Müller Michael, Stöckle Ulrich, Trampuz Andrej, Felix Stephan, Kramer Axel, Wassilew Georgi
Centrum für Muskuloskeletale Chirurgie Charité - Universitätsmedizin Berlin.
Klinik für Kardiologie, Angiologie, Pneumologie/Infektiologie und Intensivmedizin, Universitätsmedizin Greifswald.
Z Orthop Unfall. 2021 Feb;159(1):25-31. doi: 10.1055/a-1208-0182. Epub 2020 Nov 5.
The corona virus has spread worldwide since it first appeared in China and represents a pandemic of unprecedented magnitude. The pandemic has not only social and economic effects, but even more impressive effects on the health system. If the virus spreads uncontrollably and rapidly, there is a risk of an unpredictable increase of patients with COVID-19 disease requiring hospital treatment. The capacities of a hospital can quickly reach the limit and consequently patients can no longer be adequately treated. Therefore, in the acute phase of the pandemic, it is necessary to release all hospital resources for the treatment of COVID-19 patients. Strict hygiene regulations must also be observed in order to prevent the virus from spreading unexpectedly in the hospital in order to protect patients and hospital staff. Elective operations and outpatient clinics must be cancelled in the acute phase. Special hygiene measures must be observed for urgent and unpostponable operations. These relate to the admission of the patients, the accommodation in the ward and the operative care in the operating room. In the post-acute phase, a normal surgical program can be resumed step by step. In this phase, however, clear hygiene regulations must also be observed. Regular medical meetings taking into account the current pandemic situation and the occurrence of new infections must be carried out in the hospital and the occupancy of the ward and operating room adjusted accordingly. To what extent the situation for the treatment of patients in orthopedics and trauma surgery will normalize cannot be predicted at the present time.
自首次在中国出现以来，冠状病毒已在全球范围内传播，这是一场规模空前的大流行病。这场大流行病不仅具有社会和经济影响，对卫生系统的影响更是令人瞩目。如果病毒不受控制地迅速传播，那么需要住院治疗的新冠肺炎患者人数可能会出现不可预测的增加。医院的收治能力可能很快达到极限，从而导致患者无法得到充分治疗。因此，在大流行病的急性期，有必要释放所有医院资源用于治疗新冠肺炎患者。还必须遵守严格的卫生规定，以防止病毒在医院意外传播，从而保护患者和医院工作人员。在急性期，择期手术和门诊必须取消。对于紧急且不可推迟的手术，必须采取特殊的卫生措施。这些措施涉及患者的入院、病房安置以及手术室的手术护理。在急性期过后，可以逐步恢复正常的手术安排。然而，在这个阶段，也必须遵守明确的卫生规定。医院必须定期召开医疗会议，考虑当前的大流行情况和新感染病例的出现，并相应调整病房和手术室的占用情况。目前尚无法预测骨科和创伤外科患者的治疗情况将在何种程度上恢复正常。
