新型冠状病毒性肺炎疫情下神经外科急诊诊疗行为的建议及策略  

Strategies and suggestions for emergency diagnosis and treatment of neurosurgery during coronavirus disease 2019 epidemic

作　　者：陶祥[1] 张文斐[1] 刘骏辉 朱晓楠[1] 冀保卫[1] 张戈 徐海涛[1] 陈治标[1] TAO Xiang;ZHANG Wen-fei;LIU Jun-hui;ZHU Xiao-nan;JI Bao-wei;ZHANG Ge;XU Hai-tao;CHEN Zhi-biao(Department of Neurosurgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院神经外科Ⅲ科,武汉430060

出　　处：《中国临床神经外科杂志》2020年第9期594-596,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨新型冠状病毒肺炎(COVID-19)疫情期间神经外科急诊诊疗行为的建议及策略。方法回顾性分析2020年1月20日到2020年3月20日武汉大学人民医院神经外科一病区收治的67例急诊病人的临床资料。分析67例病人及与这些病人有接触的41位医护人员感染COVID-19的情况,总结防控经验。结果67例病人中,4例确诊COVID-19,3例疑似COVID-19。所有医护人员中,2名医师确诊感染COVID-19,其中1人为无症状感染,1人为轻症感染;1名护士确诊COVID-19,为轻症感染;医师及护士均未见疑似感染者。医护人员确诊感染COVID-19均发生在标准化防控措施开始执行之前,且不能排除社区感染的可能性。结论通过科学的防控措施可将COVID-19的院内感染发生率控制在低水平,在疫情期间为神经外科急诊病人持续提供优质,安全的医疗服务。Objective To provide suggestions and strategies for emergency diagnosis and treatment of neurosurgery during the epidemic of coronavirus disease 2019(COVID-19).Methods We performed a retrospective analysis on the clinical data of 67 patients who received emergency diagnosis and treatment at Department of Neurosurgery,Renmin Hospital of Wuhan University during the epidemic of coronavirus disease 2019 from January 20 th to March 20 th,2020.We also analyzed all the 67 patients and 41 medical staff who have contact with these patients,and summarized the prevention and control experience.Results Of 67 patients,4 patients were diagnosed as COVID-19 and 3 were suspected.Of 41 medical staff,3 were diagnosed as COVID-19,of whom,one doctor and one nurse were mild infection of COVID-19 and another doctor was asymptomatic infection of COVID-19.No suspected cases were found in doctors and nurses.Since the infection of COVID-19 of medical staff occurred before the implementation of control and preventive measures,it did not exclude the possibility of community infections.Conclusions By scientific prevention and control measures,the incidence of COVID-19 can be controlled at a low level,and high quality and safe medical services can be continuously provided for emergency patients in neurosurgery during the COVID-19 epidemic.

关 键 词：新型冠状病毒肺炎 COVID-19 神经外科 急诊 标准预防 

分 类 号：R651[医药卫生—外科学] R184.6[医药卫生—临床医学]