新型冠状病毒肺炎常态化疫情防控时期急诊胸外伤的处理策略

Treatment strategy of emergency chest trauma during normalized epidemic prevention and control of COVID-19

目的探讨新型冠状病毒肺炎(COVID-19)常态化疫情防控时期急诊胸外伤的处理策略。方法2020年5月至2022年12月常态化疫情防控期间收治的78例急诊胸外伤患者为观察组,依托“互联网+”智慧医疗平台,在出诊、接诊、预检分诊、急诊处置等方面,做好疫情防控的同时,采用一体化救治新模式;另取2017年5月至2019年12月收治、采用传统救治方法的81例急诊胸外伤患者为对照组。比较两组的院前转运时间、院内急救等待时间、送检时间、送手术室/住院部时间和病死率,分析评价常态化疫情防控期间一体化胸外伤救治新模式的急救效果。结果两组的院前转运时间比较,差异无统计学意义(P>0.05);观察组院内急救零等待,送检时间、送手术室/住院部时间均少于对照组,差异有统计学意义(P<0.05);观察组病死率(1.28%)低于对照组(4.94%),但比较差异无统计学意义(P>0.05)。结论胸外伤救治的时效性不受常态化疫情防控措施实施的影响,依托“互联网+”智慧医疗平台,采用一体化救治新模式处理胸外伤,健全新冠肺炎防控措施,可以简化抢救流程,降低新冠肺炎感染风险,提高胸外伤救治效率。

Objective To explore the treatment strategy of emergency chest trauma during normalized epidemic prevention and control of COVID-19.Methods 78 patients with emergency chest trauma admitted to hospital during normalized epidemic prevention and control from May 2020 to December 2022 were included in observation group.Relying on the"Internet+"smart medical platform,the new model of integrated treatment was adopted while doing well in epidemic prevention and control in the aspects of outpatient visits,reception,pre-examination and triage,emergency treatment,etc.Another 81 patients with emergency chest trauma treated with traditional treatment methods from May 2017 to December 2019 were selected as control group.And then,pre-hospital transfer time,in-hospital emergency waiting time,examination time,delivery time to operating room/inpatient department,and mortality rate were compared between the two groups,and the first aid effect of new integrated chest trauma treatment model during the normalization of epidemic prevention and control was analyzed and evaluated.Results There was no statistically significant difference in the pre-hospital transfer time between the two groups(P>0.05);the observation group had no in-hospital emergency waiting time,and examination time,delivery time to operating room/inpatient department was less than that in the control group,and difference was statistically significant(P<0.05);the mortality rate of the observation group(1.28%)was lower than that of the control group(4.94%),but difference was not statistically significant(P>0.05).Conclusion The timeliness of chest trauma treatment is not affected by the implementation of normalized epidemic prevention and control measures.Relying on the"Internet+"smart medical platform,adopting a new integrated treatment model to deal with chest trauma,and improving the prevention and control measures of COVID-19 can simplify the rescue process,reduce the risk of COVID-19 infection,and improve the efficiency of chest trauma treatment.