摘要
目的总结新型冠状病毒肺炎重大公共卫生事件响应下,中低风险地区手显微外科如何做好疫情防控和专科疾病的诊疗工作。方法回顾2020年1月23日至3月18日,手显微外科不断调整改进防控措施和专科诊疗策略。期间共举行防疫知识培训5次,急诊合并疑似新型冠状病毒感染防疫救治演习2次,门急诊患者921例次,住院患者75例,手术317台,按照新型冠状病毒感染疑似患者诊疗管理的断指再植2例。结果(1)在广东省一级重大公共卫生事件响应期间,诊疗门诊患者107例次,急诊患者126例次,住院患者24例,完成手术80台。(2)自2月24日改为二级重大公共卫生事件响应至3月18日,诊疗门诊患者497例次,急诊患者191例次,住院患者51例,完成手术237台,2例按照新型冠状病毒感染疑似患者诊疗管理的断指再植手术在三级防护下取得成功。患者预后良好,防控和诊疗措施有效。结论在中低风险地区新型冠状病毒肺炎重大公共卫生事件响应下,经过充分培训和演练,严格遵循防控措施和诊疗策略,可以安全、有效地完成手显微外科诊疗工作。
Objective In response to the major public health events of the COVID-19,to prevent and control of epidemic situation,to establish the strategies for the diagnosis and treatment of specialized diseases in hand microsurgery in medium and low risk areas.Methods From January 23 to March 18,2020,in the department of hand and microsurgery,5 training sessions on epidemic prevention knowledge,and 2 exercises of treating emergency combined with suspected COVID-19 infection were conducted.A total of 921 outpatients and emergency patients,and 75 inpatients were admitted.And 317 surgeries were performed,and replantation of fingers in 2 cases according to the suspected COVID-19 protocol were carried out.Results During the response to a major public health incident of GradeⅠof Guangdong Province,107 outpatients,126 emergency patients and 24 inpatients were treated,and 80 surgeries were performed.From the response to the major public health incident of GradeⅡon February 24 to March 18,497 outpatients,191 emergency patients,and 51 inpatients were treated,and 237 surgeries were completed.Two cases of replanting of severed fingers were successfully performed under three-level protection in accordance with the management of patients suspected of being infected with COVID-19.All patients had good prognosis,and prevention and treatment measures were effective.Conclusion In response to major public health events of COVID-19 in medium and low risk areas,after full training and exercise,strict compliance with prevention and control measures,we can effectively and safely complete the diagnosis and treatment of hand microsurgery.
作者
刘英男
魏瑞鸿
谭周勇
方锡池
徐滔
刘兆康
温桂芬
黄晓清
黄含
柯燕娜
庄永青
LIU Ying-nan;WEI Rui-hong;TAN Zhou-yong;FANG Xi-chi;XU Tao;LIU Zhao-kang;WEN Gui-fen;HUANG Xiao-qing;HUANG Han;KE Yan-na;ZHUANG Yong-qing(Department of Hand and Microsurgery,Shenzhen People's Hospital,the Second Clinical Medical College of Jinan University,the First Affiliated Hospital of Southern University of Science and Technology,Shenzhen 518020,Guangdong,China;不详)
出处
《广东医学》
CAS
2020年第14期1405-1410,共6页
Guangdong Medical Journal
基金
深圳市“医疗卫生三名工程”引进高层次医学团队项目(SZSM201512032)。
关键词
手显微外科
新型冠状病毒
中低风险地区
诊疗策略
hand microsurgery
COVID-19
medium and low risk areas
diagnosis and treatment strategy
