新型冠状病毒感染先天性心脏病患儿围手术期管理专家共识

National consensus on perioperative managements for congenital heart disease in children infected with Corona Virus Disease 2019

新型冠状病毒肺炎(COVID-19)是2019年12月在中国武汉地区出现的严重急性呼吸道传染病。COVID-19的病原体是2019新型冠状病毒(2019-nCoV),儿童是2019-nCoV的易感者。病毒主要经呼吸道飞沫和密切接触等途径传播,多侵犯心肺肾和胃肠道等组织。因2019-nCoV感染症状和先天性心脏病临床表现相似,从而增加了先天性心脏病临床治疗的复杂性。COVID-19主要靠核酸检测和CT影像确诊。随着对COVID-19认识的深入和诊疗经验的积累,为应对来势凶猛、防控和诊治形势非常严峻的疫情现状,中华医学会小儿外科学分会心胸外科学组组织了全国该领域的主要专家及联合武汉等疫区的专家共同讨论,形成了2019-nCoV感染先天性心脏病患儿围术期管理专家共识。该共识讨论了先天性心脏病患儿COVID-19诊断难点和特殊性、COVID-19疫情期间先天性心脏病外科干预决策、2019-nCoV感染先天性心脏病患儿手术及防护问题、以及先天性心脏病患儿罹患COVID-19的特殊处理要点。

As a severe acute respiratory infectious disease,novel coronavirus pneumonia(COVID-19)appeared in Wuhan China in December 2019.The pathogen of COVID-19 is identified to be 2019 novel coronavirus(2019-nCoV)and children are susceptible to 2019-nCoV.Spreading mostly through respiratory tract and close contacts,the virus invades heart,lung,kidney and gastrointestinal tract.Since the clinical symptoms of viral infection are similar to those of congenital heart disease(CHD),the therapeutic complexity of CHD becomes more troublesome.COVID-19 is definitely diagnosed by nucleic acid detection and CT imaging.With the in-depth understandings and the accumulation of experiences of diagnosing and treating COVID-19 and coping with the gravest challenges of prevention and management,Section of Cardiothoracic Surgery of Branch of Pediatric Surgery of Chinese Medical Association has convened domestic experts and specialists from such an epidemic areas as Wuhan to discuss and formulate the Expert Consensus of Perioperative Management of CHD Children Infected by 2019-nCoV.COVID-19,2019-nCoV infection,surgical options,protective measures and essential therapeutic points for COVID-19 were summarized for CHD children.