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[COVID-19大流行:泌尿外科的影响与快速反应]

[COVID-19 Pandemic: Impact and rapid reaction of Urology].

作者信息

Hevia V, Lorca J, Hevia M, Domínguez A, López-Plaza J, Artiles A, Álvarez S, Sánchez Á, Fraile A, López-Fando L, Sanz E, Ruiz M, Alcaraz E, Burgos F J

机构信息

Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España.

Área de Diagnóstico Urológico y Pruebas Instrumentales de Urología, Servicio de Urología, Hospital Universitario Ramón y Cajal, Madrid, España.

出版信息

Actas Urol Esp. 2020 Sep;44(7):450-457. doi: 10.1016/j.acuro.2020.04.006. Epub 2020 Apr 24.

Abstract

The COVID-19 pandemic caused by the SARS-CoV-2 virus has caused tens of thousands of deaths in Spain and has managed to breakdown the healthcare system hospitals in the Community of Madrid, largely due to its tendency to cause severe pneumonia, requiring ventilatory support. This fact has caused our center to collapse, with 130% of its beds occupied by COVID-19 patients, thus causing the absolute cessation of activity of the urology service, the practical disappearance of resident training programs, and the incorporation of a good part of the urology staff into the group of medical personnel attending these patients. In order to recover from this extraordinary level of suspended activity, we will be obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. Technology tools such as online training courses or surgical simulators may be convenient for the necessary reestablishment of resident education.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的2019冠状病毒病疫情在西班牙已导致数万人死亡,并致使马德里自治区的医疗系统医院不堪重负,这主要是因为该病毒易于引发严重肺炎,需要通气支持。这一情况导致我们中心不堪重负,新冠患者占用了130%的床位,进而致使泌尿外科服务完全停止,住院医师培训项目实际上消失,并且相当一部分泌尿外科工作人员加入了照料这些患者的医疗人员队伍。为了从这种异常程度的活动暂停中恢复过来,我们将不得不基于纯粹的临床标准对病症进行优先级排序,为此有人提出了一些表格,其中包括每种病症在泌尿外科各个领域的相关性。诸如在线培训课程或手术模拟器等技术工具可能便于住院医师教育的必要重建。

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