以练备战、防患未然--阜阳市二院开展手术切口医院感染暴发应急处置演练
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background: #ffffff; visibility: visible; border: 1px solid #df8567;"><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-size: 16px;"><span style="font-family: Futura-Medium;">为检验医院在应对感染暴发事件时的应急响应能力及各科室间的协调配合水平，进一步明确各部门及相关人员的职责，完善应急工作机制，<span><span>2025年9月2日下午，阜阳市第二人民医院组织开展了一场手术切口医院感染暴发应急演练。</span></span><span><span>本次演练模拟骨科一病区连续两周内发生</span><span>3例腰椎术后切口感染病例，疑似医院感染暴发，分</span></span><span><span>成</span></span><span><span>病例报告、应急响应、现场处置、总结分析四个环节演练。由医院感染管理科牵头，</span></span><span><span>医院</span></span><span><span>党委副书记、院长李秀勇担任总指挥，副院长李景武担任副总指挥，医务科、护理部、检验科、预防保健科、药剂科、总务科等多部门共同参与，外科系统科室感控医生感控护士在现场观摩学习。</span></span></span></span></p><p style="text-indent: 2em; line-height: 1em; text-align: justify;"><span style="font-size: 16px;"><span style="font-family: Futura-Medium;"><span><span> </span></span></span></span></p><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/backend/20250905092938_9_FsNC14QUcieV2tPMQOvS8fumzIbA.jpg" width="1080" height="810" data-qf-thumb="https://pic.app.fy169.net/backend/20250905092938_9_FsNC14QUcieV2tPMQOvS8fumzIbA.jpg?imageView2/2/w/1080" data-qf-origin="backend/20250905092938_9_FsNC14QUcieV2tPMQOvS8fumzIbA.jpg" data-qf-thumb-origin="backend/20250905092938_9_FsNC14QUcieV2tPMQOvS8fumzIbA.jpg?imageView2/2/w/1080" /></section><p style="text-indent: 2em; line-height: 1em; text-align: justify;"><span style="font-size: 16px;"><span style="font-family: Futura-Medium;"><span><span> </span></span></span></span></p><section style="margin-bottom: unset;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="display: flex; border-bottom: 1px solid #3d8bff; justify-content: flex-start; align-items: flex-end; margin-bottom: unset;"><section style="background-color: #3d8bff; padding: 1px 5px; margin-bottom: unset;"><section style="font-size: 16px; letter-spacing: 2px; color: #fefefe; margin-bottom: unset;"><p style="line-height: 2em;"><span style="font-family: 微软雅黑, Microsoft YaHei;"><strong>病例发现与报告</strong></span></p></section></section><section style="border-style: solid; border-width: 14px 7px; border-color: transparent transparent #3d8bff #3d8bff; width: 0px; height: 0px; z-index: 1000; margin-bottom: unset; transform: rotateZ(0deg);"></section><section style="width: 56px; margin-bottom: unset;"><section><img class="rich_pages wxw-img __bg_gif" style="width: 56px !important; display: block; vertical-align: bottom; height: auto !important; visibility: visible !important;" src="https://pic.app.fy169.net/Fg5SR3Gh2d3eiCgNbyrdJRWNt7dF" alt="图片" /></section></section></section></section><section><p> </p></section></section><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-size: 16px; font-family: Futura-Medium;"><span><span>演练从</span><span>“病例发现”开始，9月2日下午，骨科一病区医生在查房时发现3名患者两周内相继出现发热、手术切口感染等症状，且病原学结果均为大肠埃希菌，初步判断为感染聚集性事件。立即上报科主任，科室迅速启动初步排查，查阅病历资料、展开个案调查、核实病例诊断</span></span><span><span>、</span></span><span><span>追溯标本采集和检测</span></span><span><span>、</span></span><span><span>排除标本污染等。</span></span></span></p><p style="text-indent: 2em; line-height: 1em; text-align: justify;"><span style="font-size: 16px; font-family: Futura-Medium;"><span><span> </span></span></span></p><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/backend/20250905092956_9_FnHLkSYXX2gFb9bo2MIHDeeu9z-F.jpg" width="1080" height="810" data-qf-thumb="https://pic.app.fy169.net/backend/20250905092956_9_FnHLkSYXX2gFb9bo2MIHDeeu9z-F.jpg?imageView2/2/w/1080" data-qf-origin="backend/20250905092956_9_FnHLkSYXX2gFb9bo2MIHDeeu9z-F.jpg" data-qf-thumb-origin="backend/20250905092956_9_FnHLkSYXX2gFb9bo2MIHDeeu9z-F.jpg?imageView2/2/w/1080" /></section><p style="text-indent: 2em; line-height: 1em; text-align: justify;"><span style="font-size: 16px; font-family: Futura-Medium;"><span><span> </span></span></span></p><section style="margin-bottom: unset;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="display: flex; border-bottom: 1px solid #3d8bff; justify-content: flex-start; align-items: flex-end; margin-bottom: unset;"><section style="background-color: #3d8bff; padding: 1px 5px; margin-bottom: unset;"><section style="font-size: 16px; letter-spacing: 2px; color: #fefefe; margin-bottom: unset;"><p style="line-height: 2em;"><span style="font-family: 微软雅黑, Microsoft YaHei;"><strong>应急响应启动</strong></span></p></section></section><section style="border-style: solid; border-width: 14px 7px; border-color: transparent transparent #3d8bff #3d8bff; width: 0px; height: 0px; z-index: 1000; margin-bottom: unset; transform: rotateZ(0deg);"></section><section style="width: 56px; margin-bottom: unset;"><section><img class="rich_pages wxw-img __bg_gif" style="width: 56px !important; display: block; vertical-align: bottom; height: auto !important; visibility: visible !important;" src="https://pic.app.fy169.net/Fg5SR3Gh2d3eiCgNbyrdJRWNt7dF" alt="图片" /></section></section></section></section><section><p> </p></section></section><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span>感染管理科、医务科、护理部、检验科、预防保健科、药剂科、总务科等多部门迅速响应。院领导在听取汇报后，立即宣布启动医院感染暴发应急预案，并召开紧急会议。本次演练遵循</span><span>“积极救治、及时调查、有效控制、妥善处置”的基本原则，各科负责人展开讨论，明确职责分工。</span></span></p><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/backend/20250905093015_9_Fij9UPz3bJkAA9yMeKDChnFbCw5D.jpg" width="1080" height="1423" data-qf-thumb="https://pic.app.fy169.net/backend/20250905093015_9_Fij9UPz3bJkAA9yMeKDChnFbCw5D.jpg?imageView2/2/w/1080" data-qf-origin="backend/20250905093015_9_Fij9UPz3bJkAA9yMeKDChnFbCw5D.jpg" data-qf-thumb-origin="backend/20250905093015_9_Fij9UPz3bJkAA9yMeKDChnFbCw5D.jpg?imageView2/2/w/1080" /></section><section style="line-height: 1em;"></section><section style="margin-bottom: unset;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="display: flex; border-bottom: 1px solid #3d8bff; justify-content: flex-start; align-items: flex-end; margin-bottom: unset;"><section style="background-color: #3d8bff; padding: 1px 5px; margin-bottom: unset;"><section style="font-size: 16px; letter-spacing: 2px; color: #fefefe; margin-bottom: unset;"><p style="line-height: 2em;"><span style="font-family: 微软雅黑, Microsoft YaHei;"><strong>现场处置与医疗救治</strong></span></p></section></section><section style="border-style: solid; border-width: 14px 7px; border-color: transparent transparent #3d8bff #3d8bff; width: 0px; height: 0px; z-index: 1000; margin-bottom: unset; transform: rotateZ(0deg);"></section><section style="width: 56px; margin-bottom: unset;"><section><img class="rich_pages wxw-img __bg_gif" style="width: 56px !important; display: block; vertical-align: bottom; height: auto !important; visibility: visible !important;" src="https://pic.app.fy169.net/Fg5SR3Gh2d3eiCgNbyrdJRWNt7dF" alt="图片" /></section></section></section></section><section><p> </p></section></section><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span>演练过程中，感染患者被迅速转入隔离病房，实施接触隔离措施，包括悬挂警示标识、安排专人护理并严格限制探视。医疗专家团队及时组织会诊，全力开展医疗救治工作。</span></span></p><p> </p><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span>感控护士同步对环境物体表面、使用中的医疗器械设备、腰椎手术无菌包以及医护人员手部等多处关键点位进行环境采样。保洁人员随后使用含氯消毒剂对所有相关区域实施彻底消毒，确保环境安全。</span></span></p><p> </p><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span>在医疗废物处理方面，所有废物均严格按照感染性医疗废物管理规范处置，执行双层医疗废物袋密封包装、专人转运及登记交接制度，坚决杜绝二次污染风险。</span></span></p><p> </p><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span>此外，医院还对与感染患者存在密切接触的其他患者及医务人员全面开展病原检测和医学观察，并对免疫功能低下、罹患严重疾病或多种基础疾病的患者及时采取保护性隔离，实现感染监测与防控全覆盖，切实保障医患安全。</span></span></p><p style="text-indent: 2em; line-height: 1em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span> </span></span></p><section style="margin-bottom: unset;"><section style="margin-top: 10px; margin-bottom: 10px;"><section style="display: flex; border-bottom: 1px solid #3d8bff; justify-content: flex-start; align-items: flex-end; margin-bottom: unset;"><section style="background-color: #3d8bff; padding: 1px 5px; margin-bottom: unset;"><section style="font-size: 16px; letter-spacing: 2px; color: #fefefe; margin-bottom: unset;"><p style="line-height: 2em;"><span style="font-family: 微软雅黑, Microsoft YaHei;"><strong>总结分析</strong></span></p></section></section><section style="border-style: solid; border-width: 14px 7px; border-color: transparent transparent #3d8bff #3d8bff; width: 0px; height: 0px; z-index: 1000; margin-bottom: unset; transform: rotateZ(0deg);"></section><section style="width: 56px; margin-bottom: unset;"><section><img class="rich_pages wxw-img __bg_gif" style="width: 56px !important; display: block; vertical-align: bottom; height: auto !important; visibility: visible !important;" src="https://pic.app.fy169.net/Fg5SR3Gh2d3eiCgNbyrdJRWNt7dF" alt="图片" /></section></section></section></section><p> </p></section><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: Futura-Medium; font-size: 16px;"><span>演练结束后，医院及时召开总结会议。各参与科室就演练中暴露出的问题进行深入剖析，如手卫生依从性差、隔离技术不规范、环境清洁消毒不到位、防护意识薄弱、医疗废物处理流程需进一步规范等。</span></span></p><p> </p><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-size: 16px; font-family: Futura-Medium;"><span><span>李秀勇在演练结束后作出详细点评。他指出，本次演练整体组织周密、响应机制启动迅速、处置流程科学规范，充分检验了医院在面对感染暴发事件时的实战应急能力和多科室协同水平。他强调，医院应当以此次演练为新的起点</span></span><span><span>，</span></span><span><span>持续完善应急预案、优化</span></span><span><span>应急</span></span><span><span>流程、强化</span></span><span><span>科室</span></span><span><span>协作，并建立常态化演练机制。只有通过不断模拟与反思，才能全面提升医院在突发公共卫生事件中的综合应对能力，切实筑牢医疗安全屏障，保障人民群众的健康权益。</span></span></span></p><p> </p><p style="text-indent: 2em; line-height: 1em; text-align: justify;"> </p><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/Flw29FC3sYlNU_Y5oXJwJaz8t-wY" /></section><p style="text-indent: 2em; line-height: 1em; text-align: justify;"> </p><p style="text-indent: 2em; line-height: 2em; text-align: justify;"><span style="font-family: 仿宋; font-size: 16pt;"><span style="font-family: 仿宋;"><span style="font-size: 16px; font-family: Futura-Medium;">医院感染无小事，防控责任重于山。通过此次实战演练，医院有效检验并提升了感染暴发应急处置能力和多部门协作效能，进一步强化了全员感染防控意识。医院将继续坚持</span></span><span style="font-family: 仿宋;"><span style="font-size: 16px; font-family: Futura-Medium;">“人民至上、生命至上”的根本原则，持续筑牢院感防控体系，切实保障患者与医务人员的健康安全。</span></span></span></p></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end; text-align: justify; box-sizing: border-box !important; overflow-wrap: break-word !important; text-indent: 2em;"></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section></section></section></section></section><section style="margin: 8px 8px 10px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #3e3e3e; font-family: inherit; font-size: 24px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; white-space: normal; widows: 1; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; line-height: 25.59px; word-break: normal !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #222222; letter-spacing: 0.544px; white-space: normal; font-family: 微软雅黑; font-size: 16px; background-color: #ffffff;"><section style="margin: 0px; padding: 0px 4px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 15px; line-height: 1.8; letter-spacing: 1px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 16px; white-space: normal; letter-spacing: 0.544px; widows: 1; font-family: 微软雅黑; background-color: #ffffff;"><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 14px; color: #605af5;"><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">供 稿: 医院感染管理科 李晓雨</span></p><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">编 辑: 赵上静</span></p><p style="-webkit-tap-highlight-color: transparent; outline: 0px;"> </p><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-family: Futura-Medium; color: #888888;">责任编辑: 马晓琳</span></p><p style="-webkit-tap-highlight-color: transparent; outline: 0px;"> </p><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; 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