ID 原文 译文
997 人工肝血液净化系统可迅速清除炎症介质，消除细胞因子风暴，可阻断休克和低氧血症、呼吸窘迫的发生。 The artificial liver support system (ALSS) and blood purification can effectively diminish inflammatory mediators and cytokine cascade and prevent the incidence of shock, hypoxemia and Respiratory distress syndrome.
998 酌情使用糖皮质激素 Usage of Glucocorticoids when Necessary
999 对于重型、危重型，早期、适量、短程糖皮质激素治疗既有利于控制细胞因子炎症风暴，阻止病情进展，缩短病程，又可避免长期大量使用糖皮质激素导致的不良反应和并发症。 Appropriate and short-term use of corticosteroids to inhibit cytokine cascade and to prevent disease progression should be considered for patients with severe COVID-19 pneumonia as early as possible. However, a high dose of glucocorticoids should be avoided due to adverse event s and complications.
1000 1.1适应证 1.1 Indication for Corticosteroids
1001 ①符合重型、危重型诊断者可早期使用； ① for those in severe and critically ill stage;
1002 ②高热（体温超过39°C）持续不退； ② for those with persistent high fever (temperature above 39°C);
1003 ③影像学提示受累肺叶面积大（30%以上肺叶受累），有磨玻璃渗出； ③ for those whose computerized tomography (CT) demonstrated patchy ground-glass attenuation or more than 30% area of the lungs are involved;
1004 ④肺部影像学表现进展迅速且受累面积明显增多（48h复查肺部CT提示进展超过50%）； ④ for those whose CT demonstrated rapid progression (more than 50% area involved in pulmonary C T images within 48 hours);
1005 ⑤IL-6≥5倍正常值上限。 ⑤ for those whose IL-6 is above ≥ 5 ULN.
1006 1.2使用方法 1.2 Application of Corticosteroids