ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志

• 新冠肺炎护理专题 • 上一篇    下一篇

三级筛查流程在防控新型冠状病毒肺炎中的应用

黄霜霞 蒋云 杨丽 黄春艳 朱继金 王威 宁宗 黄翠青   

  1. 广西医科大学第一附属医院

Application of three-level screening process in the prevention and control of COVID-19

HUANG Shuangxia，JIANG Yun，YANG Li，HUANG Chunyan，ZHU Jijin，WANG Wei，NING Zong，HUANG Cuiqing   

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摘要：

目的 制订新型冠状病毒肺炎（简称新冠肺炎）三级筛查流程，以尽早切断传播途径，减少传染源的暴露。方法 一级筛查包括两站式预检分诊点：各医疗区域入口处预检分诊点快速初筛，发热门诊预检分诊点前移清单式筛查，尽早发现疑似患者。二级筛查时对患者实行全封闭式管理，进一步确认流行病学史及症状，结合血常规、胸片或CT影像学检查结果，确认疑似病例。三级筛查时对疑似病例集中管理，通过2次核酸检测，精准筛查新型冠状病毒感染肺炎的患者。结果 截止2月9日8时，发热门诊预检分诊点一级筛查共1589例患者；发热门诊二级筛查共282例患者，隔离留观病区三级筛查共39例疑似患者，其中确诊3例，后转定点医院进行隔离治疗。无医护人员感染及漏诊病例。 结论 三级筛查流程，内容明晰，严防堵漏，有效降低医疗机构内的传播风险。

关键词:

新冠肺炎, 三级筛查, 流程, 急症护理

Abstract:

Objective To formulate a three-level screening process for COVID-19 to cut off the virus transmission route as early as possible and reduce the exposure to virus sources. Methods The first-level screening consisted of two steps triage：fast triage station in each entrance of medical areas and fever clinic triage station with forward checklist screening to find out suspected patients as early as possible. The secondary screening was performed for patients in a completely closed management manner，to further confirm the epidemiological history and Symptom，and then combine with blood routine，chest radiograph or CT imaging results to confirm suspected cases. The tertiary screening focused on the management of suspected cases. The patients with COVID-19 were accurately screened through two nucleic acid tests. Results Until 8:00 AM of 9th February，1589 suspected patients were screened in the triage stations of fever clinic which was first-level screening. 282 cases were screened in fever clinic which was secondary screening，39 suspected patients were screened in isolated observation area which was tertiary screening. In the end，3 cases were confirmed and transported to the designed hospital for isolation treatment. No nurses and doctors were infected and no patients were missed. Conclusion The three-level screening process is clear and strictly prevents missed diagnosis，and effectively reduces the risk of transmission within medical  institutions.

Key words:

COVID-19, Three-level Screening, Process, Emergency Nursing