微创食管癌切除术后感染新型冠状病毒两例

COVID-19 infection after minimally invasive esophagectomy:Two cases report

2例行食管鳞状细胞癌微创手术后感染新型冠状病毒重型患者,男,分别为75岁和51岁。2例患者术后均出现严重低氧血症,采用高级氧疗支持抗病毒、激素冲击、抗生素抗感染及营养支持等治疗。2例患者重症监护室住院时间分别为6 d和8 d,后转入普通病房对症治疗后顺利出院,出院时2例患者均需居家低流量氧气维持。患者1出院后第20 d随访,仍需低流量吸氧,血氧饱和度可维持在97%以上,但可间断脱氧0.5 h;患者2出院后35 d随访情况良好。

Two male patients(75 years and 51 years,respectively)suffered infection of novel coronavirus after minimally invasive surgery for esophageal squamous cell carcinoma in Sichuan Cancer Hospital since December 2022.Both patients developed severe hypoxemia after surgery,and were treated with advanced oxygen therapy,antiviral therapy,hormone shock therapy,antibiotic anti-infection and nutritional support.The two patients stayed in the intensive care unit for 6 days and 8 days respectively.They were transferred to the general ward for symptomatic treatment and were discharged successfully.Both patients required low-flow oxygen maintenance after discharge.On the 20th day of follow-up after discharge,patient 1 still needed low-flow oxygen,his oxygen saturation could be maintained above 97%,but intermittent deoxygenation could be performed for half an hour.Patient 2 was in good condition on 35 days after discharge.