新型冠状病毒肺炎疫情下封控区域血液透析中心的管理与规范

摘要：新型冠状病毒肺炎,简称“新冠肺炎”,主要传播途径为直接传播、接触传播和气溶胶传播。维持性血液透析患者需每周3次往返医院,常规行血液透析治疗。面对新型冠状病毒奥密克戎（Omicron)疫情爆发,在区域封控情况下,总结疫情期间血液透析中心管理与规范,提出治疗关口前移、血液净化专项人才储备方案和人员动态气泡式管理模式,落实动态防疫防控策略、病区精准化管理和突发闭环管理等工作。在完善中心工作的同时,建议强化多中心协作以构建市级血液透析患者网格化管理体系,通过探索终末期肾病患者不同透析治疗模式,以期满足疫情爆发区域封控下维持性血液透析患者的治疗需求及安全管理。

Management and standardization of hemodialysis centers in lockdown areas under the epidemic of coronavirus disease 2019

Maintenance hemodialysis patients need to return to hospital 3 times a week for routine hemodialysis treatment. In the case of coronavirus disease 2019 (COVID-19) and regional lockdown, a set of management systems and standardizations has been established in our hemodialysis center, including forward movement of the critical nodes of treatment, specialists pooling program for hemodialysis technology, and dynamic bubble personnel management, to implement dynamic prevention and control strategies, precise management of inpatient wards and closed-loop management of outbreaks. While improving the management of our own hemodialysis center, it is recommended to strengthen multi-center collaboration to build a municipal grid management system for hemodialysis and explore different dialysis strategies for end-stage renal disease to meet the treatment needs and safety management of maintenance hemodialysis patients in lockdown areas under the epidemic.