新冠肺炎疫情期间严重创伤紧急手术及感染防护专家共识

Consensus on emergency surgery and infection prevention and control for severe trauma patients with 2019 novel corona virus pneumonia

2019年12月以来,湖北省武汉市发生新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)疫情,由人体中前所未见的2019新型冠状病毒(2019 novel coronavirus,2019-nCoV)所致。中国采取了史上最严格的隔离和封闭管理措施管控疫情,但NCP患者仍可能发生严重创伤。为了规范隐形感染、疑似感染或确诊NCP患者发生严重创伤后紧急手术及防护问题,由中国医师协会创伤外科医师分会组织牵头制订本专家共识。本共识阐述了NCP患者分类、需紧急手术的严重创伤患者和紧急手术类型,提出了医护人员的分级防护和救治场所区分,系统规范了NCP疫情流行期间患者的接诊筛查与伤情评估、紧急手术救治策略和术后管理策略,为临床救治此类创伤患者提供依据。

A novel coronavirus pneumonia(NCP)outbreak has occurred in Wuhan,Hubei Province since December 2019,caused by a novel coronavirus(2019-nCoV)never seen previously in human.China has imposed the strictest quarantine and closed management measures in history to control the spreading of the disease.However,severe trauma can still occur in the NCP patients.In order to standardize the emergency treatment and the infection prevention and control of severe trauma patients with hidden infection,,suspected or confirmed infection of 2019-nCoV,Trauma Surgery Branch of Chinese Medical Doctors’Association(CMDA)organized this expert consensus.The consensus illustrated the classification of the NCP patients,severe trauma patients in need of emergency surgery,emergency surgery type,Hierarchical protection for medical personnel and treatment places.Meanwhile,the consensus standardized the screening,injury severity evaluation,emergency surgical treatment strategy and postoperative management strategy of severe trauma patients during the epidemic period of NCP,providing a basis for the clinical treatment of such patients.