關(guān)于新冠治療方案，從中西醫(yī)到特朗普FDA打得天翻地覆。
美國(guó)胸科學(xué)會(huì)召集了世界80名頂尖醫(yī)生，用投票的方式給出了新冠治療的臨時(shí)指南。
這些醫(yī)生中包括幾乎所有發(fā)達(dá)國(guó)家的權(quán)威和一線醫(yī)生，也包括了上海呼吸內(nèi)科領(lǐng)軍人物白春學(xué)等6位中國(guó)醫(yī)生。
投票這種方式很有意思，在沒(méi)有足夠大樣本雙盲證據(jù)的情況下，醫(yī)生們表現(xiàn)出的科學(xué)素養(yǎng)令人贊嘆，沒(méi)有被各種報(bào)道所左右。
指南中要求有超過(guò)70%的醫(yī)生建議的治療方法才可以列入正式建議，然后只有三條達(dá)到70%：
1. 對(duì)重癥肺炎可考慮使用羥氯喹或氯喹。
2. 呼吸窘迫使用機(jī)械通氣。
3. 機(jī)械通氣失敗的患者使用ECMO。
這第2、3條對(duì)普通醫(yī)生來(lái)說(shuō)都幾乎是廢話。
-對(duì)于非住院病人(如居家隔離或方艙)，大多數(shù)醫(yī)生不建議使用羥氯喹或氯喹。
-68%的醫(yī)生建議對(duì)住院患者使用瑞德西韋，但不夠70%的票數(shù)。
-大多數(shù)醫(yī)生反對(duì)洛匹那韋-利托那韋和糖皮質(zhì)激素。
-對(duì)于使用托珠單抗對(duì)付免疫風(fēng)暴，大多數(shù)醫(yī)生選擇了棄權(quán)票。
表面看這份指南的結(jié)果過(guò)于簡(jiǎn)單似乎沒(méi)有意義，但是醫(yī)生們嚴(yán)謹(jǐn)?shù)膽B(tài)度讓人不禁擔(dān)心最后那些正式臨床實(shí)驗(yàn)的結(jié)果。
會(huì)不會(huì)過(guò)去那些所有長(zhǎng)長(zhǎng)的清單都只是安慰劑，真相最終也許會(huì)大白，也許不會(huì)。
工作組名單 International Task Force
Alan F. Barker Pulmonary and Critical Care USA‐ Oregon
Abigail Chua Pulmonary and Critical Care USA‐ New York
Jonathan H. Chung Radiology USA‐ Illinois
Gustavo Cortes‐Puentes Pulmonary and Critical Care USA‐ Minnesota
Kristina Crothers Pulmonary and Critical Care USA‐ Washington
Charles Delacruz Pulmonary and Critical Care USA‐ Connecticut
Sarah Doernberg Infectious Diseases USA‐ Northern California
Abhijit Duggal Pulmonary and Critical Care USA‐ Ohio
Michelle Gong Pulmonary and Critical Care USA‐ New York
Michael K. Gould Pulmonary and Critical Care USA‐ Southern California
Margaret Hayes Pulmonary and Critical Care USA‐ Massachusetts
Carolyn Hendrickson Pulmonary and Critical Care USA‐ Northern California
Steven Holets Respiratory Therapy USA‐ Minnesota
Catherine L. Hough Pulmonary and Critical Care USA‐ Washington
Michael H. Ieong Pulmonary and Critical Care USA‐ Massachusetts
Maximiliano Tamae‐Kakazu Pulmonary and Critical Care USA‐ Michigan
May M. Lee Pulmonary and Critical Care USA‐ Southern California
Janice Liebler Pulmonary and Critical Care USA‐ Southern California
John B. Lynch Infectious Diseases USA‐ Washington
Aneesh K. Mehta Infectious Diseases USA‐ Georgia
Ari Moskowitz Pulmonary and Critical Care USA‐ Massachusetts
Michael S. Niederman Pulmonary and Critical Care USA‐ New York
Richard Oeckler Pulmonary and Critical Care USA‐ Minnesota
Ganesh Raghu Pulmonary and Critical Care USA‐ Washington
Julio A. Ramirez Infectious Diseases USA‐ Kentucky
Noah C. Schoenberg Pulmonary and Critical Care USA‐ Massachusetts
Sugeet Jagpal Pulmonary and Critical Care USA‐ New Jersey
Charlie Strange Pulmonary and Critical Care USA‐ South Carolina
Francesca Torriani Infectious Diseases USA‐ Southern California
Allan Walkey Pulmonary and Critical Care USA‐ Massachusetts
Kevin C. Wilson Pulmonary and Critical Care USA‐ Massachusetts
Richard Wunderink Pulmonary and Critical Care USA‐ Illinois
Luca Richeldi Pulmonary Medicine Italy
Stefano Aliberti Pulmonary Medicine Italy
Enrico Storti Anesthesiology and Critical Care Italy
Tommaso Mauri Anesthesiology and Critical Care Italy
Mirko Belliato Anesthesiology and Critical Care Italy
Pierre‐Regis Burgel Pulmonary Medicine France
Martine Remy‐Jardin Radiology France
Antoni Torres Pulmonary Medicine Spain
Jordi Rello Pulmonary Medicine Spain
Miriam Barrecheguren Pulmonary Medicine Spain
Inigo Ojanguren Pulmonary Medicine Spain
Oriol Roca Critical Care Medicine Spain
Jordi Riera Critical Care Medicine Spain
Anthony O'Regan Pulmonary and Critical Care Ireland
Catherine Fleming Infectious Diseases Ireland
Andrew Menzies‐Gow Pulmonary Medicine England
James D. Chalmers Pulmonary Medicine Scotland
Mathias Pletz Infectious Diseases Germany
Elisabeth Bendstrup Pulmonary Medicine Denmark
Martina Vasakova Pulmonary Medicine Czech Republic
Wim Wuyts Pulmonary Medicine Belgium
Christopher J. Ryerson Pulmonary Medicine Canada
Christopher Carlsten Pulmonary and Occupational Medicine Canada
Lorenzo Delsorbo Critical Care Medicine Canada
James Johnston Pulmonary Medicine Canada
Ewan Goligher Critical Care Medicine Canada
Eddy Fan Pulmonary and Critical Care Canada
Janice Leung Pulmonary Medicine Canada
Tamera J. Corte Pulmonary Medicine Australia
Lauren K. Troy Pulmonary Medicine Australia
Grant Waterer Pulmonary Medicine Australia
Chin Kook (K.) Rhee Pulmonary Medicine South Korea
Gee‐Young Suh Pulmonary and Critical Care South Korea
Kyeongman Jeon Pulmonary and Critical Care South Korea
Doo Ryeon (R.) Chung Infectious Diseases South Korea
Yeon Wook (W.) Kim Pulmonary and Critical Care South Korea
Chunxue Bai Pulmonary Medicine China
Li Bai Pulmonary and Critical Care China
Tao Xu Pulmonary and Critical Care China
Dawei Yang Pulmonary and Critical Care China
Ziqiang Z. Zhang Pulmonary and Critical Care China
Xun Wang Pulmonary and Critical Care China
Sanjay H. Chotirmall Pulmonary and Critical Care Singapore
Ser Hon Puah Pulmonary and Critical Care Singapore
Takeshi Johkoh Radiology Japan
Hassan Chami Pulmonary and Critical Care Lebanon
Joaquin A. Zuniga Infectious Diseases Mexico
Carlos M. Luna Pulmonary Medicine Argentina
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