation Regulations (2019 Edition)". (2) Testing items and methods. Comply with the "Blood Station Technical Operation Regulations (2019 (Page 4) For some reason this one did not translate. (Page 5) Chinese_Traditional: 10 : 45 amp . weixin . qq . com Done 遵循以下要點 。 1 . 某期上新里不建立 3 周 , 新翼新毒技農 些 庆专 素判定患者存在病毒土空 。 2 . 新进展模特重重患者 , 在重重擊著患者直整合康专家裝 合評些需要进行土豪治的患者 。 ( 二 ) 使用禁忌和不宜使用的带教 。 1 . 使用禁忌 : 有血浆输注过敏史或人体血浆蛋白类制品过敏 史的真相继度銷量都更的 , 有亚甲董 立範史的严禁使用整亚甲費 病毒灭活蚩蒙 ; 其他严重过载史的或生素使用禁忌证的 。 2 . 不宜使用的情卷 : 危重症终末期 , 多器官功能衰場无法逆转 的 ; 非中和新冠新毒目的的治疗 ; 临 床医生综合评估认为存在其他 不宜输注情形的 。 ( 三 ) 注和量 。 根据监康状况 , 患者体重等决定 , 通常會達 量为 200 - 500 毫升 ( 4 - 5 毫升 / 千克体 重 ) 。 1 . 按交又配血次相容性原则输注 , 献装着不规则抗体等產 用性的血装可直接进行 ABO 相容性输注 , 优先使用 ABO 月至 血浆 。 2 . 注起始的 15 分钟应当慢速给注 , 严密监测是否发生验金 不良反应 。 若无不良反应 , 临床医全 機器患者高情薄整輸注速度 。 ( 五 ) 知情同意 , 患者及其家海洋细告知新麦蒂炎康复者生 素的使用目的及风险 , 取得美意关书签 著名情同意 。 ( 六 ) 不良反应及关处理 。 並蒙给注音 、 中 、 后应当详细记录 。 書打篮求死擊是否出现生素華 注不良反应 。 主要输注不良反应英 包括给出相关指环过高者 , 也是急促融施 , 如此相 = English: 10: 45 amp. weixin. qq. com Done Follow these points. 1. Shangxinli is not established for 3 weeks in a certain period. Some experts have determined that patients have viral soil. 2 . The new progress model is heavy on patients, and it is hitting patients directly to integrate health expert equipment to evaluate some patients who need local governance. (2) Use of taboos and unsuitable teaching. 1. Contraindications: The history of allergy history of plasma infusion allergy or human plasma protein allergy history is more sales, the use of methylene Dong Lifan history is strictly prohibited to use the entire methylene fee virus inactivation; other severe overload history Of or contraindications to the use of vitamins. 2. Unsuitable plots: end-stage critical illness with multiple organ dysfunction that cannot be reversed; treatment for non-neutralizing new crowns and new poisons; comprehensive assessment by clinicians that there are other unsuitable infusion situations. (3) Note and amount. Depending on the health status of the patient, the patient's weight, etc., the amount usually reaches 200-500 ml (4-5 ml / kg body weight). 1. Infusion according to the principle of cross-matching and blood-matching compatibility, donating productive blood packs containing irregular antibodies, etc., can be directly used for ABO-compatible infusion. ABO month to plasma is preferred. 2. The initial 15 minutes of injection should be given slowly, and closely monitored for adverse reactions to the gold test. If there are no adverse reactions, the patients in the clinical medical machine will have a high infusion rate. (5) Informed consent, the patient and her family informed the recovering person of neometitis about the purpose and risks of using the medicine, and obtained the famous consent of the United States and Italy. (6) Adverse reactions and related treatments. And given Zhuyin, middle, and later, they should be recorded in detail. The book hits the basket and asks if there are any adverse reactions to Sheng Suhua's injection. The main adverse reactions of infusion include those who have given high levels of related rings, and they are also swiftly administered. Page (6) Chinese_Traditional: 10 : 45 emp . weixin . qq . com Done ( 六 ) 不良反应及其处理 。 蒙给注意 , 中 , 后应当谨记录 。 言切些来克塞是否出現皇蒙验注不良 反应 , 主要给注不良反应类 至括给出相关循环這负卷 、 卷三種关急些韩幾倍 。 相关政 活在 , 过 载反应 , 直至关答量王反应 , 非落土性及热反应 , 急性毒 土生土反应 , 发陸港土经验血反应 、 感染 性验血反应 , 其他 , 表 六 , 人员安全防护及实验室消毒要求 ( 一 ) 实赴室人新护 。 1 . 实验室应当严格遵守实验室生物安全相关规定 , 在我国流 程采集送检的基盘上 , 送检过程增加 一个环节 ; 整室工作人员查 放送标本过程中 , 开启 、 关闭转运箱盖前 , 由箱盖噴消毒液并产络 注 意手工生 。 12 . 注意转运过程保持体液标本直立不倒 , 避免这消 , 一旦有林 本波酒 , 至少采用二级生物安全防 护 : 医用防护口里或 N95 口里 。 乳胶手套 , 工作意外隔离衣 , 医用防护 , 和手卫生 。 当情 ( 如有 實 滅證 , 如人工开盖时 ) 可加护目镜 。 3 . 魚乾和生物安全防护用品时 , 应当按标准流程进行 。 正确进行手卫生 ( 六步洗手法 ) 。 ( 二 ) 工作环境消毒 。 1 . 未业场所 , 血液及标本交接并希室內空间 : 保持道具 , 相关 品分区太重 , 消污分离 , 按时更换 。 紫外线消毒誓合行业标准 ( 紫外线杀菌灯 GB 19258 - 2012 ) , 定差控性楚 、 完整记录 、 集第 使用不超过规定时录 。 消毒时有不少于 30 分智 。 2 . 工作台面与地面工作前后 , 用 75 % 乙醇或 0 . 05 % ( 0 . 5 克 / 升 ) 有效的消毒液 ( 84 消毒液 , 100 倍計程中建材消毒 , 消毒 = English: 10: 45 emp. weixin. qq. com Done (6) Adverse reactions and their treatment. Attention has been paid to the need to record after the middle and after. It is important to know whether the adverse reactions of Emperor Mongolian Examinations have occurred in Lecce, and the main types of adverse reactions include the negative circulation and related volumes, which are several times more urgent. Relevant policies live, overload reaction, until the response of the king of volume, non-earth and thermal response, acute toxic soil-toearth reaction, hair-port experience blood reaction, infectious blood test response, others, table Sixth, personnel safety protection and laboratory disinfection requirements 1. The laboratory shall strictly abide by the relevant regulations on laboratory biosafety. On the base of China's process collection and inspection, an additional link is added to the inspection process; the staff of the whole room checks and releases the specimen before opening and closing the transfer box cover Spray the disinfectant solution from the lid and pay attention to the manual production. 12. Pay attention to keep the body fluid specimens upright during the transfer process. Avoid this. Once there is Limbenbo wine, at least secondary biological safety protection should be used: medical protection mouth or N95 mouth. Latex gloves, work accident isolation clothing, medical protection, and hand hygiene. When the situation (if there is evidence, such as when the cover is opened manually), goggles can be added. 3. Dried fish and biological safety protective equipment should be carried out according to standard procedures. Proper hand hygiene (six steps of hand washing). (2) disinfection of the working environment. 1. Unemployed places, blood and specimen transfer and indoor space: keep props, related products are too partitioned, decontaminate and separate, replace on time. Ultraviolet disinfection is in compliance with industry standards (UV germicidal lamp GB 19258-2012), differential control, complete record, set Record when not exceeding the regulations. There is no less than 30 points of wisdom when disinfecting. 2. Before and after working on the work surface and the ground, use 75% ethanol or 0.05% (0.5g / L) effective disinfectant (84 disinfectant, 100 times the building materials in the process of disinfection, disinfection) Page (7) Chinese_Traditional: 10 : 45 a mp . weixin . qq . com Done 使用不复立规定时表 。 消毒时不少于 30 分钟 。 2 . 工作台言与老五 : 工作首后 , 用 75 % 乙尊或 0 . 05 % ( 0 . 5 克 / 升 ) 有数劃的消毒漢 ( 84 消毒該 , 100 静静春 ) 星中基材消毒 。 消毒 流入新鲜配置 , 不过过 24 小时 。 3 . 检后样本宣布盖条夺 , 因性或疑似样本和化学消毒剂消 毒 , 放置在双基黄色资条内客封 , 用 75 % 乙草喷雾消毒拉现象 表面后革若放置至存放期结束后高压灭菌消毒 , 按医疗废物处理 。 注意样本 整存零箱的消毒 。 4 . 一般情况下使用有效氯浓度为 0 . 1 % ( 1 / 升 ) , 严重污染 时 ( 样本有滲漏 , 演出时 ) 使用有效氧 浓度为 0 . 5 % ( 5 克 / 升 ) , 实 验室在工作状态时可采用动态空气消毒 ( 如有 ) 。 非工作状态时开 自紫外照射 ( 应当雞運勢外國度 ) 。 此外 , 蒙采集过程中应当注意避免人员聚集 , 按照国家应对 新冠体炎相关规定 , 做好就业者和墨务人员安全防护工作 , 接 定做好医疗废物的处 理 。 主要著作有重量是一看是要看 联想到一看再看 ) 。 工作 。 居家生健康委者会了 | 2020 年 3 月 4 日中文 资料来自于国家卫健委网站 = English: 10: 45 a mp. weixin. qq. com Done Use non-reinstatement timetable. Not less than 30 minutes during disinfection. 2. Workbench words and the oldest five: After the beginning of work, use 75% Bzun or 0.05% (0.5g / L) with a few strokes of disinfection (84 disinfection, 100 quiet spring) Star base material disinfection. Disinfection flows into fresh configuration, but after 24 hours. 3. The post-inspection sample was declared to be stripped, and the sample was disinfected by reason or suspected sample and chemical disinfectant. It was placed in a double-base yellow strip and sealed with a 75% acetic acid spray to sterilize the surface. After the leather was placed until the end of the storage period, the pressure was high. Sterilize and treat as medical waste. Pay attention to the disinfection of the entire sample storage box. 4. Under normal circumstances, the effective chlorine concentration is 0.1% (1 / liter), when the serious pollution (the sample leaks, when performing) use the effective oxygen concentration is 0.5% (5g / liter), laboratory Dynamic air disinfection (if any) can be used during working conditions. When it is not working, it is turned on by UV irradiation (should be in a foreign country). In addition, care should be taken to avoid personnel gathering during the Mongolian collection process. In accordance with the state's relevant regulations on responding to new coronitis, do a good job of protecting workers and ink workers, and take care of medical waste. The main works have weight is one look is to see and one thinks to see and see again). jobs . Home Health Committee | March 4, 2020 Chinese Data from the website of the National Health Commission




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