新型冠状病毒肺炎疫情期间创伤骨科患者处理要点

Management highlights for patients with orthopedic trauma during the epidemic of COVID-19

新型冠状病毒肺炎疫情严峻,虽一定程度上限制了人员流动,但仍不可避免骨折患者、尤其是低能量损伤老年患者来医院就诊。在此特殊时期,创伤骨科医师应如何在常规的诊疗方式中结合新型冠状病毒肺炎的防控,做好创伤患者围手术期管理,选择合理的术式及麻醉方式,对于患者的预后及疫情的防控至关重要。在做好诊断、治疗、护理、康复等流程的同时,医务人员如何做好自身的防护,避免出现聚集性传播,也是必须要面对的问题。该文从创伤骨科医、护、患三者出发,结合多学科综合干预模式,对当前疫情期间如何做好创伤骨科患者的防治工作进行简要阐述。

Although the epidemic outbreak of Corona Virus Disease 2019(COVID-19)restricted free coming and going of people,it was inevitable that fracture patients,elderly ones with low-energy fracture in particular,sought medical attention.In this special situation,it was crucial for trauma orthopaedists to do well in prevention and control of COVID-19 infection and in perioperative management of their patients as well while they went on with routine diagnosis and treatment.It was also of great significance for prognosis of the patients and prevention and control of the epidemic that orthopaedic surgeons chose proper surgical and anesthesia methods.In the process of diagnosis,treatment,nursing and rehabilitation,medical staff too was challenged by how to prevent themselves from infection and how to eliminate cluster COVID-19 transmission.This paper,from the perspectives of orthopedic surgeons,nurses and patients,expounds briefly on the management of patients with orthopedic trauma during the epidemic period of COVID-19 in a mode of multidisciplinary comprehensive interventions.