临床外科杂志 ›› 2020, Vol. 28 ›› Issue (3): 296-298.doi: 10.3969/j.issn.1005-6483.2020.03.031

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新型冠状病毒肺炎疫情严重地区乳腺肿瘤病房管理实践

  

  1. 430070 武汉,湖北省妇幼保健院甲乳外科(卢文亮、陈波),院感办公室(冷福建)
  • 出版日期:2020-03-20 发布日期:2020-03-20
  • 通讯作者: 陈波,Email:chenbo@hbfy.com

Management practice of breast tumor wards in areas with severe outbreak of novel coronavirus pneumoria

  1. Department of Thyroid and Breast Surgery,Hubei Maternal and Child Health Hospital,Wuhan 430070, China
  • Online:2020-03-20 Published:2020-03-20

摘要: 目的 探讨新型冠状病毒(COVID-19)肺炎疫情严重地区乳腺肿瘤的病房的管理。 方法 回顾性分析疫情期间我院住院病人的入院情况,住院流程,病房改造,随访出院后有无感染以及我院医护、清洁人员在此期间感染情况。 结果 病人30例,均无发热、咳嗽及乏力等可疑症状。其中2例(化疗、靶向治疗各1例)于门诊肺部CT行筛查时发现磨玻璃斑片状影,2次核酸检测阴性,仍建议至社区隔离,暂不化疗。其余28例病人入院时均无可疑症状,肺部CT,白细胞及淋巴细胞检查无异常。住院期间均未离开所在病房,出院观察14天亦未出现任何可疑症状。参与病房工作的医护共15名及2名清洁员均无明显不适。出院后14天观察期内,体温正常,无不适。 结论 新型冠状病毒传染性强,有其特有的生物学特性,对正常医疗造成影响。但在严格的防控措施下,乳腺肿瘤疾病诊疗工作仍可逐步安全开展。

关键词: 新型冠状病毒肺炎, 乳腺肿瘤, 病房管理

Abstract: Objective To discuss the corona virus 2019 ward management of breast cancer in severe areas. Methods Retrospective analysis during the period of the outbreak,hospitalized patients in our hospital,the hospital process,ward,presence of infection after follow-up of patients discharged from hospital and the hospital care,cleaning personnel during the infection. Results Hospital appointments,a total of 30 patients,reservation period patients had no fever,cough and lack of suspicious symptoms including 2 cases(1 case of chemotherapy patients,1 case of targeted therapy)in patients with CT in clinic found when screening line grinding glass patchy shadow,negative two nucleic acid detection,still advises patients to community isolation,temporarily not chemotherapy The remaining 28 patients had no suspicious symptoms when they were admitted to the hospital,and they did not leave the ward during their hospitalization with CT and no obvious abnormalities in white blood cells and lymphocytes.All the 15 nurses and 2 cleaners who participated in the work of the ward had no obvious discomfort.During the 14-day observation period after discharge,the patient's body temperature was normal and there was no discomfort. Conclusion COVID-19 coronavirus is highly infectious,has its unique biological characteristics,and has certain influence on normal medical treatment.However,under the strict prevention and control measures,the diagnosis and treatment of breast cancer disease can still be carried out gradually and safely.

Key words: corona virus 2019, breast tumor, ward management

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