应急指挥系统在SARS定点医院中的实践

Application of the emergency command system in designated SARS hospitals

当SARS袭击北京之际,北京市卫生局即将北京胸科医院定为收治SARS病人定点医院,成立了由卫生局直接领导的北京胸科医院应急指挥系统,加强了组织领导,从8所医院临时抽调医务人员1 800余人加强胸科医院,并成立了救治专家组、隔离防护专家组、护理专家组、中医药治疗协作组。共收治SARS及其疑似者453人,至6月24日,转院22人,排除SARS诊断20人,死亡26人,其余全部痊愈出院。病死率为5.79％。实践证明:成立应急指挥系统对抗击SARS起到了重要的作用。今后国家应建立和完善突发事件应急公共卫生系统,并建议三级以上的医院设置感染科或单独病区。

As soon as SARS hit Beijing, the Health Bureau of Beijing set Beijing Chest Hospital as a designated SARS hospital and initiated an emergency command system there under the direct guidance of the Bureau. Besides, 1 800 medical workers from 8 other hospitals were transferred on a temporary basis to the Chest Hospital to strengthen its workforce. In addition, experts teams for treatment, isolation and prevention, nursing, and a cooperation team for treatment with traditional Chinese medicine were formulated. Altogether 453 confirmed or suspect SARS cases were admitted. By June 24, 22 cases were referred to other hospitals, 20 suspect cases were excluded, and 26 cases died while all the rest were cured and discharged. The fatality rate was 5.79% . As practice shows, the initiation of the emergency command system pkyed a key role in the fight against SARS. It is suggested that in future the country establish and perfect an emergency public health system and that each third-tier hospital and above set up an infectious diseases department or solitary ward area.