新型冠状病毒肺炎疫情期间耳鼻咽喉头颈外科手术工作流程及医护人员防护策略

Workflow and medical personnel protection strategies for otolaryngology head and neck surgery during coronavirus disease 2019

目的根据新型冠状病毒肺炎(COVID-19)疫情期间耳鼻咽喉头颈外科手术面临的风险,制订手术工作流程及医护人员防护策略,为耳鼻咽喉头颈外科手术提供防控指导。方法从组织管理、人员培训、流程制订、手术管理、清洁消毒等方面对疫情期间手术实施防护策略,并对防护效果及患者围手术期状况进行评估。结果2020年1月25日~2月25日我科完成手术20例。所有手术患者均严格按照疫情期间制订的流程进行发热及流行病学史筛查,筛查率为100%。初步筛查出发热患者1例,无疑似及确诊和漏诊病例,无交叉感染。所有患者均顺利完成手术,无围手术期并发症。结论建立有效手术工作流程和防护策略,可保证疫情期间急诊及限期手术的正常及时开展,并防止院内交叉感染的发生,有效避免疫情扩散。

Objective To develop the surgical workflow and protective strategies for medical staff and to provide guidance for prevention and control of otolaryngology head and neck surgery during the epidemic of coronavirus disease 2019(COVID-19).Methods The protective strategies were implemented in the aspects of organization management,personnel training,procedure formulation,operation management,cleaning and disinfection during the epidemic.Meanwhile,the protective effects and perioperative status of patients were evaluated.Results From January 25 to February 25 in 2020,20 surgeries have been performed.All patients were in strict accordance with the established strategies during the process of epidemic.The screening rate of fever and epidemiological history was 100%,in which 1 case with fever was found,but no diagnosis and misdiagnosis cases and no cross infections.All patients were successfully performed surgery,with no perioperative complications.Conclusions The establishment of effective surgical workflow and prevention strategy during the epidemic of COVID-19 can ensure the normal and timely implementation of emergency and limited operations during the epidemic period,and can prevent the occurrence of cross-infection in hospital and can effectively prevent the spread of the epidemic.