| 新型冠状病毒肺炎疫情期间危重症病房中普通外科相关问题处理策略 |
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| 引用本文： | 卢婧,李硕,张春,林婷,周瑜辉,王琼,郭利涛,李丹,郭秦乐,刘福德,路惊宇,王小健,王同璞,韩瑾,邓宏平,石秦东,樊林. 新型冠状病毒肺炎疫情期间危重症病房中普通外科相关问题处理策略[J]. 中华消化外科杂志, 2020, 0(4): 352-355 |
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| 作者姓名： | 卢婧 李硕 张春 林婷 周瑜辉 王琼 郭利涛 李丹 郭秦乐 刘福德 路惊宇 王小健 王同璞 韩瑾 邓宏平 石秦东 樊林 |
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| 作者单位： | 西安交通大学第一附属医院普通外科;西安交通大学第一附属医院胸外科;西安交通大学第一附属医院肝胆外科;西安交通大学第一附属医院乳腺外科;西安交通大学第一附属医院肿瘤外科;西安交通大学第一附属医院重症医学科;西安交通大学第一附属医院呼吸内科;西安交通大学第一附属医院神经内科;西安交通大学第一附属医院长安分院呼吸科;西安交通大学第一附属医院长安分院重症医学科;西安交通大学第一附属医院长安分院肾内科;武汉大学人民医院血管外科 |
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| 基金项目： | 陕西省重点研究发展基金资助项目(2018 SF-044)。 |
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| 摘 要： | 新型冠状病毒肺炎(以下简称新冠肺炎)疫情期间,为提高武汉疫区危重症患者治愈率,降低病死率,我国政府从全国抽调优势力量支援武汉,集中收治危重症患者。笔者单位由重症医学科、呼吸科、感染科、心内科、普通外科等专业组建133人医护队伍,成建制接管武汉大学人民医院东院危重症病房,与当地医务人员组成多学科协作团队共同救治患者。截至2020年3月13日,笔者所在医疗队共收治109例患者,其中48例康复出院。新冠肺炎危重症患者多为高龄、伴合并症,病情复杂、诊断与治疗难度大,笔者团队结合临床实践,总结在危重症病人救治过程中,普通外科相关问题的处理经验和策略,以期为普通外科同道提供参考。
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| 关 键 词： | 新型冠状病毒肺炎 并发症 普通外科 危重症病房 经验和策略 |
Strategies for general surgery related issues in the treatment of critically ill patients diagnosed with COVID-19 |
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| Lu Jing,Li Shuo,Zhang Chun,Lin Ting,Zhou Yuhui,Wang Qiong,Guo Litao,Li Dan,Guo Qinle,Liu Fude,Lu Jingyu,Wang Xiaojian,Wang Tongpu,Han Jin,Deng Hongping,Shi Qindong,Fan Lin. Strategies for general surgery related issues in the treatment of critically ill patients diagnosed with COVID-19[J]. Chinese Journal of Digestive Surgery, 2020, 0(4): 352-355 |
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| Authors: | Lu Jing Li Shuo Zhang Chun Lin Ting Zhou Yuhui Wang Qiong Guo Litao Li Dan Guo Qinle Liu Fude Lu Jingyu Wang Xiaojian Wang Tongpu Han Jin Deng Hongping Shi Qindong Fan Lin |
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| Affiliation: | (Department of General Surgery,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Thoracic Surgery,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Hepatobiliary Surgery,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Breast Surgery,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Oncology Surgery,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Critical Medicine,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Respiratory Medicine,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Neurology,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Respiratory Medicine,Changan District Hospital of the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Critical Medicine,Changan District Hospital of the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Nephrology,Changan District Hospital of the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Vascular Surgery,Renmin Hospital of Wuhan University,Wuhan 430205,China) |
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| Abstract: | In order to improve the cure rate of critically ill patients in Wuhan epidemic area and reduce the fatality rate,the state have dispatched medical staffs from the whole country to support Wuhan and treat critically ill patients in dedicated facilities.A medical team from the First Affiliated Hospital of Xi’an Jiaotong University,consisting of 133 medical staffs major in critical care medicine,respiralogy,infection,cardiology,and general surgery,entirely took over the critical care unit of the East Hospital of the Renmin Hospital of Wuhan University,and formed a multidisciplinary collaboration team with local medical staffs to treat patients together.Up to March 13th in 2020,the author′s medical team has admitted a total of 109 patients,of which 48 had been discharged up on recovery.Critically ill patients with Corona Virus Disease 2019 mainly have elder age,comorbidities,complicated conditions,and difficult diagnosis and treatment.The author and the author′s team combined with clinical practice,share experience and strategies of general surgery related issues in the treatment of critically ill patients,providing reference for collegues in general surgery. |
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| Keywords: | Corona Virus Disease 2019 Complications General surgery Intensive care unit Experience and strategies |
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