新型冠状病毒肺炎疫情期间小儿骨科创伤急诊手术及相关管理措施专家共识

2019年12月以来,以2019冠状病毒(2019 novel coronavirus,2019-nCoV)为病原体导致的新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者在湖北省武汉市相继出现,并迅速波及全国。陆续的相关报告证实,COVID-19具有强传染性,可通过多种途径传播,包括儿童和青少年在内的所有人群对其普遍易感,这给防控带来巨大的困难。随着疫情的发展,小儿骨科急诊创伤患儿的急诊与住院治疗需求问题日益突显。在武汉市及全国多家抗疫一线小儿骨科医护人员的救治经验基础上,通过查阅已公布的相关防控条例,结合国内外关于2019-nCoV最新研究文献,充分了解其生物学特性和传染特点,综合既往已有的小儿骨科创伤救治原则和循证医学证据,制订本专家共识,为在COVID-19疫情期间对急诊创伤患儿进行手术治疗,制定出系统规范且符合小儿骨科临床实践的临床路径和防控措施,同时也为各级医院从门急诊、住院、手术到术后护理等各环节防控,并安全开展小儿骨科创伤急诊手术处理提供参考依据。

Expert consensus on emergency surgery and infection prevention in traumatic pediatric orthopedics under the epidemic of novel coronavirus pneumonia

Novel coronavirus pneumonia infection,which is caused by the 2019 novel coronavirus(2019-nCoV)has been reported in Wuhan,Hubei province and spreads rapidly to the whole country since December 2019.The virus is generally susceptible and highly infectious to all the population including children and spreads through many ways,which brings great difficulties for the prevention and control of novel coronavirus disease 2019(COVID-19).Based on the needs of pediatric orthopaedic patients for emergency trauma surgery,the authors reviewed the latest novel coronavirus pneumonia diagnosis and treatment strategy,the latest principles and evidence-based medicine in pediatric orthopaedics,and put forward this expert consensus.The expert consensus systematically standardized the clinical pathway and protective measures for emergency surgery on pediatric orthopaedic traumatic patients during COVID-19 epidemic,and provided the basis for the treatment of such kind of patients in clinical work,so as to provide effective reference for the emergency surgical treatment of pediatric orthopaedic trauma patients in all levels of hospitals.