COVID-19疫情下心血管外科急诊手术管理策略

Strategies for emergency cardiovascular surgery under the epidemic of COVID-19

新型冠状病毒造成的2019冠状病毒性疾病(COVID-19)是目前中国乃至全球的临床关注焦点。世界卫生组织及国家卫健委均发布了关于COVID-19诊疗的临时指南和诊疗方案,这些综合性指导文件为一线临床工作制定了基本规范。然而心血管外科疾病有其特殊病理生理特点,尤其是心血管急危重症常须急诊手术治疗,亟需制定相应管理策略。自2020年1月16日至2月12日,武汉协和医院心血管外科共完成各类心血管急危重症急诊手术15例,其中明确排除COVID-19感染9例,疑似感染6例,无确诊感染病例。围手术期成功率100%,无相关医护人员感染及患者交叉感染,取得满意治疗效果。本文基于该中心临床实践经验,总结相关经验及管理策略,与世卫组织临时指南和国家卫健委方案进行对比,希望能与之互为补充,为COVID-19疫情下心血管外科医师临床工作提供参考。

Severe acute respiratory infection caused by a novel coronavirus(SARS-CoV-2),WHO named COVID-19,is the major clinical concern globally.Both the world health organization and the National Health Commission have issued interim guidelines and management strategy for the diagnosis and treatment of COVID-19.These comprehensive guidelines establish the basic norms for the clinical practice.However,cardiovascular diseases have their special pathophysiological characteristics.The surgical treatment strategies for emergency and critical cardiovascular diseases requires specific recommendations or guidelines.From 16 January to 12 February 2020,the department of cardiovascular surgery in Wuhan Union Hospital had performed 15 emergency cardiovascular operations.The perioperative success rate is 100%.Based on our clinical practice,we summarized the relevant experience as a complement to the WHO and National Health Commission guidelines,hope to provide references for the cardiovascular surgeons.