大型综合医院急诊科应对新型冠状病毒肺炎疫情经验探索  

Experience of emergency department of large tertiary general hospital in coping with epidemic outbreak of COVID-19

作　　者：杨之涛[1] 高卫益[1] 梁婧[1] 景峰[1] 毛恩强[1] 陈尔真[1] YANG Zhi-tao;GAO Wei-yi;LIANG Jing;JING Feng;MAO En-qiang;CHEN Er-zhen(Department of Emergency,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院急诊科,上海200025

出　　处：《上海交通大学学报（医学版）》2020年第4期417-421,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海卫生健康系统重要薄弱学科建设计划(2016ZB0206);2017年上海市领军人才项目;上海市科学技术委员会西医重点-科技创新行动计划(18411950900);上海申康医院发展中心临床科技创新项目(SHDC12017116)。

摘　　要：2019年12月至今,新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)疫情已经发展至全球。通过一系列防控措施,我国疫情已经得到基本控制;但其他国家和地区发病人数、死亡人数仍在快速上升。应对如此重大的疫情,医院的应急管理体系受到了严峻考验,尤其是医院的急诊科承担了发热患者筛查诊断及普通患者的急诊急救。上海交通大学医学院附属瑞金医院经过2个月左右的实践探索,在应急管理制度完善、平战结合机制建立、医疗资源重组、物资调配保障、信息系统优化等方面总结了一些经验,实现医务人员“零感染”,COVID-19患者“零漏诊”和“零交叉感染”的目标。Since December 2019,the coronavirus disease 2019(COVID-19)has become one of the most significant infectious diseases in the world.The epidemic in China has been basically controlled through a series of prevention and control measures.But the number of confirmed cases and deaths in other countries and regions is still rapidly rising.In response to this major epidemic,the hospital's emergency management system is facing a great challenge,especially the department of emergency,which takes the responsibilities of the screening and diagnosis of fever patients as well as the emergency treatment of ordinary patients.Through two months of practice and exploration,our hospital has summarized some experiences in improving the emergency management system,establishing a peace and war integration mechanism,reorganizing medical resources,guaranteeing the deployment of supplies and optimizing information system,and has achieved the"zero infection"of medical staff,"zero misdiagnosis"and"zero cross-infection"of patients with COVID-19.

关 键 词：新型冠状病毒肺炎 急诊科 疫情防控 

分 类 号：R184[医药卫生—流行病学]