综合性医院SARS流行阶段放射科应急隔离影像信息管理系统的建设与实践  

The building and practice of the emergency isolation radiology information system at the department of radiology in polyclinic during the epidemic outbreak stage of SARS

作　　者：韩鸿宾[1] 李选[1] 曲雯[1] 沈韬[2] 许峰[3] 高东红[4] 孙震[2] 萧葵 

机构地区：[1]北京大学第三医院放射科,北京100083 [2]北京大学第三医院信息中心,北京100083 [3]北京大学第三医院医学工程处,北京100083 [4]北京大学公共教学部医用理学系 [5]北京普惠泰科科技发展中心

出　　处：《北京大学学报（医学版）》2003年第B05期86-88,共3页Journal of Peking University:Health Sciences

基　　金：北京大学‘985’项目基金资助~~

摘　　要：目的 :结合SARS流行阶段综合性医院放射科应急隔离影像信息管理系统的建设 ,阐明本系统的软硬件环境特点 ,总结本系统建设与使用的经验与实践效果 ,探讨应急信息系统优点与存在的问题。方法 :采用双机热备服务器 ,院内设立独立的网段 ,文本信息采用TCP/IP协议传输 ,胸片图像采用DICOM图像传输与浏览技术 ,分别在被隔离的SARS门诊、摄片区以及放射科诊断区放置工作站。记录系统安装前后的全院医务人员感染情况。结果 :应急隔离放射科影像信息管理系统的应用使疑似SARS的病例诊断过程远离非SARS隔离区 ,启用系统前后 ,院内医务人员的感染率有明显下降的趋势。结论 :应急隔离系统的建设有效地控制了SARS在医院内的传播途径 ;网络基础建设 ,软环境准备 (包括科室人员前期计算机使用培训 ) 。Objective: To clarify the characteristics of the hardware and software in the emergency isolation radiology information system(EIRIS)from the running experience of EIRIS during the epidemic outbreak stage of SARS(serious acute respiratory syndrom). To summarize the experience and the effects of the system, and to discuss the benefits and problems of the system. Methods: To set the dependent IP subnet address for the EIRIS. The server was in high available(HA) style. The text information was transmitted by TCP/IP protocol, and the chest X ray film information was transmitted by DICOM protocol. The client workstations were set in the SARS isolation region(at the SARS out patient department and the SARS x ray examination room) and the non SARS isolation region respectively. The incidence of the SARS in medical staffs was recorded before and after the EIRIS was employed. Results: EIRIS made the suspected and the diagnosed SARS cases away from the non isolation area effectively. The incidence of the disease after the EIRIS running was in a downward trend compared with the incidence before the system run. Conclusion: EIRIS was an effective method to break the transmission route of SARS within the hospital. Network and software preparation , the training in computer of the staffs at radiology department, network maintenance and the management system are the keys to the smooth running of the EIRIS.

关 键 词：综合性医院 SARS 流行阶段 放射科 隔离 影像信息管理系统 建设 实践 医院信息系统 

分 类 号：R563.1[医药卫生—呼吸系统]