耳鼻喉科急诊新型冠状病毒感染防护应急管理

周旦云

[摘要]新型冠状病毒肺炎（简称“新冠肺炎”）是首次发现的一种急性感染性肺炎，严重危害人们的身心健康。自2019年12月在武汉发生以来，该病已在全国各省市传播。至2020年3月2日，全国已有80 174人被感染，死亡人数达到2915人。新冠肺炎疫情被世界卫生组织确定为“国际关注的突发性公共卫生事件”，国家卫生健康委员会宣布将该病纳入乙类传染病，并采取甲类传染病的防控措施。为做好疫情防控工作，南通大学附属医院根据卫生健康部门通知，统一部署安排，在新冠肺炎疫情流行以来，停止耳鼻喉科日常门诊，启动应急管理预案，实行耳鼻喉科急诊服务，各项防控工作有条不紊地开展，未发生医护人员感染和院内感染，取得了初步成效。本文总结了相关工作，为进一步做好疫情防控提供建议和指导。

[关键词]耳鼻喉科;急诊;新型冠状病毒;感染防护;应急管理

[中图分类号] R197          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0204-04

Emergency management of novel coronavirus infection protection in emergency department of otolaryngology

ZHOU Dan-yun

Department of Otolaryngology， Affiliated Hospital of Nantong University， Jiangsu Province， Nantong   226000， China

[Abstract] Corona virus disease 2019 （COVID-19） is an acute infectious pneumonia discovered for the first time， which seriously harms people′s physical and mental health. Since the outbreak in Wuhan in December 2019， the disease has spread across the country. Till March 2， 2020， 80 174 people have been infected nationwide， and the death toll has reached 2915. The COVID-19 has been evaluated by the World Health Organization as a "public health emergency of international concern". The National Health Commission of the People′s Republic of China announced that the disease was included in a Class B infectious disease， and took Class A measures to prevent and control. In order to do well in epidemic prevention and control， the Affiliated Hospital of Nantong University， according to the notice of the local health department， unified deployment arrangements after the outbreak of the COVID-19. The daily outpatient clinic of the department of otolaryngology was ceased， emergency management plan was launched， and the emergency otolaryngology service was implemented. The prevention and control work was carried out in an orderly manner. There was no infection of medical personnel or nosocomial infections， and preliminary results were achieved. This article summarizes the relevant work， so as to provide suggestions and guidance for further prevention and control of the epidemic situation.

[Key words] Otolaryngology; Emergency department; Novel coronavirus; Infection protection; Emergency management

新型冠狀病毒肺炎（corona virus disease 2019）（以下简称“新冠肺炎”）是指由新型冠状病毒（severe acute respiratory syndrome coronavirus 2，SARS-CoV-2）感染引起的肺炎，是近期首次发现的一种急性感染性肺炎，具有人传染人的特点[1]。新冠肺炎感染初期有发热、乏力、干咳的症状，严重者可出现呼吸困难、呼吸窘迫综合征或脓毒症休克等临床症状，进入重症监护室的概率较大，严重危害患者的身心健康[2-3]。新冠肺炎疫情被世界卫生组织确定为“国际关注的突发性公共卫生事件”[4-5]，国家卫生健康委员会已宣布将该病纳入乙类传染病，并采取甲类传染病的防控措施[6]。……