On the 13th, the Hubei Provincial Health Commission informed the latest epidemic situation that 14,840 new cases of new crown pneumonia were added to the province yesterday. As this figure represents a large increase in new cases compared to the previous days, it has caused widespread concern and discussion. In fact, 13,332 of these 14,840 new cases were clinically diagnosed cases, accounting for the majority of cases. In the 12th briefing, it was mentioned that “4890 new cases were clinically diagnosed on the 11th, and 10,567 existing cases were clinically diagnosed”. In this regard, the Hubei Provincial Health Commission explained that the “New Coronavirus Infection Pneumonia Treatment Plan (Trial Version 5)” added “clinical diagnosis” to the diagnostic classification of cases in Hubei Province, so that patients can receive standardized treatment in accordance with confirmed cases as early as possible to further improve the success rate of treatment. According to the program, Hubei Province recently conducted a survey of previous suspected cases and revised the diagnosis results, diagnosed new patients according to the new diagnostic classification, and announced the number of clinically diagnosed cases into the number of confirmed cases. So, what does “clinically diagnosed cases” mean? Yesterday, the CCTV reporter interviewed the central steering group experts, vice president of Beijing Chaoyang Hospital Tong Zhaohui, to answer our questions. Reporter: What is a “clinical diagnosis case”? The actual pneumonia is a very important part of the pneumonia diagnosis, but the pathogenesis (case diagnosis) that we can get is only twenty to thirty percent, and the remaining seventy to eighty percent depends on the clinical diagnosis. From the perspective of clinical thinking and clinical pathways of clinicians, increasing the diagnosis of clinical cases is beneficial for clinicians to make an additional judgment of the disease. Some time ago, we mainly relied on nucleic acid to confirm the diagnosis of cases. In fact, according to our clinical diagnostic criteria, there is a large proportion of suspected cases (which can be considered as confirmed cases). In clinical work, we make a comprehensive diagnosis from these aspects: first, if the patient is in Hubei or in the Wuhan area, then there must already be an epidemiological history; the second is fever, respiratory cough, breath-holding symptoms, which are clinical symptoms; the third is clinical signs, physical examination; the fourth is CT imaging. For example, in the case of Streptococcus pneumoniae pneumonia, the percentage of positive tests and cultures is only 20 to 30 percent, and most of them depend on clinicians to make a clinical diagnosis. Reporter: How do you recognize the value of nucleic acid testing and CT testing? Zhaohui Tong: There are often discussions about whether laboratory tests or CT images are important. Many radiologists also emphasize the importance of CT images, but in fact, we need to have a basis in clinical work. The patient’s history, symptoms and signs, clinical tests, CT, all need to be analyzed, so these are indispensable for clinicians, and need to make a comprehensive judgment and comprehensive analysis. We cannot emphasize the importance of nucleic acid, nor the importance of CT. We clinicians should be able to analyze nucleic acid-related labs, and we should also be able to analyze, see and read CT images. As a respiratory physician, a clinical critical care physician, we have to carefully go through the medical history and find clinical clues, through clinical means of investigation, and advanced testing techniques. In fact, reading CT images is not only a skill of radiologists, but also a skill of clinicians. When doing a comprehensive diagnosis of the disease, laboratory tests and CT images, we have to analyze a comprehensive analysis, not to emphasize the importance of a particular one. Hubei Provincial Health Commission 13 informed – With the in-depth understanding of the new coronavirus pneumonia and the accumulation of experience in diagnosis and treatment, for the characteristics of the epidemic in Hubei Province, the Office of the National Health and Health Commission, the Office of the State Administration of Traditional Chinese Medicine issued the “pneumonia diagnosis and treatment protocol for new coronavirus infection (trial version of the fifth edition)” in the diagnosis of cases in Hubei Province Clinical diagnosis” has been added to the classification of cases in Hubei Province, so that patients can receive standardized treatment as early as possible according to the confirmed cases and further improve the success rate of treatment. According to the program, Hubei Province has recently conducted a screening of previous suspected cases and revised the diagnostic results, and diagnosed new patients according to the new diagnostic classification. In order to be consistent with the diagnostic classification of cases released to the public by other provinces nationwide, starting today, Hubei Province will publish the number of clinically diagnosed cases into the number of confirmed cases. From 0:00 to 24:00 on February 12, 2020, there were 14,840 new cases of new coronary pneumonia (including 13,332 clinically diagnosed cases) in Hubei Province, including: 13,436 cases in Wuhan, 37 cases in Huangshi, 26 cases in Shiyan, 13 cases in Xiangyang, 26 cases in Yichang, 321 cases in Jingzhou, 231 cases in Jingmen, 204 cases in Ezhou, 123 cases in Xiaogan, 264 cases in Huanggang In addition, there were 9 cases in Xianning, 31 cases in Suizhou, 26 cases in Enshi, 20 cases in Xiantao, 69 cases in Tianmen, and 4 cases in Qianjiang. There were 242 new cases (including 135 clinically diagnosed cases) in the province, including 216 cases in Wuhan, 3 cases in Huangshi, 1 case in Xiangyang, 3 cases in Yichang, 2 cases in Jingzhou, 2 cases in Ezhou, 4 cases in Xiaogan, 4 cases in Huanggang, 1 case in Xianning, 2 cases in Suizhou, 1 case in Enshizhou, and 3 cases in Xiantao. Newly discharged 802 cases (including 423 clinically diagnosed cases), including: 538 cases in Wuhan, 17 cases in Huangshi, 11 cases in Shiyan, 6 cases in Xiangyang, 10 cases in Yichang, 22 cases in Jingzhou, 11 cases in Jingmen, 23 cases in Ezhou, 28 cases in Xiaogan, 89 cases in Huanggang, 19 cases in Xianning, 11 cases in Suizhou, 10 cases in Enshi, 5 cases in Xiantao, 1 case in Tianmen, and Shennongjia Forestry District 1 case. As of 24:00 on February 12, 2020, Hubei Province reported a total of 48,206 new cases of pneumonia (including 13,332 clinically diagnosed cases), including: Wuhan City 32,994 cases (including 12,364 clinically diagnosed cases), Huangshi City 911 cases (including 12 clinically diagnosed cases), Shiyan City 562 cases (including 3 clinically diagnosed cases), Xiangyang City 1101 cases, Yichang City 810 cases, Jingzhou City 1431 cases (including 287 cases of clinical diagnosis), Jingmen City 927 cases (including 202 cases of clinical diagnosis), Ezhou City 1065 cases (including 155 cases of clinical diagnosis), Xiaogan City 2874 cases (including 35 cases of clinical diagnosis), Huanggang City 2662 cases (including 221 cases of clinical diagnosis), Xianning City 534 cases (including 6 cases of clinical diagnosis ), Suizhou City 1160 cases, Enshi Prefecture 229 cases (including 19 cases of clinical diagnosis), Xiantao City 480 cases (including 2 cases of clinical diagnosis), Tianmen City 362 cases (including 26 cases of clinical diagnosis), Qianjiang City 94 cases, and Shennongjia Forestry District 10 cases. The total number of cured cases in the province is 3441. The total number of cases in the province was 1310, of which: 1036 cases in Wuhan (including 134 cases of clinical diagnosis), 9 cases in Huangshi, 1 case in Shiyan, 13 cases in Xiangyang, 11 cases in Yichang, 23 cases in Jingzhou, 24 cases in Jingmen, 30 cases in Ezhou, 49 cases in Xiaogan, 58 cases in Huanggang, 7 cases in Xianning, 14 cases in Suizhou, 4 cases in Enshi (including 1 case of clinical diagnosis), 16 cases in Xiantao ), 16 cases in Xiantao City, 10 cases in Tianmen City, and 5 cases in Qianjiang City. At present, 33,693 cases are still under hospital treatment, of which: 5,647 cases of serious illness and 1,437 cases of critical illness, all of which are under isolation treatment in designated medical institutions. There are 9028 suspected cases, 3317 were excluded on the same day, and 6126 were centrally isolated. The total number of close contacts tracked 158,377 people, still under medical observation 77,308 people. Content source: Chang’an Street News