(24)--新型冠状病毒肺炎疫情期间发热患者_省略_筛未识别对院前急救人员防.pdfVIP

当代医学 2021年5月第27卷第15期总第602期 Contemporary Medicine，May.2021，Vol.27No.15 IssueNo.602 doi:10.3969/j.issn.1009-4393.2021.15.013 --论著-- 新型冠状病毒肺炎疫情期间发热患者电话初筛未识别 对院前急救人员防护的影响 摘要：目的 分析新型冠状病毒肺炎疫情期间，电话初筛未能识别的发热患者对院前急救人员防护的影响，以判别防护标准的合理性。 方法 选取2020年1月至2020年3月北京急救中心42例电话初筛未识别的发热患者，统计初筛识别的症状、体温情况及后期随访，对院前出 诊急救人员采用调查问卷形式统计院前未识别发热的原因、到现场后能接受的最低防护标准。结果 42例中男22例，女20例；年龄26～93 岁，平均年龄（72.26±18.31）岁；初筛识别症状：呼吸系统10例，心血管系统5例，神经系统16例，其他10例，无症状1例；低热患者23例，中等 度热患者14例，高热患者5例；后期回访确诊病例2例，疑似病例2例，密接病例1例。电话初筛未能识别的主要原因为患者或报警人瞒报 （91.70%）、患者或报警人体温测量数据不真实（74.39%）和患者身边无体温计（46.71%），占前3位，到现场后能接受的最低防护标准为普通发 热病例转运标准。结论 加强社会对新型冠状病毒肺炎知识的宣教，避免出现瞒报、虚报、不报的现象，降低初筛未能识别发热的发生率，提 高院前日常急救的防护标准。 关键词：新型冠状病毒肺炎；发热；初筛；未识别；院前；防护 Preliminary screening of patients with fever during the outbreak of COVID- 19 unrecognizable the influence on pre-hospital emergency personnel protection LIU Yang, LI Nan, ZHAO Tingting, ZHANG Chi (Department of Emergency, Beijing Emergency Medical Center, Beijing, 100031, China) Abstract:Objective To analyze the influence of fever patients unrecognizable by telephone screening on the protection of pre-hospital emergency personnel during the outbreak of COVID- 19, in order to judge the rationality of the protection standard. Methods 42 patients with fever who were unrecognizable by telephone in Beijing Emergency Center were selected from January 2020 to March 2020. The symptoms, body temperature and follow- up were counted. The causes of fever were not identified before hospital and the acceptable minimum protection standard was calculated by questionnaire. Results Among 42 patients male 22 cases, female 20 cases, aged 26-93 years, average age (72.26± 18.31) years. Primary screening identified symptoms: respiratory system 10 cases, cardiovascular system 5 cases, nervous system 16 cases, other 10 cases, asympt