对于居家隔离的患者,刘又宁教授则建议有条件的慢性基础病人群、老年人群最好能配备脉氧仪等设备,做好自我监测。「无创血氧饱和度检测是最好的方法。居家隔离过程中,如果突然出现呼吸加快、呼吸困难、胸闷的情况就需要警惕;如果血氧饱和度明显下降,则要尽快就医。」参考资料:[1]Alamé K, Lemaitre EL, Abensur Vuillaume L, Noizet M, Gottwalles Y, Chouihed T, Lavoignet CE, Bérard L, Molter L, Gennai S, Ugé S, Lefebvre F, Bilbault P, Le Borgne P; CREMS Network (Clinical Research in Emergency Medicine and Sepsis). Silent Hypoxemia in the Emergency Department: A Retrospective Cohort of Two Clinical Phenotypes in Critical COVID-19. J Clin Med. 2022 Aug 27;11(17):5034. doi: 10.3390/jcm11175034. PMID: 36078970; PMCID: PMC9457247.[2]Hayakawa K, Morioka S, Asai Y, Tsuzuki S, Yamada G, Suzuki S, Matsunaga N, Ohmagari N. Predictors of silent hypoxia in hospitalized patients with COVID-19 in Japan. J Infect Chemother. 2022 Oct;28(10):1436-1438. doi: 10.1016/j.jiac.2022.06.001. Epub 2022 Jun 13. PMID: 35725530; PMCID: PMC9189118.[3]Tobin MJ, Laghi F, Jubran A. Why COVID-19 Silent Hypoxemia Is Baffling to Physicians. Am J Respir Crit Care Med. 2020 Aug 1;202(3):356-360. doi: 10.1164/rccm.202006-2157CP. PMID: 32539537; PMCID: PMC7397783.[4]刘义兰,王洁玉,王伟仙,余文静,吴丽芬,鲁才红,刘卫华,金艳,许娟娟,张劲农.新型冠状病毒肺炎沉默性低氧血症的早期识别救治及启示[J].护理学杂志,2020,35(17):47-48.[5]https://www.health.com/condition/infectious-diseases/coronavirus/silent-hypoxia[6]Li J, Song R, Yuan Z, Xu Z, Suo L, Wang Q, Li Y, Gao Y, Li X, Chen X, Wu J. Protective Effect of Inactivated COVID-19 Vaccines against Progression of SARS-CoV-2 Omicron and Delta Variant Infections to Pneumonia in Beijing, China, in 2022. Vaccines (Basel). 2022 Jul 29;10(8):1215. doi: 10.3390/vaccines10081215. PMID: 36016103; PMCID: PMC9413898.[7]https://www.england.nhs.uk/nhs-at-home/covid-oximetry-at-home/[8]Matthew Inada-Kim, Francis P. Chmiel, Michael J. Boniface, Helen Pocock, John J. M. Black, Charles D. Deakin, Validation of home oxygen saturations as a marker of clinical deterioration in patients with suspected COVID-19; medRxiv 2020.11.06.20225938; doi: https://doi.org/10.1101/2020.11.06.20225938来源:丁香园 点击原文阅读