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如何在全球 COVID-19 疫情期间优化放射学协议:来自四川省人民医院的要点。

How to optimize the Radiology protocol during the global COVID-19 epidemic: Keypoints from Sichuan Provincial People's Hospital.

机构信息

Department of Critical Care Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China.

Department of Cardiology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China.

出版信息

Clin Imaging. 2021 Jan;69:324-327. doi: 10.1016/j.clinimag.2020.07.008. Epub 2020 Aug 5.

DOI:10.1016/j.clinimag.2020.07.008
PMID:33045477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7405883/
Abstract

Currently, the COVID-19 pneumonia epidemic is spreading worldwide. Pulmonary imaging plays an important role. The pulmonary imaging (chest computed tomography and Digital radiography) are indispensable for definitive diagnosis and reexamination. It should be noted that nosocomial infection is not uncommon. Many cases including health workers are infected. This is the experience of our radiology department's protocols during the outbreak, we used this protocol to cope with the COVID-19 in Sichuan Province, besides,there is zero infection for health workers during the whole epidemic. So, we would like to share our experience to other radiologists to avoid the nosocomial infection as low as possible. We have six key points for updating the protocol in the epidemic period of COVID-19: 1. Triage system: three-level triage, 2. Maximum Protection Principle, 3. Technical operation principle: careful, fast and stable, 4. Radiologist's Responsibility and Notice, 5. Disinfection measures of machine room, 6. Hospital information construction, network office, accelerate the sharing of imaging, and carry out MDT consultation.

摘要

目前,COVID-19 肺炎疫情在全球范围内蔓延。肺部影像学发挥着重要作用。肺部影像学(胸部计算机断层扫描和数字 X 射线摄影)对于明确诊断和复查是必不可少的。值得注意的是,医院感染并不罕见。许多包括医务人员在内的病例都受到感染。这是我们放射科在疫情期间的协议经验,我们使用该协议来应对四川省的 COVID-19,此外,在整个疫情期间医务人员零感染。因此,我们希望与其他放射科医生分享我们的经验,以尽可能降低医院感染的风险。我们有六个关键点来更新 COVID-19 疫情期间的协议:1. 分诊系统:三级分诊,2. 最大保护原则,3. 技术操作原则:仔细、快速、稳定,4. 放射科医生的责任和注意事项,5. 机房消毒措施,6. 医院信息化建设、网络办公,加快影像共享,开展多学科咨询。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8135/7405883/ea6b8e810ca7/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8135/7405883/ac5bc2cfe8fc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8135/7405883/ea6b8e810ca7/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8135/7405883/ac5bc2cfe8fc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8135/7405883/ea6b8e810ca7/gr2_lrg.jpg

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本文引用的文献

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Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study.中国武汉 81 例新冠肺炎患者的放射学特征:一项描述性研究。
Lancet Infect Dis. 2020 Apr;20(4):425-434. doi: 10.1016/S1473-3099(20)30086-4. Epub 2020 Feb 24.
2
How to face the novel coronavirus infection during the 2019-2020 epidemic: the experience of Sichuan Provincial People's Hospital.2019 - 2020疫情期间如何应对新型冠状病毒感染:四川省人民医院的经验
Intensive Care Med. 2020 Apr;46(4):573-575. doi: 10.1007/s00134-020-05964-0. Epub 2020 Feb 18.
3
[Clinical characteristics of 30 medical workers infected with new coronavirus pneumonia].
30例新型冠状病毒肺炎感染医护人员的临床特征
Zhonghua Jie He He Hu Xi Za Zhi. 2020 Feb 17;43(0):E016. doi: 10.3760/cma.j.issn.1001-0939.2020.0016.