新型冠状病毒肺炎疫情下神经外科实施急诊手术的思考与建议

Emergency neurosurgery in general hospitals during the outbreak of novel coronavirus pneumonia: Thoughts and recommendations

摘要:

目前新型冠状病毒肺炎（Corona Virus Disease 2019，COVID-19）疫情严重。作为一个新发传染性强的呼吸道感染疾病，控制传染源、切断传播途径、保护易感人群是战"疫"要遵从的三大原则。在此疫情之下，神经外科医生应掌握COVID-19的临床表现和流行病学特点，尤其是针对COVID-19合并神经外科急诊患者，避免误诊漏诊，是当前的重中之重。为疑似或确诊的COVID-19患者实施急诊神经外科手术时，必须严格遵照卫生行政主管部门或所在医疗机构的相关防护规定，密切协调手术各方，所有人员均应做好三级防护，手术必须在负压手术间进行。对于不具备上述医疗条件的单位，宜尽快将需要急诊手术的COVID-19患者转诊至有条件的医疗单位。

Abstract:

The epidemic of novel coronavirus pneumonia (coronavirus disease 2019, COVID-19) is serious in China. For this highly infectious respiratory disease, controlling the source of infection, cutting off the route of transmission, and protecting the susceptible population are three principles we should follow in combating the epidemic. In this context, neurosurgeons should master the clinical manifestations and epidemiological characteristics of COVID-19, especially for COVID-19 patients undergoing emergency neurosurgery, and it is of great importance to avoid misdiagnosis and missed diagnosis. When emergency neurosurgery is performed for patients with suspected or confirmed COVID-19, it is necessary to strictly comply with the relevant protection regulations of the health administrative department or the medical institution and closely coordinate with all parties of the surgery, and all personnel should pay attention to three-level protection. The surgery must be carried out in the negative-pressure operating room. For the medical units without the above medical conditions, it is recommended to refer COVID-19 patients who need emergency surgery to qualified medical units as soon as possible.