新型冠状病毒肺炎的CT检查流程及隔离防护措施  

CT examination procedures and isolation protection measures of COVID-19

作　　者：崔津津[1] 程艳爽[2] 李晶[1] 刘贯中 胡兴和[1] 王新江[1] 姚洪祥[1] CUI Jin-jin;CHENG Yan-shuang;LI jing;LIU Guan-zhong;HU Xing-he;WANG Xin-jiang;YAO Hong-xiang(The Second Medical Center,Chinese PLA General Hospital,Beijing 100853,China;不详)

机构地区：[1]解放军总医院第二医学中心放射诊断科,北京100853 [2]解放军总医院第一医学中心肝胆外科,北京100853

出　　处：《中华医院感染学杂志》2020年第19期2908-2912,共5页Chinese Journal of Nosocomiology

摘　　要：目的新型冠状病毒肺炎(Coronavirus disease 2019,COVID-19,简称新冠肺炎),是一种新发传染病,该病具有很强的传染性,目前国内疫情已基本得到控制,境外疫情正在蔓延,防控依然严峻。放射诊断是新冠肺炎诊疗过程中的重要一环,具有肺炎影像学特征者已经作为临床诊断病例写入新型冠状病毒肺炎诊疗方案(试行第五版)中。放射科承担着新型冠状病毒肺炎CT检查工作,放射科工作人员尤其是技师成为继发热门诊、感染科和ICU后最危险的一线群体。此文旨在规范放射检查技术,避免院内交叉感染,提高影像学检查质量,指导放射科感控工作,达到放射科技师"零感染"的目标。方法针对解放军总医院第二医学中心放射科新冠肺炎感染防护难点及高龄患者特点进行剖析,科室成立新冠肺炎应对处置组,定期组织防护培训,加强消毒隔离的意识,在保证高质量完成图像扫描的同时,全面体系地控制感染,针对放射科工作人员尤其是技师在新冠肺炎CT检查的操作流程及消毒防护措施,并对高龄危重不能配合呼吸的患者及时调整CT扫描参数,做好危重患者陪护人员的标准预防防护和X线辐射防护。结果面对传染性疾病及高龄患者,通过组织防护培训考核、加强消毒隔离防护措施,规范CT检查流程、调整CT扫描参数,得到了高质量CT影像数据,解决了放射科感控薄弱的问题,预防了院内交叉感染,为有效控制疫情打下了坚实基础。在做好防护的前提下,疑似新冠肺炎患者的CT检查顺利开展。结论 COVID-19是一种高度传染性疾病,不断提升放射科医务人员诊疗技术,加强隔离防护,把CT检查的流程标准化、规范化对进一步做好新型冠状病毒肺炎防控工作至关重要。OBJECTIVE The novel coronavirus pneumonia(Coronavirus disease 2019, COVID-19) is an emerging infectious disease.The disease is highly contagious.At present, the domestic epidemic situation has been basically controlled, while the overseas epidemic is spreading, and the prevention and control are still severe.Radiological diagnosis is a key point in the diagnosis and treatment of COVID-19.Those with pneumonia imaging characteristics have been included in the new coronavirus pneumonia diagnosis and treatment plan(trial version fifth).The radiology department is responsible for the CT examination of new coronaviruses.The radiology staff, especially the technicians, have become the most dangerous front-line group after the fever clinic, infection department and ICU.This article aims to standardize the radiological examination technology, avoid cross-infection in the hospital, improve the quality of imaging examinations, guide the sensory control work of radiology department, and achieve the goal of "zero infection" for radiologist. METHODS In order to analyze the difficulties in the protection of the novel coronavirus pneumonia infection and the characteristics of the elderly patients in the second medical center of the PLA General Hospital, the department established a new coronary pneumonia response treatment group, regularly organized protection training, strengthened the awareness of disinfection and isolation, and ensured the high-quality image scanning while comprehensively controlling infection.The department has also formulated the operation procedures and disinfection and protection measures for radiology staff, especially technician in CT examination of novel coronavirus pneumonia, and timely adjusted CT scanning parameters for elderly patients who could not cooperate with breathing, so as to provide standard preventive protection and X-ray radiation protection for the accompanying persons of critical patients. RESULTS In order to cope with infectious diseases and elderly patients, we obtained high-quality

关 键 词：CT检查 新型冠状病毒肺炎 检查流程 消毒隔离防护 

分 类 号：R563.1[医药卫生—呼吸系统]