新冠肺炎疫情下定点医院阶梯式重症医疗救治的探索  

Stepped Medical Treatment for Severe Cases in Designated Hospitals under the COVID-19 Epidemic

作　　者：张丽娜[1] 马旭东 祝滨 刘纯[4] 张文鹏[3] 张翼[4] 马新华[1] 孙杨[1] 周阳[1] 钱招昕[1,5] 陆勇 ZHANG Lina;MA Xudong;ZHU Bin(Xiangya Hospital Central South University,Changsha,Hunan,410008,China)

机构地区：[1]中南大学湘雅医院,湖南长沙410008 [2]国家卫生健康委员会医政医管局,北京100044 [3]上海交通大学医学院附属瑞金医院卢湾分院,上海200020 [4]中南大学湘雅三医院,湖南长沙410000 [5]湖南省重症医学临床研究中心,湖南长沙410008

出　　处：《中国卫生质量管理》2023年第3期42-45,共4页Chinese Health Quality Management

基　　金：国家重点研发计划(编号:2022YFC2009800);上海市卫计委面上项目(编号:202240204);上海市医院协会课题(编号:X2022143和Q2022063)。

摘　　要：通过梳理新冠感染重症患者救治定点医院的规模、功能与人员配置,结合武汉与上海不同场景下定点医院的重症救治管理经验,因地制宜地快速整合有限的重症资源,总结出“重症关口前移-同质化重症救治-高级监护病房”的阶梯式重症延伸工作模式,为相关医院救治新冠感染重症患者提供了参考。By sorting out the scale,function and personnel allocation of designated hospitals for treating severe COVID-19 patients,combining the intensive care management experience of designated hospitals in Wuhan and Shanghai under different scenarios,and rapidly integrating limited intensive care resources according to local conditions,the stepped intensive care extension working mode of"Critical Pass Forward-Homogeneous Critical Care-Advanced Care Ward"was summarized.It provides reference for the treatment of severe COVID-19 patients in relevant hospitals.

关 键 词：新冠感染 定点医院 重症医疗 重症救治 “没有围墙的ICU” 高级监护病房 

分 类 号：R181.8[医药卫生—流行病学] R197.3[医药卫生—公共卫生与预防医学]