COVID-19感染后三个月的芥菜手术:病例报告

Ilen Corrales Arredondo, C. Alfredo Mario Naranjo Ugalde, Lais Angélica Ceruto Ortiz, Yudith Escobar Bermúdez, Pedro Rolando López Rodríguez
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摘要

导言:过去的一年,自2019年以来,在全球范围内,由于最近的COVID-19大流行的流行病学危机,公共卫生警报已经响起。这次大流行造成数百万人感染,其临床表现广泛,从无症状携带者到呼吸衰竭、心肌病理和死亡;提高住院率。儿童患者感染这种疾病的风险很高,包括那些患有先天性心肌病的患者,他们需要手术干预才能生存。目的:表明尽管这些患者有呼吸和心血管后遗症,但仍有择期手术治疗和中短期康复的机会。一名11个月大的婴儿被诊断为大血管转位,因COVID-19检测呈阳性而闲置三个月后,接受了初步诊断的明确手术治疗。结果:围手术期的策略是基于感染可能引起的后遗症。没有像先前肺损伤那样的呼吸系统并发症。术后即刻耳室功能不全与手术技术有关。结论:不少于3个月的时间可以为新冠肺炎患儿体外循环手术提供保障。多学科团队克服了复杂心血管手术术后固有并发症以及潜在致命病毒的所有挑战,使患者术后预后良好。
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Mustard surgery three months after a COVID-19 infection: A case report
Introduction: This past year, on a global scale, since 2019, public health warnings have gone off because of the recent epidemiological crisis set of the COVID-19 pandemic. This pandemic holds responsibility for millions of infections, manifesting broadly in its clinical presentation, which ranges from asymptomatic carriers to respiratory failure, myocardial pathology and death; increasing the rates of hospitalization. Pediatric patients are at high risk of contracting the disease including those with congenital cardiomyopathy that are in need of surgical intervention in order to survive. Objective: Show that there exists an opportunity for elective surgical treatment and short term and medium term recovery in these patients in spite of respiratory and cardiovascular sequelae. Case presentation of an eleven-month infant diagnosed with Transposition of the Great Vessels, who after three months of idleness for having tested positive for COVID-19, received definitive surgical care for the initial diagnosis. Results: The perioperative strategy was based in the probable sequelae due to the infection. There are not respiratory complications like consequence for the previous lung injury. The auriculoventricular dysfunctional immediate post-operative was related with the surgical technique. Conclusion: A period no less than three months could be offer security for surgery using extracorporeal circulation in pediatric patients who suffered COVID-19. Patient with favorable post-op prognosis resulting from the work of a multi-disciplinary team that met all challenges of the complications inherent in the post-operative period following a complex cardiovascular surgery along with those of a potentially fatal virus.
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