浙江省急诊学科参与新型冠状病毒肺炎疫情防控状况的调查研究  

An investigation on the role of emergency departments in combatting against COVID-19 in Zhejiang Province

作　　者：郑忠骏 师琳 王弋[2] 陈玉熹 贺鹤群[4] 黄明伟[5] 金文扬 刘宏[7] 楼炳恒[8] 温晓红[9] 丁国娟[10] 曹伟中 林华 周文[1] 张茂[1] 调查协作组 Zheng Zhongjun;Shi Lin;Wang Yi;Chen Yuxi;He Hequn;Huang Mingwei;Jin Wenyang;Liu Hong;Lou Bingheng;Wen Xiaohong;Ding Guojuan;Cao Weizhong;Lin Hua;Zhou Wen;Zhang Mao;Investigation Collaboration Group(Department of Emergency Medicine,the Second Affiliated Hospital of Zhejiang University School of Medicine,Institute of Emergency Medicine,Zhejiang University,Hangzhou 310009,China;Department of Emergency,Hangzhou First People's Hospital,Hangzhou 310006,China;Department of Emergency,Wenzhou Central Hospital,Wenzhou 325000,China;Department of Emergency,Ningbo First Hospital,Ningbo 315010,China;Emergency and Critical Care Medical Center,Pan’An Branch,Jinhua Municipal Central Hospital,Pan’An 322300,China;Department of Emergency,Taizhou Hospital,Taizhou 317000,China;Department of Emergency Medicine,Lishui People's Hospital,Lishui 323000,China;Department f Emergency,People's Hospital of Quzhou,Quzhou 324000,China;Department of Emergency,Huzhou First People's Hospital,Huzhou 313000,China;Department of Emergency,Shaoxing People's Hospital,Shaoxing 312000,China;Department of Emergency,Jiaxing First Hospital,Jiaxing 314000,China;Department of Emergency,Zhoushan Hospital,Zhoushan 316021,China;Investigation Cooperation Group)

机构地区：[1]浙江大学医学院附属第二医院急诊医学科浙江大学急救医学研究所,杭州310009 [2]杭州市第一人民医院急诊科,310006 [3]温州市中心医院急救科,325000 [4]宁波市第一医院急诊科,315010 [5]金华市中心医院磐安分院急诊重症医学中心,322300 [6]台州医院急诊科,317000 [7]丽水市人民医院急诊医学科,323000 [8]衢州市人民医院急诊科,324000 [9]湖州市第一人民医院急诊科,313000 [10]绍兴市人民医院急诊科,312000 [11]嘉兴市第一医院急诊科,314000 [12]舟山医院急诊科,316021 [13]不详

出　　处：《中华急诊医学杂志》2020年第9期1196-1202,共7页Chinese Journal of Emergency Medicine

摘　　要：目的调查浙江省各级综合医院急诊科参与新型冠状病毒肺炎疫情防控现状,为进一步提升医院急诊医疗服务能力提供参考。方法采用多中心横断面调查性研究,由浙江省急诊医学质量控制中心、浙江省医学会急诊医学分会、浙江省医师协会急诊医师分会联合发起,组织专家制定调查表,纳入浙江省县区级人民医院、中医院及以上的综合性公立医院急诊科,调查其2020年3月9日至2020年3月15日期间参与新冠肺炎疫情防控工作情况。调查指标包括:医院的基本信息;急诊科参与发热门诊情况;急诊科收治新冠肺炎患者情况;急诊科医护支援抗疫一线情况;急诊科的防疫设施、抗疫早期防护用品供应状况。通过浙江省及各地市级急诊质控中心落实调查表的发放与回收、校对。结果最终纳入全省11个地市的181家医院,其中三甲52家(28.7%)、三乙45家(24.9%),二甲64家(35.4%),二乙及以下20家(11.0%)。其中93家(51.4%)为新冠肺炎定点收治医院,49家(27.1%)具有新冠病毒核酸检测能力。177家(97.8%)医院设置独立发热门诊,其中33家(18.6%)由急诊科单独或主要负责管理。65家(36.7%)发热门诊的医护全部或主要由急诊科支援。40.3%的急诊科收治/经治共计213例新冠肺炎病例,占全省总数的17.3%。全省急诊科共派出3848名医护支援防疫一线,其中支援湖北253人(占全省支援总数的12.5%)。68.5%和76.8%的急诊科有备用的单独诊间和普通抢救单间以应对新冠肺炎疫情,50%以上的急诊科在疫情早期防护用品不足甚至缺乏。结论浙江省急诊学科在本次新冠肺炎疫情防控中发挥重要作用,需要进一步改善急诊科的软硬件设施,以更有效地应对日常传染病的防控。Objective To investigate the relevant situation of the emergency departments(ED)of general hospitals at all levels in Zhejiang Province participating in the prevention and control of Corona Virus Disease 2019(COVID-19),and to provide a reference for further improving the capacity of emergency services.Methods A multi-center cross-sectional investigation study was jointly initiated by the Zhejiang Provincial Emergency Medicine Quality Control Center,the Emergency Medicine Branch of Zhejiang Medical Association,and the Emergency Physicians Branch of Zhejiang Medical Doctors Association.Before investigation,experts were organized to develop a special questionnaire.Then the ED of general people's hospitals or Chinese Medicine hospitals at the county/district-level or above were included and their participations in the prevention and control of COVID-19 epidemic between March 9,2020 and March 15,2020 were investigated.The collected information included:basic information of the hospitals;participation of ED in fever clinics;the number of COVID-19 patients admitted to ED;the situation of ED support to the anti-epidemic front-line;and the epidemic prevention facilities of ED,and the early supply of medical protective equipments.Results A total of 181 hospitals from 11 prefectures and cities across the province were finally included,including 52(28.7%)Grade-A tertiary hospitals,45(24.9%)Grade-B tertiary hospitals,64(35.4%)Grade-A secondary hospitals,and 20(11.0%)Grade-B secondary or lower hospitals.Among them,93(51.4%)were COVID-19 designated hospitals,and 49(27.1%)had the ability to detect COVID-19 nucleic acid;177(97.8%)set up independent fever clinics and 33(18.6%)were managed by ED alone or mainly.The medical staffs of 65(36.7%)fever clinics were all or mainly from ED.A total of 213 cases of COVID-19 were received/treated in 40.3%ED,accounting for 17.3%of the total number of cases in Zhejiang Province.A total of 3848 doctors and nurses supported the front-line of epidemic prevention,of them,253 supported Hubei Provinc

关 键 词：急诊科 新型冠状病毒病 疫情防控 调查 浙江省 

分 类 号：R563.1[医药卫生—呼吸系统] R181.8[医药卫生—内科学]