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2019冠状病毒病患者的围手术期管理

Perioperative management for patients with coronavirus disease 2019.

作者信息

Zhong Tao, Qin Gang, Guo Qulian, Wang E

机构信息

Department of Anesthesiology and Operating Theatre Services, Xiangya Hospital, Central South University, Changsha 410008.

National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 May 28;45(5):609-612. doi: 10.11817/j.issn.1672-7347.2020.200082.

Abstract

The coronavirus disease 2019 (COVID-19) is a new infectious disease, which has a strong virus transmission power and complex transmission routes. This disease is prone to outbreak of cluster infection. It is difficult for medical workers to provide a better perioperative treatment for surgery patient with COVID-19 while avoiding hospital spread effectively. The perioperative management for such patients needs to fully consider the possible lung injury factors caused by anesthesia and surgery. It also needs to choose the suitable timing of the operation, carry out preoperative infection screening and evaluation, and implement lung protection strategies during and after the operation to avoid aggravating the lung injury. Meanwhile, it is necessary to pay more attention to infection prevention and control in order to avoid nosocomial infection.

摘要

2019冠状病毒病(COVID-19)是一种新型传染病,病毒传播力强,传播途径复杂。这种疾病容易发生聚集性感染。医护人员在有效避免医院内传播的同时,很难为患有COVID-19的手术患者提供更好的围手术期治疗。对此类患者的围手术期管理需要充分考虑麻醉和手术可能导致的肺损伤因素。还需要选择合适的手术时机,进行术前感染筛查和评估,并在手术中和手术后实施肺保护策略,以避免加重肺损伤。同时,有必要更加重视感染防控,以避免医院感染。

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