急诊负压室在疑似新型冠状病毒肺炎危重型患者救治中的应用及管理  

Application and Management of Emergency Negative-pressure Room in Critically Ill Patients Suspected with COVID-19

作　　者：季学丽[1] 李玫[1] 张丽[1] 张阳春[1] 姜丽丽[1] 张劲松[1] JI Xue-li;LI Mei;ZHANG Li;ZHANG Yang-chun;JIANG Li-li;ZHANG Jin-song(Dept.of Emergency,the First Affiliated Hospital of Nanjin Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊科,江苏南京210029

出　　处：《护理学报》2020年第9期55-58,共4页Journal of Nursing（China）

摘　　要：目的探索急诊负压室在疑似新型冠状病毒肺炎(COVID-19)危重型患者救治中的作用并总结经验。方法通过制定急诊负压室启用标准、启用流程、物品配置标准,标准化各类人员的培训及防护、消毒隔离等措施,规范疑似COVID-19危重型患者的救治。结果截至2020年3月25日,我院急诊负压室共成功抢救13例疑似COVID-19的危重型患者,其中2例被确诊为COVID-19,未发生院内交叉感染。结论综合医院急诊抢救室建立负压室可以让定点收治医院在保障医护人员安全的基础上完成疑似COVID-19患者的紧急救治任务:有效切断传播途径实现患者医护双保险,防止疫情扩散有利于应对突发公共卫生事件。Objective To explore the effect of negative-pressure room of emergency department(ED)in the treatment of critically ill patients suspected with COVID-19 and summarize the experience.Methods The treatment of critical ill patients suspected with COVID-19 was standardized through the following measures including normalizing the operation standard,operation process and equipment allocation standard of negative-pressure room in ED and standardizing the training,protection,disinfection as well as isolation of ED staff with Standard Operating Procedure(SOP).Results As of March 25 th,2020,13 critical ill patients suspected with COVID-19 had been successfully rescued in negative-pressure room of ED in our hospital,among which 2 cases were confirmed as COVID-19 and no nosocomial cross-infection has occurred.Conclusion Negative-pressure room in EDs of general hospitals helps to complete emergency treatment of suspected patients as well ensure the safety of medical staff in designated hospitals for COVID-19,which effectively cut off the transmission path to protect medical staff and patients,and prevent nosocomial cross-infection.

关 键 词：新型冠状病毒肺炎 危重型 急诊负压室 管理 

分 类 号：R473.51[医药卫生—护理学]