摘要
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.
作者
李阳
李占飞
毛庆祥
刘丁
张乐天
杨帆
解雨
周思儒
张画羽
艾山木
唐昊
钟秋
郭庆山
王耀丽
张伟国
陈力勇
白祥军
张连阳
Li Yang;Li Zhanfei;Mao Qingxiang;Liu Ding;Zhang Letian;Yang Fan;Xie Yu;Zhou Siru;Zhang Huayu;Ai Shanmu;Tang Hao;Zhong Qiu;Guo Qingshan;Wang Yaoli;Zhang Weiguo;Chen Liyong;Bai Xiangjun;Zhang Lianyang(State Key Laboratory of Trauma,Burns and Combined Injuries,Medical Center of Trauma and War Injuries,Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Trauma Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Anesthesiology,Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Disease Prevention and Control,Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Radiology,Daping hospital,Army Medical University,Chongqing 400042,China;Department of Critical Care,Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Clinical Laboratory,Daping hospital,Army Medical University,Chongqing 400042,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2020年第2期97-103,共7页
Chinese Journal of Trauma
基金
国家科技部重点研发计划重点专项(2018YFC2001500)。
关键词
冠状病毒感染
肺炎
创伤和损伤
外科手术
感染防护
Coronavirus infections
Pneumonia
Wounds and injuries
Surgical procedures
operative Infection prevention and control