新型冠状病毒肺炎疫情期间外科手术安全防控体会  

Experience of prevention and control of surgical safety during the outbreak of new coronavirus pneumonia

作　　者：彭永海[1] 陈熙[1] 胡朝辉[1] 罗华[1] 杨倩[2] PENG Yonghai;CHEN Xi;HU Zhaohui;LUO Hua;YANG Qian(Department of Hepatobiliary Surgery,Mianyang Central Hospital,Mianyang,Sichuan 621000,P.R.China;Mianyang Traditional Chinese Medicine Hospital,Mianyang,Sichuan 621000,P.R.China)

机构地区：[1]绵阳市中心医院肝胆外科,四川绵阳621000 [2]绵阳市中医医院,四川绵阳621000

出　　处：《中国普外基础与临床杂志》2020年第4期389-392,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨新型冠状病毒肺炎疫情期间外科手术安全防控措施及流程。方法解读新型冠状病毒肺炎诊疗方案、新型冠状病毒肺炎防控方案以及医疗机构内新型冠状病毒肺炎感染预防与控制技术指南后,笔者所在医院制定及完善了手术安全防控措施及流程。结果统计笔者所在医院从2020年1月22日至2020年2月10日行手术患者567例,其中手术中心手术501例,介入中心手术66例。所有手术中,急诊手术303例,限期及择期手术264例。在急诊手术中,占前3位的分别是剖腹产130例,占42.9%;腹部消化系统手术63例,占20.8%;头颅手术31例,占10.2%。限期及择期手术中占前4位的是眼科良性疾病手术65例,占24.6%;肿瘤患者57例,占21.6%;骨科手术53例,占20.1%;冠脉造影25例,占9.4%。所有手术患者均顺利完成手术,术后均恢复良好,无外科严重并发症发生,无感染相关并发症发生。结论在新型冠状病毒肺炎疫情期间,通过调整优化措施及流程,可以开展外科手术和实施疫情防控。Objective To investigate the prevention and control measures and procedures for surgical operation safety during the outbreak of new coronavirus pneumonia.Methods After interpreting the diagnosis and treatment plan of new coronavirus pneumonia,the prevention and control plan of new coronavirus pneumonia,and the technical guidelines for prevention and control of new coronavirus pneumonia infection in medical institutions,we formulated and improved the prevention and control measures and procedures for surgical safety in our hospital.Results A total of 567 patients were operated in our hospital from January 22,2020 to February 10,2020,including 501 were operated in the surgical center and 66 were operated in the interventional center.Among all the cases,there were 303 emergency operation and 264 scheduled or limited operation.In the emergency operation,the top three were 130 cases of caesarean section(42.9%),63 cases of abdominal digestive system operation(20.8%)and 31 cases of skull operation(10.2%).In the scheduled or limited operation,the top four were 65 cases of benign diseases of the eye(24.6%),57 cases of tumor(21.6%),53 cases of orthopedic surgery(20.1%),and 25 cases of coronary angiography(9.4%).All the patients were successfully completed the operation and recovered well after the operation.No serious surgical complications or infection-related complications occurred.Conclusion During the outbreak of new coronavirus pneumonia,surgery and epidemic prevention and control can be carried out by adjusting and optimizing measures and procedures.

关 键 词：新型冠状病毒肺炎 手术安全 疫情防控 

分 类 号：R473.6[医药卫生—护理学]