Kühn Florian, Klein Matthias, Laven Henning, Börner Nikolaus, Weinberger Tobias, Streitparth Florian, Werner Jens, Schiergens Tobias S
Department of General, Visceral, and Transplant Surgery, Hospital of the Ludwig Maximilian University of Munich, Munich, Germany.
Emergency Department, Hospital of the Ludwig Maximilian University of Munich, Munich, Germany.
Visc Med. 2020 Oct;36(5):417-420. doi: 10.1159/000509122. Epub 2020 Jun 11.
During the current COVID-19 pandemic, the triage, assessment, and management of patients presenting to the emergency department with critical conditions has become -challenging. The clinical features of COVID-19 are heterogeneous and subtle in many cases. They may easily be overlooked in the case of other acute diseases. Gastrointestinal symptoms are common in patients with COVID-19 as SARS-CoV-2 is able to enter gastrointestinal epithelial cells. However, these complaints can also be caused by a COVID-19-independent concomitant abdominal pathology. Therefore, patients with acute abdominal pain and fever need to be assessed very thoroughly. Based on a clinical case, we present our approach of managing emergency patients with acute abdomen and concomitant suspicion of -COVID-19.
在当前的新冠疫情期间，对急诊科出现危急情况的患者进行分诊、评估和管理变得具有挑战性。新冠病毒疾病的临床特征在许多情况下具有异质性且不明显。在其他急性疾病的情况下，它们很容易被忽视。新冠病毒疾病患者出现胃肠道症状很常见，因为严重急性呼吸综合征冠状病毒2能够进入胃肠道上皮细胞。然而，这些症状也可能由与新冠病毒疾病无关的并发腹部病变引起。因此，对伴有腹痛和发热的患者需要进行非常全面的评估。基于一个临床病例，我们介绍了管理伴有急性腹痛且怀疑感染新冠病毒疾病的急诊患者的方法。
