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2019冠状病毒病大流行期间创伤与普通急诊外科实践的建议

Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic.

作者信息

Gok Ali Fuat Kaan, Eryılmaz Mehmet, Ozmen Mehmet Mahir, Alimoglu Orhan, Ertekin Cemalettin, Kurtoglu Mehmet Hamdi

机构信息

Istanbul University, Istanbul School of Medicine, Department of Surgery, Istanbul, Turkey.

Gülhane Training and Research Hospital, Department of Surgery, Ankara, Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2020 Apr;26(3):335-342. doi: 10.14744/tjtes.2020.79954.

DOI:10.14744/tjtes.2020.79954
PMID:32394416
Abstract

COVID-19 is a new disease, based on currently available limited information, older adults and people of any age who have severe underlying medical conditions may be at higher risk for severe illness from COVID-19. People of all age groups are also at risk. Healthcare providers have always been the professionals most exposed to the risk of contracting to any kind of infection due to the nature of their profession. Elective interventions have been postponed to give care of patients with COVID-19. However, some interventions cannot be delayed, such as trauma surgery, acute abdomen, and emergency endoscopies. To maintain the sustainability of the healthcare system, the protection of healthcare providers should be the top priority. On the other hand, patients, who need emergency healthcare, should also be provided with appropriate treatment. Healthcare professionals should choose a treatment method appropriately in the circumstances to protect themselves and their patients as much as possible. This paper aims to summarize how a surgeon may act appropriately when an intervention is inevitable during the COVID-19 pandemic.

摘要

新冠病毒病(COVID-19)是一种新型疾病,根据目前有限的可用信息,老年人以及任何年龄段有严重基础疾病的人感染COVID-19后患重症的风险可能更高。所有年龄段的人都有风险。由于职业性质,医护人员一直是最容易接触到感染任何类型传染病风险的专业人员。择期干预措施已被推迟,以便照顾COVID-19患者。然而,有些干预措施不能推迟,如创伤手术、急腹症和急诊内镜检查。为维持医疗系统的可持续性,保护医护人员应是首要任务。另一方面,需要紧急医疗护理的患者也应得到适当治疗。医护人员应在这种情况下适当选择治疗方法,尽可能保护自己和患者。本文旨在总结在COVID-19大流行期间,当干预不可避免时外科医生应如何适当行动。

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