COVID-19 大流行如何改变了择期手术：COVID 医院普外科的经验。
How COVID-19 pandemic has changed elective surgery: the experience in a general surgery unit at a COVID-hospital.
机构信息
a:1:{s:5:"en_US";s:25:"Parma University Hospital";}.
General Surgery Unit, Parma University Hospital.
出版信息
Acta Biomed. 2021 Nov 5;92(5):e2021304. doi: 10.23750/abm.v92i5.10296.
OBJECTIVE
Evaluate the impact of Covid-19 in a critical area and analyze the changes in the daily activities in a General Surgery Unit of a tertiary Covid-Hospital.
METHODS
We report and compared all the surgical procedures performed between two periods (March and April 2019 and March and April 2020) at General Surgery Department of Parma University Hospital, a tertiary Covid-Hospital.
RESULTS
Between March and April 2019, a total of 232 surgical procedures were performed. Between March and April 2020 only 61 surgical procedures were performed. In 2019 84 patients underwent surgery for cancer and 171 underwent surgery for benign diseases. In 2020 only 37 patients underwent surgery for oncological reasons and 24 underwent surgery for benign diseases.
CONCLUSIONS
During pandemic Covid-19 the access to health services was limited and poor. Limited access to health services and the fear of Covid-19 infection can explain the lower number of elective surgical procedures for cancer in 2020 compared to the same period in the 2019.
目的
评估新冠疫情在一个关键领域的影响，并分析一家三级新冠定点医院普外科日常活动的变化。
方法
我们报告并比较了 2019 年 3 月至 4 月和 2020 年 3 月至 4 月期间在帕玛大学医院普外科完成的所有手术（帕玛大学医院是一家三级新冠定点医院）。
结果
2019 年 3 月至 4 月期间，共完成 232 例外科手术。2020 年 3 月至 4 月期间，仅完成 61 例外科手术。2019 年，84 例患者因癌症接受手术，171 例患者因良性疾病接受手术。2020 年，仅 37 例患者因癌症接受手术，24 例患者因良性疾病接受手术。
结论
在新冠大流行期间，医疗服务的可及性受到限制且较差。医疗服务的有限可及性以及对新冠病毒感染的恐惧，可以解释与 2019 年同期相比，2020 年癌症择期手术数量减少的原因。
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