传染性非典型性肺炎应急预案.docx

This Conference is by municipal Standing Committee research decided held of, main task is in-depth learning implement XI General Secretary on "two learn a do" learning education of important indicates spirit and provincial Secretary XXX important speech spirit, according to central deployment and provincial requirements, on I city "two learn a do" learning education work for arrangements deployment, education guide General members further firm ideal faith, and keep on party loyalty, and set breeze upright, and courage to play as, for in province first full built well-off social, and Building higher levels of ecological vitality city provide a strong organizational guarantee of happiness. All party members in the "Constitution Party rules, series of speeches, be qualified party members" education, Party Central Committee to deepen the inner-party education, advancing the comprehensive yet another important practice in strictly administering the party, is to promote the inner-party education from "key minority" to the vast number of party members expanded, from the concentration of important measures to extend education to regular education, is leading the task of party building this year. This year, the XI General Secretary on many occasions "two" study and education issued instructions, profoundly illustrates the significance of education, brilliantly describes the overall objectives, basic requirements and main tasks of education, made clear that the main responsibility of the head of the party organization at all levels and shall carry out, point in the right direction for the us to carry out study and education, provide the fundamental follow. On April 6, Liu Yunshan, Comrade Zhao Leji in Central "two" Forum on educational work, a careful deployment of this work, put forward a clear requirement. On April 13, the Party Secretary, Xie Fuzhan, Director of the provincial people's Congress, the province's "two" study educational Conference, made specific arrangements to carry out study and education in the province. We want to seriously study led And further implementation. Party according to the spirit of the Central and provincial requirements, based on actual city, research has developed a "two" educational programmes and study contents specific programmes, we want to pay special attention to follow-up. Now, I make a few remarks. First, deepening understanding, enhancing grasp "two" educational responsibility since the party's 18, Comrade XI Jinping as General Secretary of the CPC Central Committee made a series of major deployment around the party's construction, making a series of punch, construction of a new political styles and the aspirations of the Party greatly condensed. "Two" study and education, reflects the interlocking, step by step, further promote the comprehensive strictly administering the party's firm determination and political will, to push forward the "four comprehensive" strategy is of great significance. We should be supported by political and overall全科医生 响石潭传染性非典型性肺炎应急预案非典型肺炎属于中医“热病”范畴，病因为感受疫毒时邪，病位在肺。其基本病机特点为：热毒痰瘀，壅阻肺络，热盛邪实，湿邪内蕴，耗气伤阴，甚则出现气急喘脱的危象。在此基础上，根据所针对的不同人群以及地区气候特点，分别对易感人群的预防、不同类型和不同病期患者的治疗提供了指导性意见。 一、目标    通过本方案的实施，完善组织协调机制和监测网络报告，提高应急处理和医疗救治能力。加强部门间协调，及时沟通信息，做到“早发现、早报告、早隔离、早治疗”，及时发现SARS疫情，控制SARS疫情蔓延，防止流行性感冒（简称流感）大流行的发生，保护广大人民群众身体健康。    预防为主，防治结合；协调配合，分级负责；依法管理，科学防治的原则。二、监测与报告1.按照市卫生局转发的传染性非典型肺炎诊疗方案的要求，发现疑似、临床诊断的SARS首例病例，按照传染性非典型肺炎疫情监测报告实施方案文件中规定的报告内容、方式、时限和程序进行报告。2.发现流感首例病例时应在24小时内，通过传染病疫情监测信息系统进行报告；发生流感暴发疫情时应在1小时内，通过传染病疫情监测信息系统进行报告。3.指定防保科专人负责传染病疫情报告工作（上报区卫生局、区疾控中心）。三、预防和控制1、开展健康教育，提高群众的防病意识。采用多种形式，利用电子滚动屏幕、宣传橱窗等开展向社会公众的健康宣传教育活动，提高群众对SARS、流感和流感的认识水平与心理承受能力，加强大众的健康意识和自我保护能力。   2、发现SARS和流感预警病例后，立即送北辰医院发热门诊。   3、参与临床救治的医护人员，要严格按照有关要求做好个人防护。   4、防保科负责疫苗接种和药物预防工作。   5、感染科加强医院感染控制工作，防止医院交叉感染发生。 6、中医预防措施：一般健康人群服用的中药，如下：处方一：鲜芦根二十克、银花十五克、连翘十五克、蝉衣十克、僵蚕十克、薄荷六克、生甘草五克，水煎代茶饮，连续服用七至十天。    处方二：苍术十二克、白术十五克、黄芪十五克、防风十克、藿香十二克、沙参十五克、银花二十克、贯众十二克，水煎服，一日两次，连续服服七至十天。    处方三：贯众十克、银花十克、连翘十克、大青叶十克、苏叶十克、葛根十克、藿香十克、苍术十克、太子参十五克、佩兰十克，水煎服，一日两次，连续服用七至十天。四、医疗救治1、病人的诊治（1）配备有一定经验的，经过传染病知识培训的医师，对发热病人进行甄别和鉴别诊断。（2）SARS和流感疑似或确诊病例的转送由医务科统一负责。2、加强医院感染控制根据卫生部下发的医院感染管理规范(试行)、传染病非典型肺炎医院感染控制指导原则(试行)等文件要求，做好医院的感染控制工作；根据医疗废物管理条例和市卫生局印发的关于转发市人民政府批转市环保局关于集中处置医疗废物意见的通知要求做好医疗废物的处理。3、中医治疗： 早期：早期患者以热毒袭肺、湿遏热阻为病机特征。临床上分为热毒袭肺、湿热阻遏、表寒里热夹湿三种证候类型。属热毒袭肺证者，宜清热宣肺，疏表通络，可选用银翘散合麻杏石甘汤加减；属湿热阻遏证者，宜宣化湿热，透邪外达，可选用三仁汤合升降散加减，如湿重热轻，亦可选用霍朴夏苓汤；属表寒里热夹湿证者，宜解表清里，宣肺化湿，可选用麻杏石甘汤合升降散加减。    中期：中期患者以疫毒侵肺，表里热炽，湿热蕴毒，邪阻少阳，疫毒炽盛，充斥表里为病机特征。临床上分为疫毒侵肺、表里热炽，湿热蕴毒，湿热郁阻少阳，热毒炽盛四种证候类型。属疫毒侵肺、表里热炽证者，宜清热解毒、泻肺降逆，可选用清肺解毒汤；属湿热蕴毒证者，宜化湿辟秽、清热解毒，可选用甘露消毒丹加减；属湿热郁阻少阳证者，宜清泄少阳、分清湿热，可选用蒿芩清胆汤加减；属热毒炽盛证者，宜清热凉血、泻火解毒，可选用清瘟败毒加减。    极期：极期患者以热毒壅盛，邪盛正虚，气阴两伤，内闭外脱为病机特征。临床上分为痰湿瘀毒、壅阻肺络，湿热壅肺、气阴两伤，邪盛正虚、内闭喘脱三种证候类型。属痰湿瘀毒、壅阻肺络证者，宜益气解毒、化痰利湿、凉血通络，可选用活血泻肺汤；属湿热壅肺、气阴两伤证者，宜清热利湿、补气养阴，可选用益肺化浊汤；属邪盛正虚、内闭喘脱证者，宜益气固脱、通闭开窍，可选用参附汤加减。    恢复期：恢复期患者以气阴两伤，肺脾两虚，湿热瘀毒未尽为病机特征。临床上分为气阴两伤、余邪未尽，肺脾两虚两种证候类型。属气阴两伤、余邪未尽证者，宜益气养阴、化湿通络，可选用李氏清暑益气汤加减；属肺脾两虚证者，宜益气健脾，可选用参苓白术散合葛根芩连汤加减。 五、预警和应急发布预警的判定、应急预案的启动和应急响应：按照北辰区防治传染性非典型肺炎工作应急预案(北辰政发200351号)执行。六、保障措施与应急准备1、分析疫情趋势，判定工作方案认真总结SARS防治工作经验，结合实际情况，科学分析疫情趋势，有针对性地提出应对之策。2、组织保障中医院成立SARS和流感防治领导小组，负责全院SARS和流感防治工作的组织协调、监督检查、信息管理工作。成立专家救治组和救治队伍。3、做好物资储备做到防治人员、治疗药品、防护设备、消毒器械四到位。4、技术培训对全体卫技人员开展业务技术培训，培训内容为相关法律、法规及防治规范性文件的学习，SARS、流感和不明原因肺炎的防治基本知识、诊断标准和治疗原则、疫情报告的程序和基本要求、流行病学调查方法、隔离区设置及操作规范等。六、监督管理院领导班子和领导小组认真履行法律规定的各项职责与义务，要依据中华人民共和国传染病防治法和突发公共卫生事件应急条例等法律法规规定，对各科室SARS和流感防治工作的落实情况进行监督检查。5 / 5为了推进幼儿园民主建设，保障教职工参与幼儿园民主管理和民主监督的权利，健全和完善幼儿园园长责任制。为了使教职工代表大会按照规定行使职权height, deep understanding of "two" study and education on strengthening education of party members and cadres and building a contingent of cadres with high quality, maintaining and developing the party's advanced nature and purity of the significance of practical thought and action into Central and provincial requirements. First, the "two" study and education, is continuously strengthening the party's ideological and political construction of major deployment. Attach importance to party ideology, is the specialty of our party, since the party's 18 distinct characteristic of strictly administering the party. XI General Secretary pointed out that our party must improve itself, the first task is to strengthen ideological and political construction, the key is the educational management of party members and cadres. At present, the ideas and values have become increasingly active, social trends are largely stirring blend, cultural exchanges and the complexity of the situation, drove, some party members ' ideological and political problems, there is an urgent need to strengthen party ideology: clearing the fog, was centering. Like, some belief confused, "three a confidence" insufficient, praised Western value concept; some spirit empty, not letter Marty letter ghosts; some political discipline relaxation, in party not statements party, and not love party, and not nursing party, and not for party, even denied party of some most basic of principles and position; some organization discipline lax, not by provides participate in party of organised, not completed party distribution of task, not by party of organization principles do; some egoism serious, and people race Lee, and self-dealing; some depressed, and escape responsibility, Omission, not as good as some moral decline, violating public morality, professional ethics and family virtues, not personal morality; some honesty and self-discipline awareness is not strong, with no fear, lawlessness, abuse, and corruption among political, and so on. These problems, after all, and ignore the Constitution Party rules, ignore advanced theory, and lack of sense of consciousness, consciousness, pioneer of the party has a lot to do with it. Thought, belief and faith, stick to the spiritual pursuit of Communists, has always been the Communists to settle down at all. "Two" study and education, is to enable each party to party rules etched in the heart of the party Constitution, and speech into a series of powerful weapon, clearing the barriers and gain the fetters of the mind, improve the ideological and political quality, worthy of the glorious title of the party members. Second, the "two" study and education, comprehensively strengthen the construction of grass-roots party organizations and party members is an important . Awake, our party members and party organizations, especially at the grassroots level, some of the party member's quality is not high, lax discipline and some primary party organizations are weak and lax, wiped out some grassroots cadres as, chaos as, thick friends, eating, and so on. These problems are like5