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在大流行期间耳鼻喉科仍面临哪些紧迫问题?COVID-19 大流行期间耳鼻喉科快速就诊诊所的经验。

What still presents urgently to ENT during a pandemic? Experience of an ENT rapid access clinic during the coronavirus disease 2019 pandemic.

机构信息

Department of Otorhinolaryngology - Head and Neck Surgery, Royal Derby Hospital, Derby, UK.

出版信息

J Laryngol Otol. 2021 Jan;135(1):70-73. doi: 10.1017/S0022215121000128. Epub 2021 Jan 7.

DOI:10.1017/S0022215121000128
PMID:33407982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7809221/
Abstract

OBJECTIVES

This study sought to determine the conditions that still present to ENT despite government advice to avoid unnecessary travel. It also assessed the impact of social distancing on pathologies presenting to ENT and reviewed the usefulness of telephone consultations in semi-urgent presentations.

METHOD

A retrospective review was conducted of 97 instances of patient care carried out in the rapid access ENT clinic at a large district general hospital.

RESULTS

Otitis externa and foreign bodies represented 25 per cent and 13 per cent of consultations respectively. Tonsillitis and peritonsillar abscess were uncommon, representing 6 per cent of total consultations. Telephone appointments represented only 28 per cent of total consultations; however, they appeared to reduce the number of physical appointments required.

CONCLUSION

Otitis externa and foreign bodies continue to be common during the pandemic. Social distancing measures reduced the number of tonsillitis and quinsy presentations. Telephone consultations are effective for certain urgent presentations to ENT, most noticeably nasal trauma and follow up of non-serious pathologies.

摘要

目的

本研究旨在确定尽管政府建议避免不必要的旅行,但仍有哪些疾病会到耳鼻喉科就诊。还评估了社交距离措施对耳鼻喉科就诊疾病的影响,并回顾了电话咨询在半急症就诊中的实用性。

方法

对一家大型地区综合医院快速通道耳鼻喉科诊所进行的 97 例患者护理情况进行了回顾性分析。

结果

外耳炎和异物分别占就诊的 25%和 13%。扁桃体炎和扁桃体周脓肿不常见,占总就诊的 6%。电话预约仅占总就诊的 28%;然而,它们似乎减少了所需的实际预约数量。

结论

在大流行期间,外耳炎和异物仍然很常见。社交距离措施减少了扁桃体炎和扁桃体周脓肿的就诊数量。电话咨询对于耳鼻喉科的某些紧急就诊是有效的,尤其是鼻外伤和非严重疾病的随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/2464c816fc38/S0022215121000128_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/3d759a14053e/S0022215121000128_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/8a292962ee04/S0022215121000128_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/2464c816fc38/S0022215121000128_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/3d759a14053e/S0022215121000128_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/8a292962ee04/S0022215121000128_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3783/7809221/2464c816fc38/S0022215121000128_fig3.jpg

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