上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2020, Vol. 40 ›› Issue (4): 417-.doi: 10.3969/j.issn.1674-8115.2020.04.001

• 新型冠状病毒防控专栏 • 上一篇    下一篇

大型综合医院急诊科应对新型冠状病毒肺炎疫情经验探索

杨之涛，高卫益，梁 婧，景 峰，毛恩强，陈尔真   

  1. 上海交通大学医学院附属瑞金医院急诊科，上海 200025
  • 出版日期:2020-04-28 发布日期:2020-05-22
  • 通讯作者: 陈尔真，电子信箱:chenerzhen@hotmail.com。
  • 作者简介:杨之涛（1980—），男，副主任医师，博士；电子信箱：yangzhitao@hotmail.fr。
  • 基金资助:
    上海卫生健康系统重要薄弱学科建设计划（2016ZB0206）；2017年上海市领军人才项目；上海市科学技术委员会西医重点-科技创新行动计划（18411950900）；上海申康医院发展中心临床科技创新项目（SHDC12017116）。

Experience of emergency department of large tertiary general hospital in coping with epidemic outbreak of COVID-19

YANG Zhi-tao, GAO Wei-yi, LIANG Jing, JING Feng, MAO En-qiang, CHEN Er-zhen   

  1. Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Online:2020-04-28 Published:2020-05-22
  • Supported by:
    Key Discipline Construction Project of Shanghai Municipal Commission of Health and Family Planning (2016ZB0206); Program for Outstanding Medical Academic Leader (2017); Scientific and Technological Innovation Act Program of Science and Technology Commission of Shanghai Municipality (18411950900); Clinical Research Innovation Project of Shanghai Hospital Development Center (SHDC12017116).

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摘要： 2019年12月至今，新型冠状病毒肺炎（coronavirus disease 2019，COVID-19）疫情已经发展至全球。通过一系列防控措施，我国疫情已经得到基本控制；但其他国家和地区发病人数、死亡人数仍在快速上升。应对如此重大的疫情，医院的应急管理体系受到了严峻考验，尤其是医院的急诊科承担了发热患者筛查诊断及普通患者的急诊急救。上海交通大学医学院附属瑞金医院经过2个月左右的实践探索，在应急管理制度完善、平战结合机制建立、医疗资源重组、物资调配保障、信息系统优化等方面总结了一些经验，实现医务人员“零感染”，COVID-19患者“零漏诊”和“零交叉感染”的目标。

关键词: 新型冠状病毒肺炎, 急诊科, 疫情防控

Abstract:

Since December 2019, the coronavirus disease 2019 (COVID-19) has become one of the most significant infectious diseases in the world. The epidemic in China has been basically controlled through a series of prevention and control measures. But the number of confirmed cases and deaths in other countries and regions is still rapidly rising. In response to this major epidemic, the hospitals emergency management system is facing a great challenge, especially the department of emergency, which takes the responsibilities of the screening and diagnosis of fever patients as well as the emergency treatment of ordinary patients. Through two months of practice and exploration, our hospital has summarized some experiences in improving the emergency management system, establishing a peace and war integration mechanism, reorganizing medical resources, guaranteeing the deployment of supplies and optimizing information system, and has achieved the "zero infection" of medical staff, "zero misdiagnosis" and "zero cross-infection" of patients with COVID-19.

Key words: coronavirus disease 2019 (COVID-19), department of emergency, epidemic prevention and control