Yang Huizhen, Chen Huidong, Gao Baoan, Xiong Weining, Zhang Xiaoju, Hogarth D Kyle, Sun Jiayuan, Ke Mingyao, Herth Felix J F
Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan Province; Department of Respiratory Endoscopy and Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Department of Respiratory Endoscopy, Jinyintan Hospital of Wuhan, Wuhan, Hubei Province, China.
Endosc Ultrasound. 2020 Jul-Aug;9(4):211-219. doi: 10.4103/eus.eus_45_20.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel coronavirus with higher transmissibility compared with SARS coronavirus (SARS-CoV) and Middle East respiratory distress syndrome coronavirus. Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is an unprecedented global crisis that has not been experienced, which is still disrupting health systems, economies, and societies around the world by the rapid spread. Bronchoscopy plays an important role in diagnosis and therapy of pulmonary diseases, especially in patients with severe pulmonary infection, however, application of bronchoscopy in patients suspected or confirmed SARS-CoV-2 infection is extremely limited for the potential airborne transmission from aerosol generated during the procedure. This consensus statement was completed by expert panel of Interventional & Minimally Invasive Respiratory Committee of China Medical Education Association, and the issues were summarized as seven key topics to define the indications of bronchoscopy and matters needing attentions on the bronchoscopy procedures in patients with COVID-19, as well as the protective precaution strategies to avoid nosocomial SARS-CoV-2 infection.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）是一种新型冠状病毒，与严重急性呼吸综合征冠状病毒（SARS-CoV）和中东呼吸综合征冠状病毒相比，具有更高的传播性。由SARS-CoV-2引起的2019冠状病毒病（COVID-19）是一场前所未有的全球危机，其迅速传播仍在扰乱世界各地的卫生系统、经济和社会。支气管镜检查在肺部疾病的诊断和治疗中发挥着重要作用，尤其是在重症肺部感染患者中，然而，由于支气管镜检查过程中产生的气溶胶可能导致空气传播，支气管镜检查在疑似或确诊SARS-CoV-2感染患者中的应用极为有限。本共识声明由中国医学教育协会介入与微创呼吸委员会专家小组完成，将相关问题归纳为七个关键主题，以明确COVID-19患者支气管镜检查的适应证、支气管镜检查操作中的注意事项以及避免医院内SARS-CoV-2感染的防护策略。
