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| 新型冠状病毒肺炎疫情期间核医学影像检查的患者感染风险分层及防控管理 |
| 程超,张英英,茅娟莉,邱爽,刘佳珺,黄怡,孙高峰,左长京 |
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(1. 海军军医大学(第二军医大学)长海医院核医学科, 上海 200433;
2. 海军军医大学(第二军医大学)长海医院感染控制科, 上海 200433
*通信作者) |
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| 摘要: |
| 由于新型冠状病毒肺炎（COVID-19）的高传播性和隐匿性，核医学影像检查的流程与管理需要根据就诊患者被感染的风险程度进行相应的安排及防控管理。本文根据核医学影像检查患者的临床表现及流行病学史进行感染风险程度分层，针对核医学影像检查的特点提出相应的防控建议。核医学检查前需要关注的是甄别出处于潜伏期的感染者或可疑病毒携带者，将就诊患者划分为普通患者组、潜在风险组、较高风险组和疑似COVID-19组，根据感染风险程度从低到高安排检查，并采取相应等级的个人防护、场所及设备消毒等措施。根据患者的感染风险程度分层进行相应的检查安排及防控管理，有助于避免就诊者交叉感染，保障工作人员的安全，满足临床需求。 |
| 关键词: 新型冠状病毒肺炎 核医学影像检查 预防和控制 |
| DOI：10.16781/j.0258-879x.2020.04.0409 |
| 投稿时间：2020-03-04修订日期：2020-03-09 |
| 基金项目:海军军医大学（第二军医大学）长海医院“234学科建设攀峰计划”项目（2019YPT002）. |
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| Patients’ risk stratification and infection control protocol of nuclear medicine imaging examination during coronavirus disease 2019 epidemic period |
| CHENG Chao,ZHANG Ying-ying,MAO Juan-li,QIU Shuang,LIU Jia-jun,HUANG Yi,SUN Gao-feng,ZUO Chang-jing |
(1. Department of Nuclear Medicine, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of Infection Control, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Due to the high infection and occult onset of coronavirus disease 2019 (COVID-19), the procedure and management of nuclear medicine imaging examination during COVID-19 epidemic period should be arranged according to the infection risk of the patients to improve the prevention and control management. According to the clinical manifestations and epidemiological history of the patients, the infection risk was stratified, and the corresponding prevention and control suggestions were put forward according to the characteristics of nuclear medical imaging. It is crucial to distinguish patients in the incubation period and the susceptible virus carriers before the examination. The patients should be divided into regular group, potential risk group, high risk group and suspected group, and then examinations should be given to patients with infection risk from low to high, during which the medical workers should adopt corresponding personal protection, with the environment and equipment properly disinfected afterward. The corresponding arrangement and prevention and control management based on the infection risk of patients can help to avoid cross infection of patients, ensure the safety of medical workers and meet the clinical needs. |
| Key words: coronavirus disease 2019 nuclear medicine imaging examination prevention and control |
