Li L H, Zhang G, Dang X W, Li L
Department of Hepatopancreatobiliary Surgery, the First Affiliated Hospital of Zhengzhou University, Budd-Chiari Syndrome Diagnosis and Treatment Center of Henan Province, Zhengzhou 450052, China.
Zhonghua Wai Ke Za Zhi. 2020 Jun 1;58(6):401-403. doi: 10.3760/cma.j.cn112139-20200221-00109.
Prevention and control about the situation of 2019 coronavirus disease (COVID-19) are grim at present. In addition to supporting the frontline actively, medical workers in general surgery spare no efforts in making good diagnosis and treatment of specialized diseases by optimizing treatment process, providing medical advice online, mastering indications of delayed operation and emergency operation reasonably, etc. Budd-Chiari syndrome is a complex disorder, and severity of the disease varies, serious cases can be life threatening. While fighting the epidemic, medical workers should also ensure the medical needs of patients. However, instead of continuing the traditional treatment, a new management system should be developed. Based on the characteristics of Budd-Chiari syndrome patients in China and our experience, patients are divided into ordinary cases and critical cases, and treatment strategies suitable for the epidemic period of COVID-19 are put forward for reference and discussion by physicians.
目前,新型冠状病毒肺炎(COVID-19)疫情防控形势严峻。普通外科医护人员除积极支援一线外,还通过优化诊疗流程、开展线上医疗咨询、合理把握延期手术及急诊手术指征等,全力做好专科疾病的诊治工作。布加综合征是一种复杂的疾病,病情严重程度各异,重症病例可危及生命。在抗击疫情的同时,医护人员还应保障患者的医疗需求。然而,不应延续传统治疗方式,而应建立新的管理体系。基于我国布加综合征患者的特点及我们的经验,将患者分为普通病例和重症病例,并提出适合COVID-19疫情期间的治疗策略,供医师参考和讨论。