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管理一名患有2019冠状病毒病且因大面积头皮蝇蛆病接受清创术患者的围手术期挑战。

Perioperative challenges in managing a patient with COVID-19 undergoing debridement for massive scalp myiasis.

作者信息

Lo Shiu Yin, Teah Ming Kai, Ho Yan Zheng, Yeap Tat Boon

机构信息

Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia.

Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.

出版信息

BMJ Case Rep. 2021 Feb 5;14(2):e241189. doi: 10.1136/bcr-2020-241189.

DOI:10.1136/bcr-2020-241189
PMID:33547110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10577744/
Abstract

A young man presented to our centre needing an urgent debridement of his postcraniotomy wound due to massive myiasis during the COVID-19 pandemic in October 2020. Prior to the surgery, his nasopharyngeal swab real-time PCR test result was unknown. One day later, it returned as SARS-CoV-2 positive. All healthcare workers who were involved in the patient management avoided cross infection as they wore appropriate personal protective equipment. This article depicts the importance of adequate preparations when handling potentially infectious patients and the perioperative issues associated with it.

摘要

2020年10月新冠疫情期间,一名年轻男子因颅骨切开术后伤口大量蝇蛆病前来我院急诊清创。术前,其鼻咽拭子实时PCR检测结果未知。一天后,结果回报为新型冠状病毒肺炎核酸阳性。所有参与该患者治疗的医护人员因穿戴了合适的个人防护装备而避免了交叉感染。本文描述了处理潜在感染性患者时充分准备的重要性以及与之相关的围手术期问题。

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本文引用的文献

1
Massive airway myiasis: an extreme rarity.大气道蝇蛆病:极为罕见。
BMJ Case Rep. 2020 Dec 9;13(12):e237764. doi: 10.1136/bcr-2020-237764.
2
Sepsis and Coronavirus Disease 2019: Common Features and Anti-Inflammatory Therapeutic Approaches.脓毒症与 2019 年冠状病毒病:共同特征与抗炎治疗策略。
Crit Care Med. 2020 Dec;48(12):1841-1844. doi: 10.1097/CCM.0000000000004625.
3
Postoperative cerebral myiasis: A rare cause of wound dehiscence in developing countries.术后脑蝇蛆病:发展中国家伤口裂开的罕见原因。
Surg Neurol Int. 2016 Jun 23;7:69. doi: 10.4103/2152-7806.184581. eCollection 2016.
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Posttraumatic human cerebral myiasis.创伤后人体脑蝇蛆病。
World Neurosurg. 2010 May;73(5):557-9. doi: 10.1016/j.wneu.2010.01.004.
5
Cerebral myiasis associated with angiosarcoma of the scalp: case report.头皮血管肉瘤相关的脑蝇蛆病:病例报告
Neurosurgery. 2007 Jul;61(1):E167; discussion E167. doi: 10.1227/01.neu.0000279738.15307.37.
6
Human aural myiasis.人类耳蛆病。
Southeast Asian J Trop Med Public Health. 1991 Jun;22(2):274-5.
7
Myiasis in human filarial lymphedema.人类丝虫性淋巴水肿中的蝇蛆病
Southeast Asian J Trop Med Public Health. 1992 Dec;23(4):807-8.