新型冠状病毒肺炎儿童定点医院管理经验分享

周建国, 范巧玲, 陆春梅, 许普, 闫钢风, 淳于凌峰, 刘亚尊, 陈轶维, 卢燕鸣, 张婷, 俞蕙, 王立波, 许姜姜, 周文浩

中国当代儿科杂志 ›› 2022, Vol. 24 ›› Issue (8) : 839-845.

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中国当代儿科杂志 ›› 2022, Vol. 24 ›› Issue (8) : 839-845. DOI: 10.7499/j.issn.1008-8830.2206068
疫情专栏

新型冠状病毒肺炎儿童定点医院管理经验分享

  • 周建国1, 范巧玲2, 陆春梅1, 许普1, 闫钢风3, 淳于凌峰4, 刘亚尊5, 陈轶维6, 卢燕鸣7, 张婷8, 俞蕙9, 王立波10, 许姜姜11, 周文浩1
作者信息 +

Management experience of a designated hospital for children with coronavirus disease 2019

  • ZHOU Jian-Guo1, FAN Qiao-Ling2, LU Chun-Mei1, XU Pu1, YAN Gang-Feng3, CHUNYU Ling-Feng4, LIU Ya-Zun5, CHEN Yi-Wei6, LU Yan-Ming7, ZHANG Ting8, YU Hui9, WANG Li-Bo10, XU Jiang-Jiang11, ZHOU Wen-Hao1
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文章历史 +

摘要

新型冠状病毒肺炎(简称“新冠肺炎”)全球性疫情给传统医疗模式带来巨大挑战。2022年3~5月,上海新冠肺炎流行期间,由于Omicron变异株传染性强、容易免疫逃逸发生疫苗突破性感染,儿童病例数骤增。儿童新冠肺炎定点医院的设立,在儿童专科医院和方舱医院之间起到承上启下的关键作用。自2022年4月7日至6月2日,上海交通大学医学院附属仁济医院(南部院区)儿童新冠肺炎病例定点医院共收治871例儿童新冠肺炎病例,其中3岁以下儿童568例(65.2%),轻型/普通型病例870例(99.9%),1例重型病例。该文报告该定点医院对儿童新冠肺炎病例的管理经验,主要包括:构建病例入院流程,强化以多学科为基础的规范化诊疗,优化重症管理预警和救治系统,实施以家庭为中心的“亲子”护理策略,落实“一人一策”中医中药治疗方案,优化出院流程、加强床位周转,严格全轨迹防控、降低院内感染风险,构建结构化病历系统、借助信息平台、适应病例大流量工作模式,开展科学研究、分析诊疗经验等。

Abstract

The global pandemic of coronavirus disease 2019 (COVID-19) has brought great challenges to the traditional medical model. During the outbreak of COVID-19 in Shanghai, China, from March to May, 2022, there was a significant increase in the number of pediatric cases due to high transmissibility, immune escape, and vaccine breakthrough capacity of Omicron variants. The designated hospitals for children with COVID-19 served as a connecting link between children's specialized hospitals and mobile cabin hospitals. From April 7 to June 2, 2022, a total of 871 children with COVID-19 were admitted to Renji Hospital, Shanghai Jiao Tong University School of Medicine (South Branch), a designated hospital for children with COVID-19. Among these patients, 568 (65.2%) were children under 3 years old, 870 (99.9%) were mild or moderate, and 1 was severe. This article reports the experience in the management of pediatric cases in this designated hospital, which included the following aspects: establishing an optimal case-admission process; strengthening multidisciplinary standardized diagnosis and treatment; optimizing the management, warning, and rescue system for severe COVID-19; implementing family-centered nursing care; formulating an individualized traditional Chinese medicine treatment regimen; optimizing the discharge process and strengthening bed turnover; implementing strict whole-process control to reduce the risk of nosocomial infection; constructing a structured medical record system and using information platforms to adapt to the work mode of large-volume cases; conducting scientific research and sharing the experience in diagnosis and treatment.

关键词

新型冠状病毒肺炎 / Omicron变异株 / 医院管理 / 儿童

Key words

Coronavirus disease 2019 / Omicron variant / Hospital management / Child

引用本文

导出引用
周建国, 范巧玲, 陆春梅, 许普, 闫钢风, 淳于凌峰, 刘亚尊, 陈轶维, 卢燕鸣, 张婷, 俞蕙, 王立波, 许姜姜, 周文浩. 新型冠状病毒肺炎儿童定点医院管理经验分享[J]. 中国当代儿科杂志. 2022, 24(8): 839-845 https://doi.org/10.7499/j.issn.1008-8830.2206068
ZHOU Jian-Guo, FAN Qiao-Ling, LU Chun-Mei, XU Pu, YAN Gang-Feng, CHUNYU Ling-Feng, LIU Ya-Zun, CHEN Yi-Wei, LU Yan-Ming, ZHANG Ting, YU Hui, WANG Li-Bo, XU Jiang-Jiang, ZHOU Wen-Hao. Management experience of a designated hospital for children with coronavirus disease 2019[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(8): 839-845 https://doi.org/10.7499/j.issn.1008-8830.2206068

参考文献

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基金

十四五国家重点研发计划(2021YFC2701800、2021YFC2701801)。

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