The 2019 Novel Coronavirus(2019-nCoV,SARS-CoV-2)infection has already been assigned as a Class B infectious disease requiring Class A management strategy according to“the Law on the Prevention and Control of Infectio...The 2019 Novel Coronavirus(2019-nCoV,SARS-CoV-2)infection has already been assigned as a Class B infectious disease requiring Class A management strategy according to“the Law on the Prevention and Control of Infectious Diseases of the People’s Republic of China”and become a global pandemic.The incidence of emergencies in otorhinolaryngology,head and neck surgery such as foreign bodies in the esophagus and the respiratory tract,epistaxis,laryngeal obstruction with dyspnea,and head and neck trauma are relatively high.Emergency surgeries are required as some of these diseases progress rapidly and probably be life-threatening.In this article,we drafted the recommendations for diagnosis and treatment of emergency surgeries in otorhinolaryngology,head and neck surgery in the epidemic area of novel coronavirus pneumonia based on“Novel Coronavirus Pneumonia Diagnosis and Treatment Plan(Provisional;7th Edition Revisions)”and WHO guidelines,combined with the experience of emergency surgeries in the Department of Otorhinolaryngology,Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,which is at the center outbreak area of the SARS-CoV-2 pneumonia(COVID-19)in China,to improve the success rate of treatment for otorhinolaryngology,head and neck surgery emergency surgeries and to reduce the SARS-CoV-2 infection rate in the perioperative period.展开更多
本文重点介绍加速康复外科(enhanced recovery after surgery,ERAS)的基本概念及其在围术期的应用价值。ERAS旨在通过优化围术期各项处理措施,加速患者快速康复,缩短住院时间,减少术后并发症,合理使用和分配医疗资源;涵盖术前宣教、优...本文重点介绍加速康复外科(enhanced recovery after surgery,ERAS)的基本概念及其在围术期的应用价值。ERAS旨在通过优化围术期各项处理措施,加速患者快速康复,缩短住院时间,减少术后并发症,合理使用和分配医疗资源;涵盖术前宣教、优化术前相关准备措施、术中麻醉、手术方式及术后康复管理等一系列内容。ERAS理念已广泛应用在胃肠外科、肝胆外科、泌尿外科等专业,并不断总结经验,将其规范化、流程化,现已出台多个专家共识。ERAS在耳鼻咽喉头颈外科领域尚未广泛开展和深入研究,青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科通过借鉴其他专业成熟的ERAS经验,结合自身专业特点,在头颈肿瘤、鼻科、耳科、咽喉科亚专业中广泛开展ERAS,在学习积累经验的同时也在不断探索本领域加速康复的应用要点,以期能为患者的术后加速康复提供借鉴与指导。展开更多
文摘The 2019 Novel Coronavirus(2019-nCoV,SARS-CoV-2)infection has already been assigned as a Class B infectious disease requiring Class A management strategy according to“the Law on the Prevention and Control of Infectious Diseases of the People’s Republic of China”and become a global pandemic.The incidence of emergencies in otorhinolaryngology,head and neck surgery such as foreign bodies in the esophagus and the respiratory tract,epistaxis,laryngeal obstruction with dyspnea,and head and neck trauma are relatively high.Emergency surgeries are required as some of these diseases progress rapidly and probably be life-threatening.In this article,we drafted the recommendations for diagnosis and treatment of emergency surgeries in otorhinolaryngology,head and neck surgery in the epidemic area of novel coronavirus pneumonia based on“Novel Coronavirus Pneumonia Diagnosis and Treatment Plan(Provisional;7th Edition Revisions)”and WHO guidelines,combined with the experience of emergency surgeries in the Department of Otorhinolaryngology,Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,which is at the center outbreak area of the SARS-CoV-2 pneumonia(COVID-19)in China,to improve the success rate of treatment for otorhinolaryngology,head and neck surgery emergency surgeries and to reduce the SARS-CoV-2 infection rate in the perioperative period.
文摘本文重点介绍加速康复外科(enhanced recovery after surgery,ERAS)的基本概念及其在围术期的应用价值。ERAS旨在通过优化围术期各项处理措施,加速患者快速康复,缩短住院时间,减少术后并发症,合理使用和分配医疗资源;涵盖术前宣教、优化术前相关准备措施、术中麻醉、手术方式及术后康复管理等一系列内容。ERAS理念已广泛应用在胃肠外科、肝胆外科、泌尿外科等专业,并不断总结经验,将其规范化、流程化,现已出台多个专家共识。ERAS在耳鼻咽喉头颈外科领域尚未广泛开展和深入研究,青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科通过借鉴其他专业成熟的ERAS经验,结合自身专业特点,在头颈肿瘤、鼻科、耳科、咽喉科亚专业中广泛开展ERAS,在学习积累经验的同时也在不断探索本领域加速康复的应用要点,以期能为患者的术后加速康复提供借鉴与指导。
