外科临床针对无症状核酸检测阳性新型冠状病毒肺炎病人策略

Management strategy of prevention and control for surgeons to asymptomatic 2019-nCoV RNA positive corona virus diseases 2019(COVID-19)

随着新型冠状病毒肺炎(新冠肺炎)疫情防控取得进展,各医疗机构也将逐渐恢复正常诊疗秩序。随着对新冠肺炎认识的深入,一些新的发病特点逐渐被发现。如潜伏期>14 d,无任何呼吸道症状但核酸检测阳性,其造成传播的可能性依然不容忽视。外科医生在接诊无症状核酸检测阳性新冠肺炎病人时存在认识不足、防护不充分,职业暴露的风险增加。因此,外科医生在逐渐恢复正常开展外科疾病诊疗的同时,要对目前新冠肺炎发病特点及变化有充分认识并加强防控。一旦接触无症状核酸检测阳性新冠肺炎病人,外科医生应该熟悉上报流程和紧急挽救措施,尽可能降低无症状核酸检测阳性新冠肺炎造成聚集性传播的风险。

With the periodic success for corona virus diseases 2019(COVID-19)epidemic prevention and control,many medical institutions will gradually restore the routine medical order.With the deepening understanding of COVID-19,some new clinical features of the disease have been gradually discovered,such as the incubation period of more than 14 days,no any respiratory symptoms but 2019-nCoV RNA positive test,the possibility transmission still not be ignored.In the case of asymptomatic RNA positive patients with COVID-19,the surgeon has insufficient knowledge,inadequate protection and increased risk of occupational exposure.Therefore,for surgeons,while gradually carrying out the diagnosis and treatment of surgical diseases,should have a sufficient understanding of the characteristics and changes of the current incidence of novel coronary pneumonia,and pay attention to the ideological,action to strengthen prevention.Once in contact with a patient with asymptomatic RNA positive new coronary pneumonia,the surgeon should be familiar with the emergency management practices including reporting process and emergency rescue measures to minimize the risk of clustering transmission with asymptomatic RNA positive COVID-19.