新型冠状病毒肺炎疫情防控期间创伤骨科急诊手术处理专家共识  

Expert consensus on emergency surgery management for traumatic orthopedics under prevention and control of novel coronavirus pneumonia

作　　者：刘静[1] 李卉 周武[1] 刘国辉[1] 张英泽[2] 姜保国[3] 唐佩福[4] 刘国栋 吴新宝[6] 袁志 周方[8] 王天兵[3] 付中国[3] 侯志勇[2] 苏佳灿 余斌[10] 邵增务[1] 夏天[1] 熊蠡茗 方跃[11] 王光林[11] 林朋[12] 陈雁西 倪江东[14] 杨雷[15] 王栋梁[16] 何承建[17] 刘曦明 车彪 李亚明[20] 王俊文[21] 陈明 赵猛[22] 曹发奇 孙云 米博斌 刘梦非 熊元[1] 薛航 胡良聪 胡益强 陈朗 闫晨晨 Liu Jing;Li Hui;Zhou Wu;Liu Guohui;Zhang Yingze;Jiang Baoguo;Tang Peifu;Liu Guodong;Wu Xinbao;Yuan Zhi;Zhou Fang;Wang Tianbing;Fu Zhongguo;Hou Zhiyong;Su Jiacan;Yu Bin;Shao Zengwu;Xia Tian;Xiong Liming;Fang Yue;Wang Guanglin;Lin Peng;Chen Yanxi;Ni Jiangdong;Yang Lei;Wang Dongliang;He Chengjian;Liu Ximing;Che Biao;Li Yaming;Wang Junwen;Chen Ming;Zhao Meng;Cao Faqi;Sun Yun;Mi Bobin;Liu Mengfei;Xiong Yuan;Xue Hang;Hu Liangcong;Hu Yiqiang;Chen Lang;Yan Chenchen(Department of Orthopedics,Union Hospital,Tongji Medical College,Huazhong Unirerity of Science and Technology,Wuhan 430022,China;Emergency Center of Trauma,Third Hospital of Hebei Medical University,Shjiazhuang 050051,China;Department of Traumatic Orthopedics,Pehing Universily People's Hospital,Bejing 100044,China;Department of Orthopedics,General Hospital of PLA,Bejing 100048,China;Medical Center of Trauma and War Injuries,Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Traumatic Orthopedics,Jishuitan Hospital,Beijing 100096,China;Department of Orthopedics,Xijing Hospital,Air Force Medical University,Xian 710016,China;Department of Orhopedics,Third Hospial of Pehing University,Bejing 100191,China;Department of Traumatic Orthopedics,Changhai Hospital,Naval Medical Universily,Shanghai 200433,China;Department of Traumatic Orthopedics,Nanfang Hospital,Nanfang Medical University,Guangzhou 510515,China;Department of Orthopedics,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Orhopedics,Sino-Japan Friendship Hospital,Beijing 100029,China;Department of Orthopedics,Zhongshan Hospital,Frudan University,Shanghai 200032,China;Department of Orthopedics,Xiangya Second Hospital,Central South University,Changsha 410011,China;Department of Orthopedics,Scond Affiliated Hospital of Wenzhou Medical University,Wenzhou 325003,China;Department of Orthopedics,Xinhua Haspital,Shanghai Jiaotong University School of Medicine,Shanghai 200092,China;Department of Orthopedics,Hubei Hospital of Traditional Chinese Medicine,Wuhan 430061,C

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,武汉430022 [2]河北医科大学第三医院创伤急救中心,石家庄050051 [3]北京大学人民医院创伤骨科,100044 [4]解放军总医院骨科,北京100048 [5]陆军军医大学大坪医院战创伤医学中心,重庆400042 [6]北京积水潭医院创伤骨科,100096 [7]空军军医大学西京医院创伤骨科,西安710016 [8]北京大学第三医院骨科,100191 [9]海军军医大学长海医院创伤骨科,上海200433 [10]南方医科大学南方医院创伤骨科,广州510515 [11]四川大学华西医院骨科,成都610041 [12]中日友好医院骨科,北京100029 [13]复旦大学附属中山医院骨科,上海200032 [14]中南大学湘雅二医院骨科,长沙410011 [15]温州医科大学第二附属医院骨科,325003 [16]上海交通大学医学院附属新华医院骨科,200092 [17]湖北省中医院骨科,武汉430061 [18]解放军中部战区总医院骨科,武汉430070 [19]长江航运总医院骨科,武汉430000 [20]武汉大学人民医院骨科,430060 [21]武汉市第四医院骨科,430000 [22]湖北省十堰市太和医院骨科,442000 [23]华中科技大学同济医学院附属协和医院神经外科,武汉430030

出　　处：《中华创伤杂志》2020年第2期111-116,共6页Chinese Journal of Trauma

摘　　要：自2019年12月开始,湖北省武汉市相继出现新型冠状病毒感染肺炎(NCP)患者,并迅速扩散到整个湖北省乃至全国。其病原体为2019新型冠状病毒(2019-nCoV),其传染性强,可经过多种途径传播,人群普遍易感,给NCP的防控带来了巨大的困难。笔者基于部分创伤骨科患者具有急诊手术需求和华中科技大学同济医学院附属协和医院及湖北省及全国多家抗疫一线医务工作者的救治经验,结合目前国内外关于抗击NCP疫情以及创伤骨科救治原则的最新文献和循证医学证据,制订本专家共识,系统规范NCP疫情防控期间创伤骨科患者行急诊手术治疗的临床路径和防护措施,为各级医院开展创伤骨科患者急诊手术处理提供参考。Since December 2019,novel coronavirus pneumonia(NCP)has been reported in Wuhan,Hubei Province,and spreads rapidly to all through Hubei Province and even to the whole country.The virus is 2019 novel coronavirus(2019-nCoV),never been seen previously in human,but all the population is generally susceptible.The virus spreads through many ways and is highly infectious,which brings great difficulties to the prevention and control of NCP.Based on the needs of orthopedic trauma patients for emergency surgery and review of the latest NCP diagnosis and treatment strategy and the latest principles and principles of evidence-based medicine in traumatic orthopedics,the authors put forward this expert consensus to systematically standardize the clinical pathway and protective measures of emergency surgery for orthopedic trauma patients during prevention and control of NCP and provide reference for the emergency surgical treatment of orthopedic trauma patients in hospitals at all levels.

关 键 词：冠状病毒感染 肺炎 骨折 外科手术 专家共识 

分 类 号：R687.3[医药卫生—骨科学]