共查询到17条相似文献,搜索用时 78 毫秒
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北京市因常住人口多(2 153.6万)、外来人口比例高(34.6%)、返京人口流量大、入境人员密集等原因,新型冠状病毒肺炎疫情的防控形势较湖北省以外的其他地区更加严峻。解放军总医院第四医学中心烧伤整形科,依据新型冠状病毒肺炎疫情防控相关指导文件,结合北京市的特殊性和烧伤专科工作特点,如:烧伤创面暴露、常因行动不便陪诊家属多、小儿烧伤易合并发热以及需要反复门诊换药等,制定和实施了网络预约挂号、预检分诊、诊疗分区、车内等候-电话叫号和微信指导患者居家换药、入院筛查、设置新入院患者过渡隔离病房、停止探视、手术分类管理、加强通风和消毒等系列措施,并引导医务人员正确认识北京市疫情防控工作的特殊性,重视医务人员相互防护,实施工作人员分区、分时段进餐等,形成了北京市烧伤专科应对新型冠状病毒肺炎疫情的防控建议。 相似文献
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目的:了解新型冠状病毒肺炎(COVID-19)疫情期间学龄前儿童屏幕暴露、心理健康的现状,并探讨心理健康的影响因素,为日后突发公共卫生事件的干预提供依据.方法:于2020年3月27日-4月1日,采用问卷星的调查方式,由504名3~6岁儿童的家长在线填写一般资料、儿童屏幕暴露状况及长处与困难问卷(SDQ).结果:儿童每天... 相似文献
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湖北省及武汉市作为新型冠状病毒肺炎患者最集中的疫区,疫情高峰期,几乎所有医院绝大部分医务人员都投入到抗击疫情中,普通诊疗基本停止。烧伤、创伤及伴基础疾病的各类慢性创面如糖尿病足等治疗难度较大,并有可能危及生命。如何在新型冠状病毒肺炎疫情防控期间做好这类患者救治,是亟待规范和完善的紧要任务。湖北省医学会烧伤与创面修复分会组织部分省内专家,结合相关指导文件及临床工作经验,对疫区烧伤与创面修复外科工作提出了推荐意见。主要内容包括疫区烧伤与创面修复外科工作中的人员防护、诊疗场所消毒、门急诊与住院管理、专科手术管理、人员管理、分级诊疗及转诊管理等。希望通过指导疫情期间烧伤与创面修复临床工作,避免不规范诊疗所致疫情扩散,保证患者及医务人员安全。 相似文献
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自2019年12月新型冠状病毒肺炎疫情在武汉出现并蔓延以来,武汉大学同仁医院暨武汉市第三医院烧伤科发挥其在重症监护、脏器衰竭救治与生命支持、多学科团队作战及灾害救援等方面的学科优势及经验优势。疫情期间,武汉大学同仁医院暨武汉市第三医院被定为新型冠状病毒肺炎定点收治医院,作为湖北省唯一保留烧伤救治工作的科室,在派出大批医务人员参与抗击新型冠状病毒肺炎的同时,还接管了全院其他专科无法出院的所有危重症患者。在圆满完成抗击疫情及烧伤救治工作的同时,烧伤患者、陪护家属及医务人员均未发生院内新型冠状病毒感染,较好地发挥了国家重点烧伤专科的优势与作用。 相似文献
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Youseung Chung Eun Jin Kim Hee-Sung Kim Kyung-Hwa Park Ji Hyeon Baek Jungok Kim Ji Yeon Lee Chang-Seop Lee Seungjin Lim Shin-Woo Kim Eu Suk Kim Hye Jin Shi Shin Hee Hong Jae-Bum Jun Kyung-Wook Hong Jae-Phil Choi Jinyeong Kim Kyung Sook Yang Young Kyung Yoon 《Journal of Korean medical science》2022,37(41)
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Do Hyeon Park Chan Mi Lee Euijin Chang Chang Kyung Kang Wan Beom Park Nam Joong Kim Pyoeng Gyun Choe Myoung-don Oh 《Journal of Korean medical science》2022,37(29)
Despite the low prevalence of secondary bacterial infection in coronavirus disease 2019 (COVID-19) patients, most of them were administered antibiotic therapy empirically. However, the prognostic impact of empirical antibiotic therapy has not been evaluated. We conducted retrospective propensity score-matched case-control study of 233 COVID-19 patients with moderate to severe illnesses who required oxygen therapy and evaluated whether empirical antibiotic therapy could improve clinical outcomes. Empirical antibiotic therapy did not improve clinical outcomes including length of stay, days with oxygen requirement, the proportion of patients with increased oxygen demand, the proportion of patients who required mechanical ventilation, and overall mortality. This finding implies that routine administration of antibiotics for the treatment of COVID-19 is not essential and should be restricted. 相似文献
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新型冠状病毒肺炎给全球带来巨大危害。WHO推荐的口服补液盐(ORS)曾用于腹泻、烧伤的补液治疗和防治非洲埃博拉病毒感染,已充分证明其安全性和有效性。新型冠状病毒肺炎引起过度的全身炎症反应,主要造成肺损伤和呼吸衰竭,治疗对策主要是抗病毒、抗炎和器官支持治疗。笔者研究团队以等分子量丙酮酸盐取代WHO原有碳酸氢盐或枸橼酸盐,制成丙酮酸钠口服补液盐(Pyr-ORS),通过10多年来的系列动物实验,证明Pyr-ORS具有抗缺氧、抗酸、抗炎、增加内脏血流灌注和保护多器官功能等作用,可能在新型冠状病毒肺炎的综合支持治疗中发挥一定的作用,值得推荐。 相似文献
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武汉市作为新型冠状病毒肺炎疫情重灾区,新型冠状病毒肺炎患者数量自始至终占到全国的绝大多数,对本地医疗系统形成严峻挑战,尤其是对普通疾病治疗造成了巨大冲击。本文介绍了疫情暴发以来的战时状态下,武汉大学同仁医院暨武汉市第三医院烧伤科在医疗处置、感染防控、人力资源管理、工作模式转换、医务人员人性化关怀等方面采取的管理举措,以期对疫情期间各地烧伤科的临床工作提供参考与借鉴。 相似文献
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The coronavirus disease 2019 (COVID-19) continues to threaten public health in Korea although several surges have passed in the past 3 years since 2019. Although patients with mild-to-moderate COVID-19 can usually recover at home, antiviral therapy to prevent disease progression and hospitalization is beneficial for those at high risk of progressing to severe COVID-19. The purpose of this article was to review how antivirals have been rolled out for the treatment of COVID-19 and how domestic and international guidelines for their use have evolved. Several evidence-based treatment guidelines have been developed in Korea, including those derived from domestic studies. Although many different antiviral agents were nominated as promising therapeutics at the onset of the pandemic, most failed to show efficacy in clinical trials. Currently, three types of antiviral agents—nirmatrelvir-ritonavir, molnupiravir, and remdesivir—are available in Korea to treat severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Each antiviral has its advantages and disadvantages. For most individuals, nirmatrelvir/ritonavir is preferred because of its high efficacy and convenience of administration. When serious drug interactions occur or are expected with nirmatrelvir/ritonavir administration, 3 days of remdesivir treatment is shown to be a reasonable alternative. Molnupiravir may be prescribed with caution only if no other therapeutic options are available or acceptable. 相似文献
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