重大突发公共卫生事件下儿童慢性肾脏病管理与应对策略:新型冠状病毒肺炎疫情带来的思考

Management and coping strategies for children with chronic kidney diseases during major public health emergencies: reflections on the outbreak of novel coronavirus pneumonia

自2019年12月中旬以来,新型冠状病毒(2019 novel coronavirus,2019-nCoV)肺炎疫情覆盖全国,各省市及境外的多个国家陆续发现了数万例的患者,形势十分严峻,各省市均启动了重大突发公共卫生事件一级响应。流行病学调查显示人群对2019-nCoV普遍易感,慢性肾脏病(CKD)患儿是高危易感人群。以慢病为特点的儿童CKD管理暴露出一系列的问题,如何做好CKD患儿的疫情防控、如何保障治疗延续等突出问题为目前儿童CKD管理带来了一系列挑战。本文就此次2019-nCoV肺炎引发的疫情为背景,提出在重大突发公共卫生事件下,儿童CKD管理应对策略与体系建设的建议。

The 2019 novel coronavirus(2019-nCoV)infection has covered the whole country since mid-December 2019.Tens of thousands cases have been confirmed in various provinces,cities and overseas countries.The infection situation is very serious,all provinces and cities have launched the first-level response to major public health emergencies.The epidemiological investigation has indicated that the general population is susceptible to 2019-nCoV,and the children with chronic kidney disease(CKD)are at high risk.The management of children with CKD characterized by chronic diseases has shown a series of problems,such as how to prevent and control the epidemic situation of children with CKD,how to ensure the continuation of treatment,etc.Based on the outbreak of 2019-nCoV pneumonia,this article puts forward some suggestions on the coping strategies and system construction for management of children with CKD during major public health emergencies.