新冠疫情期间腺样体扁桃体疾病患儿的耳鼻喉科管理。准备好重新开始了吗？
ENT management of children with adenotonsillar disease during COVID-19 pandemic. Ready to start again?
作者信息
Torretta Sara, Capaccio Pasquale, Gaffuri Michele, Gaini Lorenzo Maria, Borin Marco, Maruca Antonella, Battilocchi Ludovica, Nitro Letizia, Marchisio Paola, Pignataro Lorenzo
机构信息
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Biomedical Surgical Dental Science, University of Milan, Milan, Italy.
出版信息
Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110145. doi: 10.1016/j.ijporl.2020.110145. Epub 2020 May 28.
Clinical manifestations of COVID-19 in children are milder, but the real burden of disease is unknown. After the lockdown, in our Region Lombardia we have been requested to progressively resume medical services including outpatient assessment and priority surgery. Therefore, we screened surgical waiting lists with identification of 47 children candidates to priority surgery (among 358). No homogeneous national health surveillance/screening programs are ongoing or have been conceived to test susceptible population among children/healthcare workers in preparation of coming down to routinely daily activities, and diagnostic strategies are not completely accurate in children. So, restoring medical services now might be untimely.
新冠病毒疾病（COVID-19）在儿童中的临床表现较为轻微，但疾病的实际负担尚不清楚。封锁措施实施后，在我们的伦巴第大区，我们被要求逐步恢复医疗服务，包括门诊评估和优先手术。因此，我们对手术等候名单进行了筛查，在358名儿童中确定了47名优先手术候选人。目前没有正在进行或已构思出的全国性健康监测/筛查计划来检测儿童/医护人员中的易感人群，以便为恢复日常活动做准备，而且儿童的诊断策略并不完全准确。所以，现在恢复医疗服务可能不合时宜。
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