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新型冠状病毒肺炎感染患者的外科治疗。西班牙外科医生协会的建议。

Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons.

作者信息

Balibrea Jose Mose, Badia Josep Mose, Rubio Pérez Inés, Martín Antona Esteban, Álvarez Peña Estíbaliz, García Botella Sandra, Álvarez Gallego Mario, Martín Pérez Elena, Martínez Cortijo Sagrario, Pascual Miguelañez Isabel, Pérez Díaz Lola, Ramos Rodriguez Jose Luis, Espin Basany Eloy, Sánchez Santos Raquel, Soria Aledo Victoriano, López Barrachina Ruth, Morales-Conde Salvador

机构信息

Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, España.

Hospital General de Granollers, Universitat Internacional de Catalunya, Barcelona, España.

出版信息

Cir Esp (Engl Ed). 2020 May;98(5):251-259. doi: 10.1016/j.ciresp.2020.03.001. Epub 2020 Apr 3.

DOI:10.1016/j.ciresp.2020.03.001
PMID:32252979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7196403/
Abstract

Due to the current pandemic of respiratory disease known as coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 virus, many patients with confirmed or suspected COVID-19 infection will require elective surgery, surgery that cannot be postponed, or emergency surgical treatment. In these situations, special measures need to be adopted in order to minimize the possibility of transmission between patients, exposure of healthcare personnel and the development of postoperative complications. This document explains the main principles to consider when managing confirmed or suspected COVID-19 patients during evaluation as well as when surgical treatment is required.

摘要

由于目前由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)病毒引起的2019冠状病毒病(COVID-19)这一呼吸系统疾病大流行,许多确诊或疑似感染COVID-19的患者将需要进行择期手术、不能推迟的手术或紧急外科治疗。在这些情况下,需要采取特殊措施,以尽量减少患者之间传播、医护人员暴露以及术后并发症发生的可能性。本文档解释了在评估确诊或疑似COVID-19患者以及需要进行外科治疗时应考虑的主要原则。

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本文引用的文献

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Implications of COVID-19 for patients with pre-existing digestive diseases.2019冠状病毒病对患有既往消化系统疾病患者的影响。
Lancet Gastroenterol Hepatol. 2020 May;5(5):425-427. doi: 10.1016/S2468-1253(20)30076-5. Epub 2020 Mar 11.
2
What we do when a COVID-19 patient needs an operation: operating room preparation and guidance.当新冠病毒肺炎患者需要进行手术时我们的做法:手术室准备与指导。
Can J Anaesth. 2020 Jun;67(6):756-758. doi: 10.1007/s12630-020-01617-4. Epub 2020 Mar 6.
3
COVID-19: Gastrointestinal Manifestations and Potential Fecal-Oral Transmission.新型冠状病毒肺炎:胃肠道表现及潜在的粪-口传播
Gastroenterology. 2020 May;158(6):1518-1519. doi: 10.1053/j.gastro.2020.02.054. Epub 2020 Mar 3.
4
SARS-CoV-2 induced diarrhoea as onset symptom in patient with COVID-19.严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染导致新型冠状病毒肺炎(COVID-19)患者出现腹泻作为首发症状。
Gut. 2020 Jun;69(6):1143-1144. doi: 10.1136/gutjnl-2020-320891. Epub 2020 Mar 5.
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Audio Interview: What Clinicians Need to Know in Diagnosing and Treating Covid-19.音频访谈:临床医生在诊断和治疗新冠病毒病时需要了解的内容
N Engl J Med. 2020 Mar 5;382(10):e19. doi: 10.1056/NEJMe2004244.
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Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.
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[Surgical treatment for esophageal cancer during the outbreak of COVID-19].[新型冠状病毒肺炎疫情期间食管癌的外科治疗]
Zhonghua Zhong Liu Za Zhi. 2020 Apr 23;42(4):296-300. doi: 10.3760/cma.j.cn112152-20200226-00128.
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A systematic review of lopinavir therapy for SARS coronavirus and MERS coronavirus-A possible reference for coronavirus disease-19 treatment option.洛匹那韦疗法治疗严重急性呼吸综合征冠状病毒和中东呼吸综合征冠状病毒的系统评价——为新型冠状病毒病治疗方案提供参考。
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Pathological findings of COVID-19 associated with acute respiratory distress syndrome.与急性呼吸窘迫综合征相关的新型冠状病毒肺炎的病理表现
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