| 新型冠状病毒肺炎期间骨盆髋臼骨折诊疗专家共识 |
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| 引用本文： | 无,姚升,万意州,陈开放,王玉龙,曲延镇,曾练,余斌,王钢,吴新宝,王建东,郭书权,侯志勇,陈华,樊仕才,易成腊,朱仕文,庄岩,周大鹏,刘光耀,周琦石,马献忠,郑龙坡,吕刚,石展英,陈明,刘兆杰,吴丹凯,尚剑,李连欣,孙大辉,王光林,厉孟,李明,王秋根,冯卫,佟大可,陈爱民,周东生,郭晓山,孙玉强,李钊伟,刘国辉,郭晓东. 新型冠状病毒肺炎期间骨盆髋臼骨折诊疗专家共识[J]. 中华创伤骨科杂志, 2020, 0(2): 104-111 |
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| 作者姓名： | 无 姚升 万意州 陈开放 王玉龙 曲延镇 曾练 余斌 王钢 吴新宝 王建东 郭书权 侯志勇 陈华 樊仕才 易成腊 朱仕文 庄岩 周大鹏 刘光耀 周琦石 马献忠 郑龙坡 吕刚 石展英 陈明 刘兆杰 吴丹凯 尚剑 李连欣 孙大辉 王光林 厉孟 李明 王秋根 冯卫 佟大可 陈爱民 周东生 郭晓山 孙玉强 李钊伟 刘国辉 郭晓东 |
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| 作者单位： | 中国医疗保健国际交流促进会骨科分会骨盆髋臼损伤学组;中华医学会骨科学分会创伤骨科学组;中国研究型医院学会神经再生与修复专业委员会脊柱损伤与功能重建学组;华中科技大学同济医学院附属协和医院骨科医院;南方医科大学南方医院骨科;北京积水潭医院创伤骨科;上海交通大学附属第一人民医院骨科;重庆医科大学附属第一医院骨科;河北医科大学第三医院创伤急救中心;解放军总医院第一医学中心骨科;南方医科大学附属第三医院骨科;华中科技大学同济医学院附属同济医院骨科;西安交通大学医学院附属红会医院骨科;北部战区总医院骨科;吉林大学中日联谊医院骨科;广州中医药大学第一附属医院骨科;河南省洛阳正骨医院骨科;同济大学附属第十人民医院骨科;新疆医科大学附属中医医院骨科;广西医科大学第四附属医院骨科;南昌大学第一附属医院骨科;天津市天津医院创伤骨科;吉林大学白求恩第二医院骨科医院;哈尔滨医科大学附属第一医院骨科;山东第一医科大学附属省立医院骨科;吉林大学白求恩第一医院骨科;四川大学华西医院骨科;甘肃省人民医院创伤骨科;宁波市第六医院创伤骨科;内蒙古医科大学第二附属医院环骨盆外科;上海交通大学医学院附属第九人民医院骨科;海军军医大学附属长征医院骨科;温州医科大学附属第二医院创伤骨科;上海交通大学附属第六人民医院骨科;青海大学附属医院创伤骨科 |
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| 基金项目： | 国家重点研发计划重点专项课题(2016YFC1100102);国家自然科学基金(81873999,81672158)。 |
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| 摘 要： | 自2019年12月以来,新型冠状病毒(2019-nCoV)感染的肺炎(COVID-19)疫情暴发并向全国蔓延。相较于严重急性呼吸综合征(SARS)冠状病毒,2019-nCoV致死率更低,但却具有更高的传染性和致病力。截至2020年2月22日24时,累计报告确诊病例76936例(武汉36174例)[1];截至2月11日,全国医务人员感染3019例[2],远远超过了"非典"疫情感染人数。骨盆、髋臼骨折是创伤救治中最为复杂的病情之一,其发生率约占全身骨折的3%[3]。骨盆、髋臼骨折常发生于高能量损伤,容易合并大出血、重要脏器损伤等严重情况,病死率一直居高不下[4]。病毒流行为疫区骨盆、髋臼骨折院前急救、急诊诊疗、手术策略、麻醉和围手术期管理等医务工作带来了巨大挑战。在疫情流行期间,为了降低骨盆、髋臼骨折救治过程中患者之间、患者与医务人员之间、医务人员相互之间交叉感染的风险,提高骨折预后水平,需要通过多学科协作,统筹传染病和骨盆、髋臼骨折的诊疗方案,制定严密的诊疗计划,降低疾病的致残率和致死率。为响应党中央号召,科学战"疫",坚决打赢这场疫情防控的人民战争、总体战、阻击战,根据《新型冠状病毒感染的肺炎诊疗方案(试行第六版)》,结合肺炎防治和创伤救治相关诊疗指南[5,6,7,8,9,10],特制定此诊疗专家共识,以规范COVID-19疫情期间骨盆、髋臼骨折的诊疗,提高治愈率,降低交叉感染的风险。
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| 关 键 词： | 髋臼骨折 感染人数 围手术期管理 诊疗方案 疫情防控 诊疗计划 疫情流行 交叉感染 |
Expert consensus on diagnosis and treatment of pelvic&acetabular fractures in the epidemic of COVID-19 |
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| 无,Yao Sheng,Wan Yizhou,Chen Kaifang,Wang Yulong,Qu Yanzhen,Zeng Lian,Yu Bin,Wang Gang,Wu Xinbao,Wang Jiandong,Guo Shuquan,Hou Zhiyong,Chen Hua,Fan Shicai,Yi Chengna,Zhu Shiwen,Zhuang Yan,Zhou Dapeng,Liu Guangyao,Zhou Qishi,Ma Xianzhong,Zheng Longpo,Lyu Gang,Shi Yingzhan,Chen Ming,Liu Zhaojie,Wu Dankai,Shang Jian,Li Lianxin,Sun Dahui,Wang Guanglin,Li Meng,Li Ming,Wang Qingen,Feng Wei,Tong Dake,Chen Aimin,Zhou Dongsheng,Guo Xiaoshan,Sun Yuqiang,Li Zhaowei,Liu Guohui,Guo Xiaodong. Expert consensus on diagnosis and treatment of pelvic&acetabular fractures in the epidemic of COVID-19[J]. Chinese Journal of Orthopaedic Trauma, 2020, 0(2): 104-111 |
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| Authors: | 无 Yao Sheng Wan Yizhou Chen Kaifang Wang Yulong Qu Yanzhen Zeng Lian Yu Bin Wang Gang Wu Xinbao Wang Jiandong Guo Shuquan Hou Zhiyong Chen Hua Fan Shicai Yi Chengna Zhu Shiwen Zhuang Yan Zhou Dapeng Liu Guangyao Zhou Qishi Ma Xianzhong Zheng Longpo Lyu Gang Shi Yingzhan Chen Ming Liu Zhaojie Wu Dankai Shang Jian Li Lianxin Sun Dahui Wang Guanglin Li Meng Li Ming Wang Qingen Feng Wei Tong Dake Chen Aimin Zhou Dongsheng Guo Xiaoshan Sun Yuqiang Li Zhaowei Liu Guohui Guo Xiaodong |
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| Affiliation: | (Group of Pelvic&Acetabular Injury,Orthopaedic Branch,China International Exchange and Promotive Association for Medical and Health Care;Group of Orthopaedic Trauma,Orthopaedic Branch,Chinese Medical Association;Group of Spinal Injury and Functional Reconstruction,Neuroregeneration&Neurorestoration Professional Committee,Association of Chinese Research Hospitals;Department of Orthopaedics,Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department,of Orthopaedic cind Trauma,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Orthopaedics,The First People's Hospital of Shanghai,Affiliated,to Shanghai Jiao Tong University,Shanghai 200080,China;Department of Orthopaedics,The First Affiliated Hospital to Chongqing Medical University,Chongqing 630014,China;Department of Orthopaedics,The Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department,of Orthopaedics,General Hospital of Chinese PLA,Beijing 100853,China;Department of Orthopaedics,The Third Affiliated Hospital to Southern Medical University,Guangzhou 510630,China;Department of Orthopaedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Orthopaedics,Honghui Hospital,Xi'an Jiao Tong University Health Center,Xi'an 710054,China;Department of Orthopaedics,General Hospital of Northern Military Command,Shenyang 100191,China;Department of Orthopaedics,China-Japan Union Hospital,Jilin University,Changchun 130033,China;Department of Orthopaedics,The First Affiliated Hospital,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;Department of Orthopaedics,Luoyang Orthopedic-Traumatological Hospital of Henan Province,Luoyang 471013,China;Department of Orthopaedics,The Tenth Affiliated Hospital,Tongji University,Shanghai 200072,China;Department of Orthopaedics,Hospital of Traditional Chinese Medicine,Ajfiliated to Xinjiang Medical University,Urnmqi 830000,China;Department of Orthopaedics,The Fourth Ajfiliated Hospital,Guangxi Medical University,Liuzhou 545005,China;Department,of Orthopaedics,The First Affiliated Hospital,Nanchang University,Nanchang 330006,China;Department of Orthopaedic arid Trauma,Tianjin Hospital of Tianjin City,Tianjin 300210,China;Orthopaedics Hospital,The Second Bethune Hospital,Jilin Medical University,Changchun 130021,China;Department of Orthopaedics,The First Affiliated Hospital,Harbin Medical University,Harbin 150001,China;Provincial Hospital,Affiliated to Cheeloo College of Medicine,Shandong University,Jinan 250021,China;Department of Orthopaedics,The First Bethune Hospital,Jilin Medical University,Changchun 130021,China;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Orthopaedic and Trauma,Gansu Provincial Hospital,Lanzhou 730000,China;Department of Orthopaedics,The Sixth Hospital of Ningbo,Ningbo 315040,China;Department of Pelvic Surgery,The Second Affiliated Hospital,Inner Mongolia Medical University,Hohhot 010030,China;Department of Orthopaedics,The Ninth People's Hospital of Shanghai,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Orthopaedics,Changzheng Hospital,Navy Military Medical University,Shanghai 200003,China;Department of Orthopaedic and Trauma,The Second Affiliated Hospital,Wenzhou Medical University,Wenzhou 325027,China;Department of Orthopaedics,The Sixth People's Hospital,Shanghai Jiao Tong University,Shanghai 200233,China;Department of Orthopaedic and Trauma,Affiliated Hospital to Qinghai University,Xining 810001,China) |
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