新冠疫情时代的鼻内手术——伯明翰经验
Endonasal surgery in the coronavirus era - Birmingham experience.
作者信息
Naik P P, Tsermoulas G, Paluzzi A, McClelland L, Ahmed S K
机构信息
Department of ENT, University Hospital Birmingham, UK.
Department of Neurosurgery, University Hospital Birmingham, UK.
出版信息
J Laryngol Otol. 2020 Nov 4:1-4. doi: 10.1017/S0022215120002364.
BACKGROUND
The World Health Organization declared coronavirus disease 2019 a pandemic on 11th March 2020. There is concern regarding performing endonasal surgical procedures because of a high viral load in the nasopharynx. This paper describes our experience in conducting emergency and urgent endonasal operations during the peak of the coronavirus disease 2019 pandemic in the UK.
OBJECTIVES
To show the outcome of endonasal surgery during the peak of the coronavirus disease 2019 pandemic and to assess the post-operative rate of nosocomial coronavirus disease 2019 infection.
METHODS
A retrospective cohort study was conducted of all patients who underwent high priority endoscopic nasal surgery or anterior skull base surgery between 23rd March and 15th June 2020 at University Hospitals Birmingham NHS Trust.
RESULTS
Twenty-four patients underwent endonasal surgery during the study period, 12 were males and 12 were females. There was no coronavirus-related morbidity in any patient.
CONCLUSION
This observational study found that it is possible to safely undertake urgent endonasal surgery; the nosocomial risk of coronavirus disease 2019 can be mitigated with appropriate peri-operative precautions.
背景
世界卫生组织于2020年3月11日宣布2019冠状病毒病为大流行病。由于鼻咽部病毒载量高，人们对进行鼻内外科手术存在担忧。本文描述了我们在英国2019冠状病毒病大流行高峰期进行紧急和急诊鼻内手术的经验。
目的
展示2019冠状病毒病大流行高峰期鼻内手术的结果，并评估术后医院内2019冠状病毒病感染率。
方法
对2020年3月23日至6月15日期间在伯明翰大学医院国民保健服务信托基金接受高优先级内镜鼻窦手术或前颅底手术的所有患者进行了一项回顾性队列研究。
结果
在研究期间，24例患者接受了鼻内手术，其中男性12例，女性12例。所有患者均无冠状病毒相关发病情况。
结论
这项观察性研究发现，进行紧急鼻内手术是安全可行的；通过适当的围手术期预防措施，可以降低医院内2019冠状病毒病的风险。
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