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  • 朱凯敏,孙国林,薄禄龙,杨涛.新型冠状病毒肺炎患者围手术期处理策略与要点[J].第二军医大学学报,2020,41(6):648-652    [点击复制]
  • ZHU Kai-min,SUN Guo-lin,BO Lu-long,YANG Tao.Strategies and key points of perioperative management of coronavirus disease 2019 patients[J].Acad J Sec Mil Med Univ,2020,41(6):648-652   [点击复制]
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新型冠状病毒肺炎患者围手术期处理策略与要点
朱凯敏1,2,孙国林1,薄禄龙1,杨涛1*
0
(1. 海军军医大学(第二军医大学)长海医院麻醉学部, 上海 200433;
2. 武警上海总队医院重症监护病房, 上海 201103
*通信作者)
摘要:
新型冠状病毒肺炎(COVID-19)已发展成全球大流行,对公共卫生安全造成严重威胁。由于其病原体严重急性呼吸综合征冠状病毒2(SARS-CoV-2)可通过飞沫、接触等途径在人与人之间传播,疑似或确诊COVID-19患者在手术室或ICU接受治疗时,如何在实施全面有效治疗的过程中避免病毒进一步播散成为医务人员关注的重点与难点。本文针对SARS-CoV-2的传播特征、围手术期特殊环境及特定操作下的疾病处理和感染控制措施展开讨论。
关键词:  新型冠状病毒肺炎|围手术期|重症监护病房|感染控制
DOI:10.16781/j.0258-879x.2020.06.0648
投稿时间:2020-05-10修订日期:2020-06-10
基金项目:海军军医大学(第二军医大学)长海医院“234学科攀峰计划”(2019YXK016).
Strategies and key points of perioperative management of coronavirus disease 2019 patients
ZHU Kai-min1,2,SUN Guo-lin1,BO Lu-long1,YANG Tao1*
(1. Department of Anesthesiology, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Intensive Care Unit, Hospital of Shanghai Armed Police Forces, Shanghai 201103, China
*Corresponding author)
Abstract:
Coronavirus disease 2019 (COVID-19) has become a pandemic threatening public health. Its pathogen, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can be transmitted from person to person through droplets, contact and other ways. How to avoid further spread of the virus when patients with suspected or confirmed COVID-19 receive treatment in the operating rooms or intensive care units has become the focus and difficulty faced by medical staff. Here we discussed the dissemination characteristics of SARS-CoV-2, the perioperative environments, the disease management and infection control measures under specific operation.
Key words:  coronavirus disease 2019|perioperative period|intensive care unit|infection control