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新型冠状病毒肺炎疫情下封控区域血液透析中心的管理与规范
接艳青△,汤晓静△,刘玲玲,戴兵,毛志国,陈静*
0
(海军军医大学(第二军医大学)第二附属医院肾脏病科, 上海 200003
共同第一作者
*通信作者)
摘要:
维持性血液透析患者需每周3次往返医院常规行血液透析治疗。在新型冠状病毒肺炎疫情暴发、区域封控情况下,我院血液透析中心建立了一套管理制度与规范,提出治疗关口前移、血液净化专项人才储备方案和人员动态气泡式管理模式,落实动态防疫防控策略、病区精准化管理和突发闭环管理等工作。在完善血液透析中心工作的同时,建议强化多中心协作以构建市级血液透析网格化管理体系,探索终末期肾病不同透析治疗模式,以满足疫情暴发区域封控情况下维持性血液透析患者的治疗需求及安全管理。
关键词:  新型冠状病毒肺炎  奥密克戎变异株  严重急性呼吸综合征冠状病毒2  血液透析  管理规范
DOI:10.16781/j.CN31-2187/R.20220602
投稿时间:2022-07-19修订日期:2022-09-23
基金项目:上海市护理质控中心2020年“上海市专病专项护理质量标准”指令性项目(ZK2020002).
Management and standardization of hemodialysis centers in lockdown areas under the epidemic of coronavirus disease 2019
JIE Yan-qing△,TANG Xiao-jing△,LIU Ling-ling,DAI Bing,MAO Zhi-guo,CHEN Jing*
(Department of Nephrology, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China
Co-first authors.
* Corresponding author)
Abstract:
Maintenance hemodialysis patients need to return to hospital 3 times a week for routine hemodialysis treatment. In the case of coronavirus disease 2019 (COVID-19) and regional lockdown, a set of management systems and standardizations has been established in our hemodialysis center, including forward movement of the critical nodes of treatment, specialists pooling program for hemodialysis technology, and dynamic bubble personnel management, to implement dynamic prevention and control strategies, precise management of inpatient wards and closed-loop management of outbreaks. While improving the management of our own hemodialysis center, it is recommended to strengthen multi-center collaboration to build a municipal grid management system for hemodialysis and explore different dialysis strategies for end-stage renal disease to meet the treatment needs and safety management of maintenance hemodialysis patients in lockdown areas under the epidemic.
Key words:  coronavirus disease 2019  omicron variant  severe acute respiratory syndrome coronavirus 2  hemodialysis  management practices