Experience in the diagnosis and treatment of acute biliary tract infection during the epidemic of novel coronavirus pneumonia
-
摘要:
2020年1月20日,世界卫生组织将新型冠状病毒肺炎疫情列为国际关注的突发公共卫生事件,疫情被全世界关注。在此期间如何在有效控制传染源、切断传播途径、保护易感人群的同时,减少急腹症患者病情诊治的延误,保证临床工作的正常开展,显得尤为关键。参照相关现行的诊疗方案和指南,结合保定市第二医院实际情况,归纳总结了急性胆道感染患者的门诊分诊、治疗流程、操作分级和防控以及病区管理经验。经过分析,表明制订新型冠状病毒肺炎疫情期间急性胆道感染患者应急预案,可使得该类患者与新型冠状病毒肺炎患者进行鉴别,且在尽早接受急性胆道感染的规范诊治过程中避免新型冠状病毒的传播和交叉感染。
Abstract:On January 20,2020,WHO defined the epidemic of novel coronavirus pneumonia as a public health emergency of international concern,and the epidemic attracted worldwide attention. While effectively controlling source of infection,cutting off the route of transmission,and protecting the susceptible population,it is of great importance to reduce the delay in the diagnosis and treatment of patients with acute abdominal disease and ensure normal clinical work. Therefore,with reference to the current diagnosis and treatment protocols and guidelines and the actual situation in Baoding Second Hospital,this article summarizes the experience in outpatient triage,treatment process,operation classification,prevention and control,and ward management for patients with acute biliary tract infection. The analysis shows that the formulation of emergency plans for patients with acute biliary tract infection during the epidemic of novel coronavirus pneumonia can help to differentiate such patients from the patients with novel coronavirus pneumonia and avoid transmission and cross-infection of novel coronavirus during standardized diagnosis and treatment of acute biliary tract infection.
-
Key words:
- coronavirus disease 2019 /
- biliary tract diseases /
- diagnosis /
- therapeutics
-
[1] State Health Committee of the People's Republic of China,State Administration of Traditional Chinese Medicine of the People's Republic of China.Novel coronavirus Diagnosis and Treatment Plan(Trial Version 6)[EB/OL].(2020-02-19).http://www.nhc.gov.cn/xcs/zhengcwj/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf.(in Chinese)中华人民共和国国家卫生健康委员会,中华人民共和国国家中医药管理局.新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL].(2020-02-19).http://www.nhc.gov.cn/xcs/zhengcwj/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf. [2] LIN W,HU LF,ZHANG Y,et al.Single-cell analysis of ACE2 expression in human kidneys and bladders reveals a potential route of2019-n Co V infection[J].bioRxiv,2020.[Online ahead of print] [3] DONG HH,WU QQ,CHEN XP.Updates and interpretation of the Tokyo guideline for acute biliary infection(2018 edition)[J].J Clin Surg,2019,27(1):5-8.(in Chinese)董汉华,武齐齐,陈孝平.急性胆道感染东京指南(2018版)更新解读[J].临床外科杂志,2019,27(1):5-8. [4] SHEN ZM,SUN PL.Research progress of biliary infection and cholelithiasis-“Interpretation of Tokyo Guidelines(2018)”[J].Shanghai Med Pharm J,2019,40(20):9-13.(in Chinese)沈哲民,孙培龙.胆系感染和胆石病研究进展---《东京指南(2018)》解读[J].上海医药杂志,2019,40(20):9-13. [5]XI GL,DONG H.Clinical effect of laparoscopic cholecystectomy and prognostic analysis in patients with acute cholesystitis[J].J Clin Hepatol,2018,34(2):332-336.(in Chinese)席广利,董浩.腹腔镜胆囊切除术治疗急性胆囊炎的效果及预后[J].临床肝胆病杂志,2018,34(2):332-336. [6]YAN L,HUANG JP,TANG XF,et al.Application of Chinese medicine enhanced recovery around surgery in perioperative period of laparoscopic cholecystectomy[J].J Hepatopancreatobiliary Surg,2019,21(6):352-355.(in Chinese)阎良,黄建平,汤雪峰,等.腹腔镜胆囊切除术围手术期中医加速康复外科理念的应用[J].肝胆胰外科杂志,2019,21(6):352-355. [7]DUAN XJ.Clinical application effect of accelerated rehabilitation surgery in EST lithotomy for choledocholithiasis[J].J World Latest Med Inf,2019,19(23):245-246.(in Chinese)段霄杰.加速康复外科在EST取石治疗胆总管结石手术中的临床应用效果[J].世界最新医学信息文摘,2019,19(23):245-246. [8] GUO WY,YUAN JP,FU T.Perioperative prevention and control strategies for surgical patients under novel coronavirus epidemic situation[J].Chin J Dig Surg,2020,19(3):259-261.(in Chinese)郭闻一,袁静萍,付涛.新型冠状病毒肺炎疫情期间外科患者围术期防控策略[J].中华消化外科杂志,2020,19(3):259-261. [9] ZHOU DR,SHI BM.Is it better to start first?-Grasp and challenge of operative timing for acute cholangitis[J].J Hepatopancreatobiliary Surg,2019,31(3):137-140.(in Chinese)周德仁,施宝民.先下手是否为强?---再谈急性胆管炎手术时机的把握和挑战[J].肝胆胰外科杂志,2019,31(3):137-140. [10] National Health and Family Planning Commission of the people's republic of China.Regulation for prevention and control of healthcare associated infection of airborne transmission disease in healthcare facilities WS/T511-2016[S/OL].(2016-12-27).http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/2017010509092220104.pdf.(in Chinese)中华人民共和国国家卫生和计划生育委员会.经空气传播疾病医院感染预防与控制规范WS/T 511-2016[S/OL].(2016-12-27).http://www.nhc.gov.cn/ewebeditor/uploadfile/2017/2017010509092220104.pdf.
计量
- 文章访问数: 1295
- HTML全文浏览量: 38
- PDF下载量: 156
- 被引次数: 0