COVID-19患者CT增强检查流程及防护管理体会

自2019年12月以来,新型冠状病毒肺炎(COVID-19)确诊人数与日俱增,形势十分严峻。我院作为COVID-19患者定点收治医院之一,在承担收治COVID-19患者工作的同时,还要保证其他疾病的医疗救治。与此同时,由于疫情爆发期正值冬春季节,也是主动脉夹层等疾病的高发时期,而该类疾病属于急诊范畴,需快速诊断及治疗,目前诊断主动脉夹层的首选方法是多层螺旋CT血管成像(CTA)。因此,为了避免院内交叉感染,在保证正常医疗救治工作的前提下,对于那些急需行CT增强检查的COVID-19患者,既要建立起高效的急诊患者“绿色通道”,又要做好COVID-19患者CT增强检查的流程及防护管理。本文结合国家卫生健康委员会颁布的COVID-19相关防控法规及我院实际情况,以1例在我院行急诊CTA检查的COVID-19患者为例,介绍COVID-19患者的CT增强检查流程及防护管理体会。

Experience of enhanced CT examination process and protection management in patients with COVID-19

Since December 2019,the number of people diagnosed with COVID-19 has been increasing dramatically,and the situation is very serious.As one of the designated hospitals for the treatment of covid-19 patients,our hospital not only undertakes the treatment of covid-19 patients,but also ensures the medical treatment of other diseases.Meanwhile,the outbreak occurred in winter and spring and also during the period of high incidence of aortic dissection,which is an emergency disease requiring rapid diagnosis and treatment.Currently,the preferred method for diagnosing aortic dissection is multi-slice spiral CT angiography(CTA).Therefore,in order to avoid cross-infection in the hospital,under the premise of ensuring the normal medical treatment,it is necessary to establish an efficient"green channel"for emergency patients in need of enhanced CT examination urgently,and to do a good job in the process and protection management of enhanced CT examination for covid-19 patients.Based on the relevant prevention and control regulations of COVID-19 issued by the National Health Commission and the actual situation of our hospital,taking a case of COVID-19 who was examined by CT angiography(CTA)in our hospital as an example,this paper introduced the process of enhanced CT examination and the experience of protection management of COVID-19 patients.