<div><span style='color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: "Times New Roman"; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;'> 为积极应对<span lang="EN-US">2021</span>年可能出现的新冠肺炎疫情，贯彻落实省疫情防控应急指挥部关于做好秋冬季新冠肺炎疫情防控工作的部署及要求，切实做好我镇疫情防控应急准备工作，保障人民群众生命健康，必姆镇中心卫生院开展新冠肺炎防控卫生应急演练。</span></div><div><span style='color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: "Times New Roman"; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;'></span><br></div> <font color="#000000" face="宋体" size="3">
</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28.5pt; mso-line-height-rule: exactly;"><b><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">演练模拟病例</span></b></p><font color="#000000" face="宋体" size="3">
</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">假定在<span lang="EN-US">2021</span>年<span lang="EN-US">9</span>月<span lang="EN-US">10</span>日上午<span lang="EN-US">8</span>时某诊所接诊</span><span style="font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;"><font color="#000000">一例发热病人，患者王某，女，<span lang="EN-US">46</span></font><font color="#000000">岁，必姆镇杨家村人，职业：冰冻食品销售员。</font><span lang="EN-US"><font color="#000000">2</font></span><font color="#000000">天前出现发热，伴有胸闷、伴气促，活动后胸闷、气促加重，偶有咳嗽，咳少量白色粘液痰，无畏寒、无恶心呕吐。查体体温</font><span lang="EN-US"><font color="#000000">38.5</font></span><font color="#000000">℃，血压：</font><span lang="EN-US"><font color="#000000">120/70</font><span style="background: white; color: black;">mmHg</span></span><span style="background: white; color: black;">，呼吸：<span lang="EN-US">25</span>次<span lang="EN-US">/</span>分，脉搏：<span lang="EN-US">100</span>次<span lang="EN-US">/</span>分。</span><font color="#000000">查体：两肺呼吸音粗，闻及少量啰音，心正常。腹软，肝脾未触及肿大。神经系统检查无异常。转诊至必姆镇中心卫生院，必姆卫生院核酸采样送检报告阳性，以新冠肺炎病例转诊至定点医院玉山黄家驷医院就诊。</font></span></p><font color="#000000" face="宋体" size="3">
</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">流行病学史：自述<span lang="EN-US">8</span>月<span lang="EN-US">26</span>日乘坐私家车从中高风险地区回来。有到菜市场活动史。对该病例的密切接触者<span lang="EN-US">20</span>余人调查，<span lang="EN-US">20</span>人分布在同个乡镇<span lang="EN-US">3</span>个村。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span lang="EN-US" style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">9</span><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">月<span lang="EN-US">10</span>号下午<span lang="EN-US">2</span>：<span lang="EN-US">35</span>分，院长宣布<span lang="EN-US"><</span>必姆镇中心卫生院应急演练预案<span lang="EN-US">></span>，并协调部署各部门工作。本次演练方案为杨家村民王某，从中高风险地区打工回来数天后，出现发热、胸闷等症状。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景一；接到乡医戴玉娟电话，要求卫生院救护车出诊接诊一发热病人，并且该病人于半月前从疫情中高风险地区回来。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景二：发热诊室医生章初冰做好个人防护，由卫生院救护车接诊王某至卫生院发热诊室。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景三：在发热诊室，发热诊室医生章初冰询问王某症状，查体，并再次询问王某流行病史。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景四：卫生院检查科陈忠山做好个人防护，对王某进行核酸采样，并送标本至</span><span style="font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;"><font color="#000000">玉山黄家驷医院检验。期间王某一直在留观室观察。下午<span lang="EN-US">5:30</span></font><font color="#000000">分玉山黄家驷医院反馈王某核酸检测结果为阳性。</font></span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景五：发热诊室医生章初冰立即向院长杨益国同志汇报情况，并立即准备转诊工作。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景六：<span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">场景六：院长杨益国同志宣布立即启动医院突发公共卫生事件应急预案，并马上与玉山县新冠肺炎防控指挥部、卫健委应急办、县疾控中心、必姆乡政府电话汇报相关情况。同时玉山县黄家驷医院上报玉山县防控指挥部新冠肺炎疫情，玉山县启动新冠肺炎疫情防控卫生应急预案。</span></span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景七：发热诊室医生章初冰送王某至玉山县黄家驷医院进行隔离治疗。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景八：疾病防控组派出洪恩群、魏芬芬等配合疾控部门对王某的密切接触者、次密接者进行流行病学调查。送王某的密切接触者、次密接者至玉山县集中隔离点隔离观察。</span></p><font color="#000000" face="宋体" size="3">
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</font><p style="margin: 0cm 0cm 0pt; line-height: 28pt; text-indent: 28pt; mso-line-height-rule: exactly; mso-char-indent-count: 2.0;"><span style="color: black; font-family: 宋体; font-size: 14pt; mso-bidi-font-family: 宋体;">场景九<span lang="EN-US">:</span>疾病防控消杀组柯恩清、毛新伟等对发热诊室、乡医戴玉娟诊所、病人家庭环境、密切接触者、次密接者进行终末消毒。待卫生院救护车返回时，对救护车进行消杀工作。</span></p><font color="#000000" face="宋体" size="3">
</font> <p class="ql-block"><br></p><p class="ql-block"><br></p><p class="ql-block"> <span style="color:black;">场景十：院长杨益国宣布演练结束，召开活动总结工作会。</span></p><p class="ql-block"> <span style="color:black;"> 2021年9月10日</span></p><p class="ql-block"> </p><p class="ql-block"> </p><p class="ql-block"><br></p><p class="ql-block"><br></p>