新型冠状病毒肺炎背景下综合性中医医院急诊科诊疗流程的探索与实践

Exploration and practice of the diagnosis and treatment process in the emergency department of a comprehensive Chinese medicine hospital under the background of COVID-19

关键词:  新型冠状病毒肺炎  中医医院急诊科  流程

Key words:  COVID-19  emergency department of hospital of traditional Chinese medicine  procedures

摘要:

新型冠状病毒肺炎（简称新冠肺炎）疫情的发生，给中国医疗机构日常工作带来巨大影响。虽然发热门诊的系统建设可统一管控发热患者，将急诊科医患暴露风险大大降低，但临床研究结果显示，部分新冠肺炎感染者早期仅表现为乏力、腹泻等非典型症状。加之相当一部分危重症患者需要紧急抢救治疗，无法按照普通发热患者就诊流程就诊，这对急诊科早期诊疗工作的有效开展是一个巨大考验。综合性大型中医医院有其独特的自身特点，疫情条件下，早期的预诊分诊鉴诊，以及如何有效避免患者之间交叉感染、缩短就诊时间、发挥中医特色就变得尤为重要，因此急诊诊疗流程的不断优化意义重大，值得深入探讨。

Abstract:

The outbreak of a new type of COVID-19 has greatly affected the daily work of medical institutions in China. Although the construction of the fever clinic system can uniformly control the fever patients,the exposure risk of the emergency department doctors and patients has greatly reduced. However,the clinical research results showed that some patients with COVID-19 infection only showed nontypical symptoms such as fatigue and diarrhea in the early stage. A considerable number of critically ill patients need emergency rescue treatment and cannot follow the treatment procedures of patients with fever. This is a huge test for the effective development of early diagnosis and treatment in the emergency department. Comprehensive large-scale traditional Chinese medicine hospital has its own unique characteristics,early pre-diagnosis,triage and diagnosis,as well as how to effectively avoid cross-infection among patients,shorten the treatment time,play the characteristics of traditional Chinese medicine has become particularly important. Therefore,the continuous optimization of the emergency diagnosis and treatment process is of great significance and is worthy of further discussion.