冠状病毒（COVID-19）对耳鼻喉科手术的影响：简要评论。
Impact of coronavirus (COVID-19) on otolaryngologic surgery: Brief commentary.
机构信息
Department of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, United States.
出版信息
Head Neck. 2020 Jun;42(6):1227-1234. doi: 10.1002/hed.26162. Epub 2020 Apr 17.
Abstract
BACKGROUND
The Coronavirus disease-2019 (COVID-19) pandemic is a global health crisis and otolaryngologists are at increased occupational risk of contracting COVID-19. There are currently no uniform best-practice recommendations for otolaryngologic surgery in the setting of COVID-19.
METHODS
We reviewed relevant publications and position statements regarding the management of otolaryngology patients in the setting of COVID-19. Recommendations regarding clinical practice during the severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) outbreaks were also reviewed.
RESULTS
Enhanced personal protective equipment (N95 respirator and face shield or powered air-purifying respirator, disposable cap and gown, gloves) is required for any otolaryngology patient with unknown, suspected, or positive COVID-19 status. Elective procedures should be postponed indefinitely, and clinical practice should be limited to patients with urgent or emergent needs.
CONCLUSION
We summarize current best-practice recommendations for otolaryngologists to ensure safety for themselves, their clinical staff, and their patients.
摘要
背景
2019 年冠状病毒病（COVID-19）大流行是一场全球卫生危机，耳鼻喉科医生感染 COVID-19 的职业风险增加。目前，针对 COVID-19 背景下的耳鼻喉科手术，尚无统一的最佳实践推荐。
方法
我们回顾了有关 COVID-19 环境中耳鼻喉科患者管理的相关出版物和立场声明。还回顾了严重急性呼吸综合征（SARS）和中东呼吸综合征（MERS）爆发期间的临床实践建议。
结果
对于任何 COVID-19 状态未知、疑似或阳性的耳鼻喉科患者，均需要增强个人防护设备（N95 呼吸器和面罩或动力空气净化呼吸器、一次性帽和长袍、手套）。应无限期推迟选择性手术，临床实践应仅限于有紧急或紧急需求的患者。
结论
我们总结了耳鼻喉科医生的当前最佳实践建议，以确保他们自己、临床工作人员和患者的安全。
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