COVID-19 疫情与外科手术实践：围手术期的意外死亡。
COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period.
机构信息
Department of General Surgery, Cleveland Clinic, Euclid Avenue, Desk M61, Cleveland, OH.
Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Ann Surg. 2020 Jul;272(1):e27-e29. doi: 10.1097/SLA.0000000000003925.
Abstract
: Little is known about surgical practice in the initial phase of coronavirus disease 2019 (COVID-19) global crisis. This is a retrospective case series of 4 surgical patients (cholecystectomy, hernia repair, gastric bypass, and hysterectomy) who developed perioperative complications in the first few weeks of COVID-19 outbreak in Tehran, Iran in the month of February 2020. COVID-19 can complicate the perioperative course with diagnostic challenge and a high potential fatality rate. In locations with widespread infections and limited resources, the risk of elective surgical procedures for index patient and community may outweigh the benefit.
摘要
关于 2019 年冠状病毒病（COVID-19）全球危机初期的外科手术实践知之甚少。这是伊朗德黑兰 2020 年 2 月 COVID-19 爆发的最初几周内 4 例外科患者（胆囊切除术、疝修补术、胃旁路术和子宫切除术）发生围手术期并发症的回顾性病例系列研究。COVID-19 可能使诊断变得困难，并具有很高的致死率，从而使围手术期过程复杂化。在感染广泛且资源有限的地区，对索引患者和社区进行择期手术的风险可能大于获益。
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