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为实现新冠病毒疾病(COVID-19)手术风险分层,以在微创手术中管理有限的劳动力和物资。

In pursuit of COVID-19 surgical risk stratification to manage a limited workforce and supplies in minimally invasive surgery.

作者信息

Mitura Kryspin, Myśliwiec Piotr, Rogula Wojciech, Solecki Michał, Furtak Jarosław P, Kazanowski Michał, Kłęk Stanisław, Nowakowski Michał, Pędziwiatr Michał, Zawadzki Marek, Wallner Grzegorz, Sobocki Jacek

机构信息

Faculty of Medical and Health Sciences, University of Natural Sciences and Humanities, Siedlce, Poland.

1 Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2020 Sep;15(3):416-423. doi: 10.5114/wiitm.2020.95073. Epub 2020 May 10.

Abstract

The protective barriers used so far in surgery do not provide adequate protection against SARS-CoV-2 virus, and reinforced protective equipment is needed. The rapid increase in the number of patients and the worldwide panic associated with the increasingly low availability of protective equipment has resulted in a shortage of protective equipment in many hospitals. Appropriatepersonal protective equipment must be provided so that the surgical team proceeding to surgery is not excluded from the further struggle for patients' health, especially in MIS. Reckless and excessive use of maximum protective equipment may result in a severe shortage of these products when the number of infected persons requiring surgery increases. The use of a structured infection risk scheme for medical staff, depending on the results of reverse transcription polymerase chain reaction assays and COVID-19 symptoms, combined with the division of protection equipment into three groups, allows easy selection of an appropriate clothing scheme for the clinical setting.

摘要

迄今为止,手术中使用的防护屏障对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒的防护并不充分,因此需要强化防护装备。患者数量的迅速增加以及与防护装备供应日益减少相关的全球恐慌,导致许多医院防护装备短缺。必须提供适当的个人防护装备,以便进行手术的手术团队不被排除在为患者健康而进行的进一步斗争之外,尤其是在微创外科手术中。当需要手术的感染人数增加时,鲁莽和过度使用最高级别的防护装备可能会导致这些产品严重短缺。根据逆转录聚合酶链反应检测结果和新型冠状病毒肺炎症状,为医务人员采用结构化的感染风险方案,并将防护装备分为三组,这样就能轻松为临床环境选择合适的着装方案。

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