儿童2019新型冠状病毒感染的呼吸道异物手术

Pediatric airway foreign body retrieval during the prevention and control of 2019 novel coronavirus

2019新型冠状病毒(2019 novel coronavirus,2019-nCoV)的疫情防控是目前国家各行各业的首要、紧急任务。该病毒感染主要通过呼吸道飞沫传播、空气传播及接触传播。儿童呼吸道异物是常见的耳鼻咽喉科急诊,高发年龄为1~3岁,常常引起气道梗阻,窒息,肺炎等并发症,部分可迅速危及生命。耳鼻咽喉科处理原则是急诊行直接喉镜+支气管镜检查+异物取出术。因手术操作过程中相关医务人员须与患儿近距离接触,术中患儿反应性咳嗽等可产生大量飞沫或气溶胶,结合手术操作的特点,总结了2019-nCoV防控期间呼吸道异物急症手术诊疗建议,供儿童耳鼻咽喉科同仁参考。由于疫情变化,以及对病毒的认知的变化,后期可能做相关调整。

The prevention and control of 2019 novel coronavirus(2019-nCoV)is currently the primary task of all industries in China.The virus infection is mainly transmitted by respiratory droplets,airborne and close contact.Pediatric foreign body in the respiratory tract is a common otorhinolaryngology emergency,especially occurred in 1-3 years old children,and usually causes airway obstruction,suffocation and pneumonia,which may become an acute threat to life.The principle treatment in otorhinolaryngology emergency room is direct laryngoscope,bronchoscope and foreign body removal.Due to the close contact between the relevant medical staff and child during the operation,a large number of droplets and aerosols can be produced during the reactive cough of the child.Combined with the characteristics of the operation,this article intends to provide advices on diagnosis and treatment of airway foreign body removal for pediatric otorhinolaryngology colleagues during the prevention and control of 2019-nCoV.Adjustments could be made subsequently due to changes of the epidemic situation and the recognition of 2019-nCoV.