{"id":14594,"date":"2020-01-31T10:20:12","date_gmt":"2020-01-31T10:20:12","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=14594"},"modified":"2020-01-31T10:20:12","modified_gmt":"2020-01-31T10:20:12","slug":"governo-chines-coronavirus","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/governo-chines-coronavirus\/","title":{"rendered":"Condutas adotadas na China para enfrentar a epidemia do coronav\u00edrus"},"content":{"rendered":"

O governo chin\u00eas informou quais s\u00e3o os principais sintomas, altera\u00e7\u00f5es laboratoriais e condutas adotadas nos casos de coronav\u00edrus.<\/p>\n

Informa\u00e7\u00f5es sobre o v\u00edrus:<\/p>\n

Tempo de Incuba\u00e7\u00e3o: 3-7 dias. M\u00e1ximo 14 dias.
\nTransmiss\u00e3o: got\u00edculas
\nPrecau\u00e7\u00e3o: aerossol e contato
\nVulner\u00e1veis: idosos e com comorbidades pr\u00e9vias.<\/p>\n

Sintomas cl\u00e1ssicos: febre + adinamia + tosse seca.<\/p>\n

Poucos apresentam coriza, obstru\u00e7\u00e3o nasal, rinorreia e sintomas gastrointestinais. Os portadores da forma grave evoluem com dispneia ap\u00f3s uma semana.<\/p>\n

As formas muito graves evoluem com insufici\u00eancia respirat\u00f3ria aguda, choque s\u00e9ptico, acidose metab\u00f3lica e coagulopatias.<\/p>\n

Digno de nota: as formas graves e muito graves podem apresentar febre baixa ou ausente. Parcela dos pacientes apresentam febre baixa, adinamia, sem cl\u00ednica de pneumonia e melhora em 1 semana.<\/p>\n

Presume-se um bom progn\u00f3stico para a maioria dos pacientes, as crian\u00e7as tendem a apresentar as formas mais leves, e os \u00f3bitos est\u00e3o mais relacionados aos idosos e com comorbidades pr\u00e9vias, especial aten\u00e7\u00e3o aos imunodeprimidos.<\/p>\n

Altera\u00e7\u00f5es laboratoriais: leuc\u00f3citos aumentados ou diminu\u00eddos e linfopenia na fase inicial. Parte dos pacientes apresentaram aumento de TGO e CKMB. A maioria dos pacientes tiveram PCR e hemat\u00f3crito aumentados, procalcitonina normal e os pacientes graves, apresentaram aumento do D-d\u00edmero e diminui\u00e7\u00e3o dos linf\u00f3citos perivasculares.<\/p>\n

Radiografia de t\u00f3rax: pequenas opacidades e altera\u00e7\u00f5es parenquimatosas, que evoluem para aspecto de vidro fosco, congest\u00e3o pulmonar. Nas formas graves podem apresentar consolida\u00e7\u00f5es. Poucos apresentam derrame pleural.<\/p>\n

Classifica\u00e7\u00e3o:<\/p>\n

> Cl\u00e1ssica:
\nFebre + sintomas de ivas + RX sugestivo de pneumonia
\n> Grave:
\nFR>30 + Sato2 <93% + P\/F <300
\n> Muito grave:
\nVentila\u00e7\u00e3o mec\u00e2nica invasiva + choque + disfun\u00e7\u00e3o org\u00e2nica. R\u00e1pida evolu\u00e7\u00e3o para CIVD<\/p>\n

Isolamento dos pacientes:
\n1- Suspeita: isolamento em quarto individual.
\n2- Confirmados por teste r\u00e1pido (15 minutos): podem estar em uma enfermaria conjunta.<\/p>\n

Preven\u00e7\u00e3o adotado na China:
\n1- Fora de casa: descartar as m\u00e1scaras de 4\/4 horas independente do tipo (cir\u00fargica ou N95).
\n2- Dentro de casa: usar m\u00e1scara cir\u00fargica ou N95 at\u00e9 ficar \u00famida ou suja, ap\u00f3s, desprezar em uma sacola pl\u00e1stica e borrifar \u00e1lcool 75% dentro da sacola antes de fechar. Cada pessoa deve estar em um quarto separado, com janela de prefer\u00eancia, abrir as janelas por 30 minutos e deixar ventilar 2x ao dia. Isolar em casa por 15 dias.<\/p>\n

\"\"<\/a>Imagens: Wiki Commons.<\/p>\n","protected":false},"excerpt":{"rendered":"

O governo chin\u00eas informou quais s\u00e3o os principais sintomas, altera\u00e7\u00f5es laboratoriais e condutas adotadas nos casos de coronav\u00edrus. Informa\u00e7\u00f5es sobre o v\u00edrus: Tempo de Incuba\u00e7\u00e3o: 3-7 dias. M\u00e1ximo 14 dias. Transmiss\u00e3o: got\u00edculas Precau\u00e7\u00e3o: aerossol e contato Vulner\u00e1veis: idosos e com comorbidades pr\u00e9vias. Sintomas cl\u00e1ssicos: febre + adinamia + tosse seca. Poucos apresentam coriza, obstru\u00e7\u00e3o nasal, […]<\/p>\n","protected":false},"author":3,"featured_media":14596,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[68],"tags":[117],"class_list":["post-14594","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-coronavirus"],"acf":[],"yoast_head":"\nCondutas adotadas na China para enfrentar a epidemia do coronav\u00edrus<\/title>\n<meta name=\"description\" content=\"O governo chin\u00eas informou os principais sintomas, altera\u00e7\u00f5es laboratoriais e condutas adotadas nos casos de coronav\u00edrus.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sbpt.org.br\/portal\/governo-chines-coronavirus\/\" \/>\n<meta property=\"og:locale\" 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