外科医师参与新型冠状病毒肺炎应急医疗救援的思考

Consideration of surgeons participating in 2019 coronavirus disease emergency medical rescue

作为新发传染病,集中暴发的新型冠状病毒肺炎(COVID⁃19)对医疗救治提出很大挑战。尤其是重型及危重型患者病情复杂,合并较多心理问题,而医务人员超负荷工作同时承受巨大心理压力。外科医师参与应急医疗救援,可对患者合并的外科疾病进行专科处理,同时对非外科医师培训COVID⁃19治疗过程中常见的外科相关问题,降低外科相关病死率。外科医师结合自身特点,扬长补短,利用团队意识佳、无菌观念强及心理素质好的优势,在做好自身防护的前提下快速适应并开展救援工作;同时建立重症管理观念,重点掌握疫情相关重症支持设备,针对疫情特点快速转型。建议结合外科住院医师规范化培训培养复合型外科人才。希望上述思考可以对外科医师更好地参与传染病应急医疗救援及外科教育提供参考。

As a newly epidemic,2019 coronavirus disease(COVID⁃19)with a concentrated outbreak poses a great challenge to medical treatment.The severe and critical patients are complex complicatied with the psychological problems,and the medical staff are overworked and under tremendous psychological pressure.The surgeon participated in emergency medical rescue could provide professional treatment for the patients combined with surgical diseases,as well as specialized training for the non⁃surgeon crew,to reduce surgical⁃related mortality.With the advantages of good team consciousness,strong aseptic concept and good psychological quality,the surgeons can quickly adapt to and carry out rescue work under the premise of good self⁃protection.Surgeons need to develop critical care management concepts and focus on the critical care support equipment.Some suggestions are put forward for the standardized training of resident surgeons to cultivate compound talents.It is hoped that this article can lead to the thinking of how to participate in the emergency medical rescue of infectious diseases among surgeons and provide some enlightenment for future surgical education.