[1]路阳杨晓红杨晓筠牛灵雷韦陆晨.基于临床实践下新疆新冠肺炎预检分诊路径[J].中国卫生质量管理,2020,27(04):019-22.
　LU Yang,YANG Xiaohong,YANG Xiaojun,et al.Pre-Examination Triagepathway for COVID-19 Based on Clinical Practice in Xinjiang[J].Chinese Health Quality Management,2020,27(04):019-22.
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基于临床实践下新疆新冠肺炎预检分诊路径
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第27卷
期数:
2020年04期
页码:
019-22
栏目:
特别关注
出版日期:
2020-07-28

文章信息/Info

Title:
Pre-Examination Triagepathway for COVID-19 Based on Clinical Practice in Xinjiang
作者:
路阳杨晓红杨晓筠牛灵雷韦陆晨
新疆维吾尔自治区人民医院
Author(s):
LU Yang; YANG Xiaohong; YANG Xiaojun; et al
Firstauthor's addressPeople's Hospital of Xinjiang Uygur Autonomous Region
关键词:
新型冠状病毒肺炎; COVID-19; 预检分诊; 临床路径; 制定
Keywords:
Novel Coronavirus Pneumonia;  COVID-19;  Pre-Examination Triage;  Clinical Pathway;  Formulation
分类号:
R197.32；R373.1
文献标志码:
B
摘要:
目的制定新疆新冠肺炎预检分诊路径，指导全疆非定点医疗机构预检分诊、筛查、诊断新冠肺炎的规范化开展。方法回顾性分析新冠肺炎疫情期间某三甲医院发热门诊1 641份病例资料，运用文献复习法和专题小组讨论法，组织多学科专家团队制定新疆新冠肺炎预检分诊路径。结果分析比对国家发布的1-5版《新型冠状病毒肺炎诊疗方案》，结合回顾性病例分析资料，梳理新冠肺炎诊断思路，针对不同临床类型制定相应的处理流程，凝炼出新冠肺炎预检分诊路径。 结论依托省级临床路径质控中心，组织多学科专家团队，设计制定出符合新疆实际的新冠肺炎预检分诊路径，经上级卫生行政部门同意，自2020年1月29日面向全疆远程推广，具较好的实用性和指导性。
Abstract:
ObjectiveTo formulate the pre-examination and triage pathway for COVID-19 in Xinjiang, and to guide the standardization of pre-examination triage, screening and diagnosis of COVID-19 in non-designated medical institutions throughout Xinjiang. MethodsA retrospective analysis was made on 1 641 cases of fever clinics in a tertiary hospital during the COVID-19 epidemic period, and a multidisciplinary team of experts was organized to formulate a triage pathway for the pre-examination of COVID-19 in Xinjiang by means of literature review and thematic group discussion. ResultsThe "COVID-19 diagnosis and treatment scheme" (1 to 5 editions) issued by the state were analyzed. Combined with the retrospective case analysis data, the diagnosis way of thinking of COVID-19 was sorted out, and the corresponding treatment process was formulated for each clinical type to agglutinate the pre-examination triage pathway of COVID-19. Conclusion Relying on the provincial clinical pathway quality control center, a multidisciplinary team of experts was organized to design and formulate the COVID-19 pre-examination triage pathway which was in line with the reality of Xinjiang. With the consent of the higher health administration department, it had been promoted to the whole Xinjiang from January 29, 2020, which had good practicability and guidance.

参考文献/References:

［1］中华人民共和国国家卫生和计划生育委员会.关于印发新型冠状病毒感染的肺炎诊疗方案（试行第三版）的通知(国卫办医函〔2020〕66号)［EB/OL］.(2020-01-23）［2020-04-10］.http://www.nhc.gov.cn/xcs/yqfkdt/202001/f492c9153ea9437bb5 87ce2ffcbee1fa.shtml.

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更新日期/Last Update: 2020-07-28