新型冠状病毒病疫情期间急腹症的中西医防治策略

Guolei Li, Guoliang Tan, Yuan-hua Liu, Zhu Xu, H. Feng, Yali Zhang, Wei-Hong Xing, Zhi-feng Xu
{"title":"新型冠状病毒病疫情期间急腹症的中西医防治策略","authors":"Guolei Li, Guoliang Tan, Yuan-hua Liu, Zhu Xu, H. Feng, Yali Zhang, Wei-Hong Xing, Zhi-feng Xu","doi":"10.3760/CMA.J.CN431274-20200221-00168","DOIUrl":null,"url":null,"abstract":"At present, the prevention and control of the COVID-19 is still severe, its pathogen SARS-CoV-2 is highly infectious and pathogenic, and the population is generally susceptible. In order to deal with the epidemic, selective operation can be postponed, but most of the patients with acute abdominal diseases are commonly in clinic, with acute onset and severe condition, and most of them are accompanied with fever and gastrointestinal symptoms, so emergency operation is needed.Under the condition of the current epidemic—COVID-19, it requires a higher standard to diagnose and treat patients with acute abdomen. The first step is to carry out procedures to identify whether the patient is infected or not. Those who are not infected can go through the normal treating procedures.For patients diagnosed with COVID-19 or suspected patients, the second step is to achieve classified diagnoses and treatments, and to adopt a treating plan that integrates TCM and western medicine.In order to protect patients and medical staff, the COVID-19 in hospital transmission must be avoided. For patients with COVID-19 who need emergency surgery, we must strictly comply with the hospital's protection regulations, closely coordinate the relevant departments of surgery, perform the three-level protection, operate in accordance with the principle of damage control in the negative pressure surgery room, and return to the isolation ward according to the prevention and control process after operation. For units without surgical conditions, patients should be transferred to hospital in time on the premise of maximum damage control, and patients must not be delayed for timely diagnosis and treatment due to the epidemic. \n \nKey words: \nnovel coronavirus; pneumonia; viral; acute abdominal diseases; Traditional Chinese and Western Medicine","PeriodicalId":15276,"journal":{"name":"中国医师杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevention and treatment strategies of Traditional Chinese and Western Medicine for acute abdomen during the outbreak of COVID-19/ 中国医师杂志\",\"authors\":\"Guolei Li, Guoliang Tan, Yuan-hua Liu, Zhu Xu, H. Feng, Yali Zhang, Wei-Hong Xing, Zhi-feng Xu\",\"doi\":\"10.3760/CMA.J.CN431274-20200221-00168\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"At present, the prevention and control of the COVID-19 is still severe, its pathogen SARS-CoV-2 is highly infectious and pathogenic, and the population is generally susceptible. In order to deal with the epidemic, selective operation can be postponed, but most of the patients with acute abdominal diseases are commonly in clinic, with acute onset and severe condition, and most of them are accompanied with fever and gastrointestinal symptoms, so emergency operation is needed.Under the condition of the current epidemic—COVID-19, it requires a higher standard to diagnose and treat patients with acute abdomen. The first step is to carry out procedures to identify whether the patient is infected or not. Those who are not infected can go through the normal treating procedures.For patients diagnosed with COVID-19 or suspected patients, the second step is to achieve classified diagnoses and treatments, and to adopt a treating plan that integrates TCM and western medicine.In order to protect patients and medical staff, the COVID-19 in hospital transmission must be avoided. For patients with COVID-19 who need emergency surgery, we must strictly comply with the hospital's protection regulations, closely coordinate the relevant departments of surgery, perform the three-level protection, operate in accordance with the principle of damage control in the negative pressure surgery room, and return to the isolation ward according to the prevention and control process after operation. For units without surgical conditions, patients should be transferred to hospital in time on the premise of maximum damage control, and patients must not be delayed for timely diagnosis and treatment due to the epidemic. \\n \\nKey words: \\nnovel coronavirus; pneumonia; viral; acute abdominal diseases; Traditional Chinese and Western Medicine\",\"PeriodicalId\":15276,\"journal\":{\"name\":\"中国医师杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-02-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国医师杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.CN431274-20200221-00168\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国医师杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.CN431274-20200221-00168","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

当前,新冠肺炎防控形势依然严峻,其病原SARS-CoV-2具有高传染性和致病性,人群普遍易感。为应对疫情,可推迟选择性手术,但急腹症患者多为临床常见病,起病急,病情严重,且多伴有发热及胃肠道症状,需急诊手术。在当前新冠肺炎疫情的情况下,对急腹症患者的诊治提出了更高的标准。第一步是执行程序来确定病人是否被感染。未感染者可按正常程序进行治疗。对于确诊的新冠肺炎患者或疑似患者,第二步是实现分类诊疗,采用中西医结合的治疗方案。为了保护患者和医护人员,必须避免院内传播。对需要急诊手术的新冠肺炎患者,必须严格遵守医院防护规定,密切配合手术相关科室,做好三级防护,在负压手术室按照损害控制原则操作,术后按照防控流程返回隔离病房。对于没有手术条件的单位,应在最大限度控制损害的前提下,及时将患者转送医院,不得因疫情耽误患者及时诊治。关键词:新型冠状病毒;肺炎;病毒;急性腹部疾病;中西医结合
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Prevention and treatment strategies of Traditional Chinese and Western Medicine for acute abdomen during the outbreak of COVID-19/ 中国医师杂志
At present, the prevention and control of the COVID-19 is still severe, its pathogen SARS-CoV-2 is highly infectious and pathogenic, and the population is generally susceptible. In order to deal with the epidemic, selective operation can be postponed, but most of the patients with acute abdominal diseases are commonly in clinic, with acute onset and severe condition, and most of them are accompanied with fever and gastrointestinal symptoms, so emergency operation is needed.Under the condition of the current epidemic—COVID-19, it requires a higher standard to diagnose and treat patients with acute abdomen. The first step is to carry out procedures to identify whether the patient is infected or not. Those who are not infected can go through the normal treating procedures.For patients diagnosed with COVID-19 or suspected patients, the second step is to achieve classified diagnoses and treatments, and to adopt a treating plan that integrates TCM and western medicine.In order to protect patients and medical staff, the COVID-19 in hospital transmission must be avoided. For patients with COVID-19 who need emergency surgery, we must strictly comply with the hospital's protection regulations, closely coordinate the relevant departments of surgery, perform the three-level protection, operate in accordance with the principle of damage control in the negative pressure surgery room, and return to the isolation ward according to the prevention and control process after operation. For units without surgical conditions, patients should be transferred to hospital in time on the premise of maximum damage control, and patients must not be delayed for timely diagnosis and treatment due to the epidemic. Key words: novel coronavirus; pneumonia; viral; acute abdominal diseases; Traditional Chinese and Western Medicine
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
中国医师杂志
中国医师杂志 Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
20937
期刊介绍:
期刊最新文献
Effect of sivelestat sodium on early inflammatory reaction and pulmonary edema in rats with smoke inhalation induced lung injury Effect of CEA on neurological function and coagulation function in patients with ischemic stroke Intraoperative real-time imaging-guided laparoscopic liver resection Application progress of laparoscopy in the treatment of liver tumors Analysis of risk of endobronchial biopsy-induced bleeding in different locations of lung cancer
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1