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中国儿科可弯曲支气管镜术在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染疫情期间诊疗建议(试行)
作者姓名:  陈德晖  代继宏  韩晓蓉  黄燕  焦安夏  靳蓉  李德丽  刘文静  刘玺诚  孟晨  孟繁峥  石永也  唐远平  王少超  吴亚斌  杨运刚  朱春梅  钟礼立
作者单位:中国医师协会儿科医师分会内镜专业委员会;中国医师协会内镜医师分会儿童呼吸内镜专业委员会;中华医学会儿科学分会呼吸学组支气管镜协作组;中国妇幼保健协会微创分会儿童介入呼吸病学学组;广州医科大学附属第一医院;重庆医科大学附属儿童医院;山东大学齐鲁儿童医院;中国科学院大学;首都医科大学附属北京儿童医院;贵阳市儿童医院;吉林大学第一医院;甘肃省妇幼保健院;广东省妇幼保健院;湖北省妇幼保健院;厦门大学附属第一医院;首都儿科研究所附属儿童医院;湖南省人民医院
摘    要:严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染所致肺炎(COVID-19)的疫情已经蔓延到儿童。其传染性强,人群普遍易感,包括儿童。传染源主要是SARS-CoV-2感染的患者,无症状感染者也可能成为传染源。支气管镜诊疗中患儿咳嗽、开放气道等将产生大量的飞沫和分泌物,污染诊室、设备和空气等,甚至感染与患儿近距离接触的医务人员、其他患儿及陪护人员,属于传染高危操作。为此特组织专家撰写儿科可弯曲支气管镜术在SARS-CoV-2感染疫情期间诊疗建议(试行),确立儿科在疫情特殊时期支气管镜诊疗适应证及防控方案,为从事儿科可弯曲支气管镜工作的医务人员提供依据。

关 键 词:防控方案  无症状感染  传染源  陪护人员  严重急性呼吸综合征冠状病毒  疫情  诊疗建议  SARS-COV

Recommendations on the pediatric flexible bronchoscopy during the outbreak of Severe Acute Respiratory Syndrome Coronavirus 2(SARS-CoV-2)infection in China(Trial Edition)
Institution:(Endoscopy Committee,Pediatric Section of Chinese Medical Doctor Association;Pediatric Respiratory Endoscopy Committee,Endoscopists Section of Chinese Medical Doctor Association;Bronchoscopy Collaboration Subgroup of Respirology Group,Pediatric Section of Chinese Medical Association;Pediatric Interventional Respirology Group,Maternal and Pediatric Minimally Invasive Section of Chinese Maternal and Child Health Association;不详)
Abstract:An outbreak of pneumonia caused by Severe Acute Respiratory Syndrome Coronavirus 2(SARS-CoV-2)infection has spread to children.Due to its strong infectivity,people are generally susceptible,including children.The main source of infection is the SARS-CoV-2 infection patients,asymptomatic infection may also become the source of infection.Bronchoscopy is a high-risk operation since during the procedure,with children′s coughing and an open airway,a huge number of droplets and secretions are produced,which will contaminate the desktop,equipment and air,and even infect medical staff,other children and caregivers in close contact.For this reason,experts were specially organized to write recommendations on the diagnosis and treatment of pediatric flexible bronchoscopy during the epidemic period of SARS-CoV-2 infection(trial version),establish indications and prevention and control plans of pediatric bronchoscopy during the epidemic period,and provide a basis for medical staff engaged in pediatric bronchoscopy.
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