麻醉医师参与在隔离病房救治新型冠状病毒肺炎危重型患者的体会  

Anesthesiologist′s learning from experience of participating in the treatment of critically ill patients with coronavirus disease 2019 in isolation wards

作　　者：陈雪吟 王刚[1] 杨凯 伍静[1] 陈向东 Chen Xueyin;Wang Gang;Yang Kai;Wu Jing;Chen Xiangdong(Department of Anesthesiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院麻醉科,武汉430022

出　　处：《中华麻醉学杂志》2020年第3期296-298,共3页Chinese Journal of Anesthesiology

摘　　要：新型冠状病毒肺炎(COVID-19)疫情暴发后,武汉疫区重症病例的数量剧增,远远超出ICU的负荷,致使隔离病房也成了重症患者的救治场所。华中科技大学同济医学院附属协和医院针对麻醉科的工作特点,率先派遣主治级别以上麻醉医师20余人进入全院8个重症病区的隔离病房,参与800多例COVID-19重症患者的救治,其中危重型300余例,120余例好转恢复;不但完成大量气管插管术、中心静脉穿刺术、血气分析的动脉血采样及床旁心肺超声检查,还在气管插管后呼吸管理、心血管事件的处理、液体治疗的精准化方面发挥了重要作用。不仅如此,麻醉医师通过与其他专科医生的协作救治,自身医疗服务能力也得到完善,诸如在病历与医嘱的规范书写、感染控制的意识与技能、呼吸疾病的规范用药和氧疗技能、连续管理危重症患者的技能等方面。After the outbreak of coronavirus disease 2019,the number of severe cases in Wuhan increased dramatically,which was far beyond the load of intensive care unit.As a result,the isolation ward became the place for the treatment of severe cases.Because the important role of anesthesiologists,more than 20 anesthesiologists from Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology have been sent to eight isolation wards of severe patients.They have participated in the treatment of more than 800 severe coronavirus disease 2019 patients,including more than 300 critical cases with more than 120 cases getting better recovery.Their work included endotracheal intubation,central venous catheterization,artery cannulation and blood gas analysis,and bedside cardiopulmonary ultrasound examination,and more importantly they have played an important role in respiratory management after endotracheal intubation,the treatment of cardiovascular events and precise fluid therapy.During these works,anesthesiologists improved their own professional skills through the cooperation with other specialists,including the standard writing skills of medical records and prescription,appropriate protection against infectious diseases,standard medication and oxygen therapy for respiratory diseases,and the capability of continuously management of critical cases.

关 键 词：麻醉学家 医院 隔离 危重病人医疗 新型冠状病毒肺炎 

分 类 号：R614[医药卫生—麻醉学]