新型冠状病毒肺炎疫情期间胸外伤患者临床管理策略专家共识

Expert consensus on clinical management strategy for patients with thoracic trauma during the epidemic period of COVID-19

2019年12月以来,新型冠状病毒肺炎(COVID-19)疫情持续蔓延至全国。此次疫情的特征为传染性强、隐匿性强。中国严格的隔离及管控措施逐步控制了国内疫情,同时降低了创伤的发生率。但随着全国复工复产、交通恢复,以交通事故及高处坠落伤为主要发病因素的胸外伤逐渐增加,临床救治面临巨大的风险和挑战。结合当前疫情环境及胸外伤救治特点,中国医疗保健国际交流促进会胸外科分会胸部创伤学组联合广东省胸部疾病学会胸部创伤管理专委会的部分专家共同制定《新型冠状病毒肺炎疫情期间胸外伤患者临床管理策略专家共识》。该共识包括疫情期间胸外伤手术患者的分类及治疗策略、胸外伤的非手术治疗、胸外伤诊疗管理流程、病区的防护及管理等4个部分,以指导胸外伤诊治工作科学有序地开展。

Since December 2019,a corona virus disease 2019(COVID-19)has been continuing to spread throughout China.This epidemic is characterized by strong infectivity and concealment.China’s domestic epidemic is gradually under control by strict quarantine and control measures,meanwhile the incidence of trauma has reduced.However,with the resumption of industry and traffic,the chest trauma caused mainly by traffic accidents and high falling has increased gradually,great risks and challenges are faced in clinical treatment.Therefore,combined with the current epidemic environment and the treatment characteristics of thoracic trauma,experts from the Thoracic Trauma Group,Thoracic Surgery Branch of China International Exchange and Promotion Association for Medical and Health Care and Chest Trauma Management Committee,Guangdong Association of Thoracic Disease develop an"Expert consensus on clinical management strategy for patients with thoracic trauma during the epidemic period of COVID-19 pneumonia".In order to promote the treatment of chest trauma in a scientific and orderly way,the consensus elaborated 4 parts,including classification and treatment strategy for patients with thoracic trauma required a surgical procedure,non-operative treatment of patients with thoracic trauma,management process of chest trauma,and protection and management of ward.