2019冠状病毒病疫情期间肾移植应急管理策略  

Emergency management for kidney transplantation in the epidemic period of coronavirus disease 2019

作　　者：方春华[1,2] 王丽萍[1,2] 聂曼华[1,2] 刘亚杰[1,2] 黄金[1] 谢续标[2] FANG Chunhua;WANG Liping;NIE Manhua;LIU Yajie;HUANG Jin;XIE Xubiao(Clinical Nursing Teaching and Research Section,Second Xiangya Hospital,Central South University,Changsha 410011;Department of Kidney Transplantation,Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院临床护理学教研室,长沙410011 [2]中南大学湘雅二医院肾脏移植科,长沙410011

出　　处：《中南大学学报（医学版）》2020年第5期495-500,共6页Journal of Central South University ：Medical Science

基　　金：湖南省自然科学基金(2019JJ40428);湖南省科技厅抗击新冠肺炎疫情应急专项(2020SK3003)。

摘　　要：目的:总结某大型三甲综合医院肾脏移植科应对2019冠状病毒病(coronavirus disease 2019,COVID-19)疫情的应急管理策略。方法:回顾性分析2020年1月24日至2月29日在肾脏移植科住院患者的临床资料,并对居家的肾移植术后随访受者、等待肾移植患者逐一进行电话或微信随访、线上宣教,对前来就诊的肾移植术后受者进行COVID-19排查。为保障医务人员和受者安全,降低COVID-19传播风险,制定详细的应对管理措施,主要包括肾移植门诊的防控管理、肾移植病房的防控管理、等待肾移植患者的管理、肾移植手术的管理、医护人员自身防护、肾移植术后受者随访的管理6个方面。结果:47例住院肾移植受者(包括在此期间刚完成肾移植手术的20例受者)、2577例肾移植术后随访受者、1689例等待肾移植患者以及794例门诊复查的肾移植受者,无1例发生COVID-19。结论:通过严格执行积极主动的防控措施,避免了疫情期间肾移植术前、术中、术后COVID-19的发生。Objective:To summarize the emergency management of the kidney transplantation for a large tertiary first-class hospital in response to the epidemic of coronavirus disease 2019(COVID-19).Methods:The clinical data of inpatients in the Department of Kidney Transplantation from January 24,2020 to February 29,2020 were retrospectively analyzed.Since the outbreak of COVID-19,we conducted telephone,Wechat follow-up,and online education for kidney transplant recipients and patients on waiting-list for kidney transplantation one by one.We also strictly screened for COVID-19 in outpatients.To guarantee the security of medical staff and recipients and to reduce the transmission risk of COVID-19,we have made detailed approaches to prevent COVID-19,which mainly included 6 aspects of preventive approaches,such as kidney transplant clinic,kidney transplant ward,patients on waitinglist for kidney transplantation,kidney transplant operation,medical staff self-protection,and postoperative follow-up of kidney transplant recipients.Results:There were altogether 47 inpatients which included 20 recipients who had just received kidney transplantation in the meantime,2577 kidney transplant recipients,1689 patients on waiting-list for kidney transplantation,and 794 outpatients in our hospital.No case of COVID-19 occurred in this period.Conclusion:Through strictly implementing proactive and preventive approaches,we avoid the occurrence of COVID-19 in carrying out kidney transplantation in the epidemic period.

关 键 词：2019冠状病毒病 肺炎 肾移植 管理 

分 类 号：R699.2[医药卫生—泌尿科学]