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400042 重庆,陆军特色医学中心消化内科
[张巧,E-mail: 363304957@qq.comZHANG Qiao, E-mail: 363304957@qq.com
收稿:2022-07-06,
修回:2022-10-09,
纸质出版:2023-05-30
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肖世莉, 贾佳丽, 石洁, 等. 方舱医院659例转院新型冠状病毒感染者临床特征分析及转院体系的建立[J]. 陆军军医大学学报, 2023,45(10):1117-1120.
Shili XIAO, Jiali JIA, Jie SHI, et al. Clinical characteristics and establishment of hospital transfer system of 659 transferred patients with COVID-19 in makeshift hospital[J]. Journal of Army Medical University, 2023, 45(10): 1117-1120.
肖世莉, 贾佳丽, 石洁, 等. 方舱医院659例转院新型冠状病毒感染者临床特征分析及转院体系的建立[J]. 陆军军医大学学报, 2023,45(10):1117-1120. DOI: 10.16016/j.2097-0927.202207035.
Shili XIAO, Jiali JIA, Jie SHI, et al. Clinical characteristics and establishment of hospital transfer system of 659 transferred patients with COVID-19 in makeshift hospital[J]. Journal of Army Medical University, 2023, 45(10): 1117-1120. DOI: 10.16016/j.2097-0927.202207035.
目的
2
分析方舱医院转院新型冠状病毒感染者临床特征,探讨如何建立和优化方舱医院批量危急重症患者的转院体系。
方法
2
对2022年4月10日至2022年5月24日国家会展中心(上海)方舱医院因急诊需转院的659例患者基本资料(年龄、性别、基础疾病、转院原因)进行分析总结,依据转院流程中的关键要素,建立快速高效的转院体系。
结果
2
659例转院患者中,呼吸系统相关疾病的131例,年龄为5~89(48.56±16.80,95%
CI
:55.62~61.33)岁,男女比为1∶0.37(95/36)。非呼吸系统疾病528例,年龄1~91(46.17±19.98,95%
CI
:50.87~54.28)岁,男女比为1∶1.01(263/265)。转院患者的疾病种类为内分泌疾病86例、心血管系统疾病69例、发热34例、神经系统疾病38例、肿瘤疾病36例、外伤34例、消化系统疾病32例,其他疾病199例。
结论
2
方舱内危急重症患者的有效救治需要依靠高效运转的联动机制,建立快速、顺畅、高效及安全的方舱内转运体系,能有效提升大型方舱内危急重症患者的救治水平。
Objective
2
To analyze the clinical characteristics of patients in makeshift COVID-19 hospital and discuss how to establish and optimize the transfer system for a large number of critical cases.
Methods
2
From April 10 to May 24 of 2022
659 patients with COVID-19 who needed to be transferred due to emergency in makeshift hospital located in National Convention and Exhibition Center were included
and their basic information
including the age
gender
underlying diseases and reasons for transfer
were analyzed. According to the key elements of the transfer process
a fast and efficient transfer system was established.
Results
2
Among the 659 transferred patients
131 patients had respiratory system related diseases whose mean age was 58.47(95%
CI
: 55.62~61.33)
with a male to female ratio of 1∶0.37(95/36). There were 528 patients had non-respiratory system diseases
whose mean age was 52.57(95%
CI
: 50.87~54.28)
with a male to female ratio of 1∶1.01 (263/265). The types of diseases of the transferred patients mainly were 86 cases of endocrine diseases
69 cases of cardiovascular system diseases
34 cases of fever
38 cases of nervous system diseases
36 cases of tumor diseases
34 cases of trauma
32 cases of digestive sys
tem diseases and 199 cases of other diseases.
Conclusion
2
The effective treatment of patients in critical condition in makeshift hospital depends on the linkage mechanism run effectively
and the establishment of a fast
smooth
efficient and safe transport system can improve the treatment level of critical cases in large makeshift hospital.
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