摘要
目的分析德尔塔病毒疫情暴发期间医院急诊患者的特点及医院救治策略。方法通过医院病历系统调取2021年8月、2020年8月、2019年8月的急诊就诊患者病历信息以及医院缓冲病房收治的患者病历信息,分析急诊就诊患者的特点,评价医院救治策略的效果。结果2019年8月就诊患者数量总计19490例次,其中男性10182例次,女性9308例次。2020年8月就诊患者数量总计16872例次,其中男性8903例次,女性7969例次。2021年8月就诊患者数量总计12263例次,其中男性6544例次,女性5719例次。2021年8月急诊就诊患者的性别分布与2019年8月以及2020年8月比较,差异均无统计学意义(P>0.05)。2021年8月急诊外科就诊原因与2019年8月以及2020年8月比较,因外伤就诊比率下降,因泌尿系结石就诊比率增高,差异有统计学意义(P<0.05)。设立的缓冲病房在2021年8月期间共收治患者277例,所有患者连续3次核酸检测阴性后安全转入专科病房。结论2021年8月德尔塔病毒疫情暴发期间,急诊各科室就诊患者数量较2019年、2020年同期均减少。医院在急诊前端要严格遵守规范的预检分诊流程,在急诊后端建立缓冲病房,将新型冠状病毒肺炎的院内感染风险降至最低。
Objective To analyze the characteristics of emergency patients during the outbreak of Delta virus and treatment strategies of the hospital. Methods The medical record information of emergency patients in August 2021, August 2020 and August 2019 and those admitted to the isolation ward of the hospital were retrieved through the hospital medical record system, and the characteristics of emergency patients and the effects of hospital treatment strategies were analyzed and evaluated. Results In August 2019, there was 19 490 consulting patients, including 10 182 times in males and 9 308 times in females. In August 2020, there was 16 872 consulting patients, including 8 903 males and 7 969 females. In August 2021, there was a total of 12 263 consulted patients, including 6 544 times in males and 5 719 times in females. There was no significant difference in gender distribution between emergency patients in August 2021 and those in August 2019, August 2020(P>0.05). In the comparison of the reasons for emergency surgical visits between August 2021 and August 2019, August 2020, the rate of visits due to trauma decreased significantly and the rate of visits due to urinary calculi increased significantly(P<0.05). A total of 277 patients were treated in the isolation ward in August 2021, and all the patients were safely transferred to the specialized ward after negative results of three consecutive testing for nucleic acid. Conclusion During the outbreak of Delta virus in August 2021, the number of patients in each emergency department decrease when compared with the same period in 2019 and 2020. In the primary process of the emergency,the hospital must strictly comply with the standardized pre-inspection and triage process,and establish isolation wards after emergency consultation in order to minimize the risk of nosocomial infection of Coronavirus Disease 2019.
作者
孙浩
高惠
赵季伟
王骅
施学强
王永祥
SUN Hao;GAO Hui;ZHAO Jiwei;WANG Hua;SHI Xueqiang;WANG Yongxiang(Trauma Center of Subei People′s Hospital of Jiangsu Province,Yangzhou Clinical Medical College of Nanjing Medical University,Clinical Medical College of Yangzhou University,Yangzhou,Jiangsu,225001)
出处
《实用临床医药杂志》
CAS
2021年第23期1-3,12,共4页
Journal of Clinical Medicine in Practice
基金
国家社科基金应急管理体系建设研究专项项目(20VYJ068)。
关键词
新型冠状病毒肺炎
德尔塔病毒
急诊
缓冲病房
预检分诊流程
Coronavirus Disease 2019
Delta virus
emergency
isolation wards
pre-inspection and triage process
