奥密克戎变异株流行期间上海大型方舱医院诊疗模式的思考

Thoughts on diagnosis and treatment plan of patients infected with severe acute respiratory syndrome coronavirus 2 omicron variant in large shelter hospitals in Shanghai

2022年3月上海暴发严重急性呼吸综合征冠状病毒2奥密克戎变异株感染疫情。奥密克戎变异株隐匿性强、传播速度快,故本轮上海疫情与武汉疫情有着明显不同。本轮疫情短期内感染人数快速增加,以无症状感染者为主,基于动态清零等防控原则,上海及时启动了方舱医院对无症状感染者进行收治。笔者建议万张床位级以上方舱医院的独立舱室应综合考虑医护资源和患者特点,将临床医疗工作分为宣教管理、社区化门诊、病区值班、突发抢救和暂观转运5种模式,以实现医疗资源的最优配置,从而进一步增强方舱医院的救治能力及救治效率。

The epidemic caused by the infection of severe acute respiratory syndrome coronavirus 2 omicron variant broke out in Shanghai in Mar.2022.Omicron variant has characteristics such as strong concealment and rapid transmission,resulting in significant differences between the current round of epidemic and that in Wuhan.The number of infected patients(mainly asymptomatic infected patients)increased rapidly in a short term.Based on dynamic zero policy,shelter hospitals were set up in time in Shanghai to treat the patients.It is suggested that medical resources and patient characteristics should be taken into account in the independent cabin of a shelter hospital with more than 10000 beds,and the clinical medical practice should be divided to 5 modes(universal education and management,community outpatient clinic,ward duty,emergency rescue,and temporary observation and transport)to optimize the allocation of medical resources,so as to further enhance the treatment capacity and efficiency of shelter hospitals.