新型冠状病毒肺炎疫情下耳鼻咽喉头颈外科的防护及诊疗实践

Protection and practice in otorhinolaryngology head and neck surgery in the context of COVID-19

2021年,新型冠状病毒肺炎(COVID-19)在中国大地上仍有散发病例,防控形势仍旧严峻。部分感染患者早期无发热,部分症状与耳鼻咽喉头颈外科疾病类似,因此,耳鼻咽喉头颈科医护人员在诊疗或手术过程中,易与患者的上呼吸道黏液、分泌物、飞沫和气溶胶密切接触,存在高风险暴露。本文根据耳鼻咽喉头颈外科医生工作特点和总结的各大医院在COVID-19疫情期间的防疫经验,对COVID-19在耳鼻咽喉头颈外科疾病的早期鉴别、医疗防护措施及诊疗方案等进行讨论,为耳鼻咽喉头颈科医生提供一定见解,以加强个人防护及减少医院内感染等风险。

In 2021,sporadic cases of novel coronavirus pneumonia(COVID-19)are still occur in China,and the prevention and control situation remains critical.Some infected patients had no early fever and some of the symptoms were similar to those of otorhinolaryngology head and neck surgery diseases.Therefore,during diagnosis and treatment or surgery,medical staff in otorhinolaryngology head and neck department are prone to close contact with mucus,secretion droplets,splashing drops and aerosols of the upper respiratory tract of patients,resulting in high risk exposure.This paper was based on the characteristics of the work of otolaryngology head and neck surgeons and summarized experience of major hospitals in preventing the epidemic during the new crown outbreak.The early identification of COVID-19 toxin in otorhinolaryngology head and neck surgery diseases,medical protective measures and treatment protocols were discussed to provide some advice to otorhinolaryngology head and neck surgeons to enhance personal protection and reduce risks such as hospital infections.