Management highlights for patients with orthopedic trauma during the epidemic of COVID-19

Yingchao Yin, Z. Hou, Yanbin Zhu, Shuhong Yang, Wei Chen, Xiu-Li Wang, Xiuting Li, Qi Zhang, Yingze Zhang
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Abstract

Although the epidemic outbreak of Corona Virus Disease 2019 (COVID-19) restricted freecoming and going of people, it was inevitable that fracture patients, elderly ones with low-energy fracture in part ICU lar, sought medical attention. In this special situation, itwas crucial for trauma orthopaedists to do well in prevention and control of COVID-19 infection and in perioperative management of their patients as well while they went on with routine diagnosis and treatment. It was also of great significance for prognosis of the patients and prevention and control of the epidemic that orthopaedic surgeons chose proper surgical and anesthesia methods. In the process of diagnosis, treatment, nursing and rehabilitation, medical staff too was challenged by how to prevent themselves from infection and how to eliminate cluster COVID-19 transmission. This paper, from the perspectives of orthopedic surgeons, nurses and patients, expounds briefly on the management of patients with orthopedic trauma during the epidemic period of COVID-19 in a mode of multidisciplinary comprehensive interventions. Key words: Corona Virus Disease 2019; Orthopaedics; Wound and injuries; Medical staff
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新冠肺炎疫情期间骨科创伤患者的管理要点
尽管2019冠状病毒病(新冠肺炎)的疫情限制了人们的自由进出,但骨折患者,部分重症监护室低能量骨折的老年人,不可避免地寻求医疗护理。在这种特殊情况下,创伤骨科医生在进行常规诊断和治疗的同时,做好新冠肺炎感染的预防和控制以及患者的围手术期管理至关重要。整形外科医生选择合适的手术和麻醉方法,对患者的预后和疫情的预防和控制也具有重要意义。在诊断、治疗、护理和康复过程中,医护人员也面临着如何预防自身感染以及如何消除新冠肺炎聚集性传播的挑战。本文从骨科医生、护士和患者的角度,以多学科综合干预的模式,简要阐述了新冠肺炎疫情期间骨科创伤患者的管理。关键词:2019冠状病毒病;骨科;伤口和伤害;医务人员
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