新型冠状病毒肺炎疫情防控期间骨质疏松性椎体压缩骨折诊疗策略专家共识  

Consensus on standardized diagnosis and treatment for osteoporotic vertebral compression fracture patients during epidemic of corona virus disease 2019

作　　者：方忠[1] 贺宝荣[2] 郝定均[2] 李锋[1] 闫亮[2] 高延征[3] 冯世庆[4] 孙天胜 蒋电明 田纪伟 王欢[8] 张英泽[9] 范顺武[10] 朱悦[11] 梁益建[12] 田耘[13] 李波[14] 姜为民[15] 王景叶 毛晓辉 朱昌生 李雅莉[18] 贺利军 贺园 石秦东[20] 李水霞[21] 汪静 高子军 董补怀[21] 喻红辉[22] 姜永宏[23] Fang Zhong;He Baorong;Hao Dingjun;Li Feng;Yan Liang;Gao Yanzheng;Feng Shiqing;Sun Tiansheng;Jiang Dianming;Tian Jiwei;Wang Huan;Zhang Yingze;Fan Shunwu;Zhu Yue;Liang Yijian;Tian Yun;Li Bo;Jiang Weimin;Wang Jingye;Mao Xiaohui;Zhu Changsheng;Li Yali;He Lijun;He Yuan;Shi Qindong;Li Shuixia;Wang Jing;Gao Zijun;Dong Buhuai;Yu Honghui;Jiang Yonghong(Department of Orthopedics,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China;Department of Spine Surgery,Honghui Hospital,Xi`an Jiaotong University School of Medicine,Xi'an 710054,China;Department of Orthopedics,People's Hospital of Henan Province,Zhengzhou 450000,China;Department of Orthopedics,General Hospital of Tianjin Medical University,Tianjin 300052,China;Department of Orthopedics,Seventh Medical Center of General Hospital of PLA,Beijing 100700,China;Department of Orthopedics,Third Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Orthopedics,Jiangbei People's Hospital,Nanjing 210048,China;Department of Spine Surgery,Shengjing Hospital of China Medical University,Shenyang 110004,China;Trauma Emergency Center,Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Orthopedics,Sir Run Run Shaw Hospital,Medical College of Zhejiang University,Hangzhou 310020,China;Department of Orthopedics,First Affiliated Hospital of China Medical University,Shenyang 110001,China;Department of Orthopedics,Third People's Hospital of Chengdu,Chengdu 610031,China;Department of Orthopedics,Third People's Hospital of Pecking University,Beijing 100191,China;Department of Orthopedics,Guizhou Provincial People's Hospital,Guiyang 550002,China;Department of Orthopedic Surgery,First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Infection,Shaanxi Friendship Hospital,Xi'an 710068,China;Department of Respiratory Medicine,Xi'an Chest Hospital,Xi'an 710100,China;Department of Respiratory Intensive Care Unit,Second Hospital,Xian Jiaotong University Schoo

机构地区：[1]华中科技大学同济医学院附属同济医院骨科,武汉430030 [2]西安交通大学医学院附属红会医院脊柱外科,710054 [3]河南省人民医院骨科,郑州450000 [4]天津医科大学总医院骨科,300052 [5]解放军总医院第七医学中心骨科,北京100700 [6]重庆医科大学附属第三医院骨科,400016 [7]南京市江北人民医院骨科,210048 [8]中国医科大学盛京医院脊柱外科,沈阳110004 [9]河北医科大学第三医院创伤急救中心,石家庄050051 [10]浙江大学医学院邵逸夫医院骨科,杭州310020 [11]中国医科大学附属第一医院骨科,沈阳110001 [12]成都市第三人民医院骨科,610031 [13]北京大学第三人民医院骨科,100191 [14]贵州省人民医院骨科,贵阳550002 [15]苏州大学附属第一医院骨科,215006 [16]陕西省友谊医院感染科,西安710068 [17]西安市胸科医院呼吸科,710100 [18]西安交通大学附属第二医院呼吸与危重症医学科,710061 [19]西安市第五人民医院骨科,710082 [20]西安交通大学附属第一医院重症ICU,710061 [21]西安交通大学医学院附属红会医院麻醉科,710054 [22]华中科技大学同济医院学院附属同济医院麻醉科,武汉430030 [23]西安交通大学医学院附属红会医院放射科,710054

出　　处：《中华创伤杂志》2020年第2期117-123,共7页Chinese Journal of Trauma

摘　　要：2019年12月在湖北省武汉市出现新型冠状病毒肺炎(COVID-19)疫情,其病原体为2019新型冠状病毒(2019-nCoV)。对2019-nCoV易感的患者中近70%为50岁以上人群,中老年患者的重症及病死率极高。而中老年人是发生骨质疏松性骨折特别是骨质疏松性椎体压缩骨折(OVCF)的高危人群。在COVID-19疫情防控期间,如何在急、门诊对OVCF患者进行COVID-19筛选和防护,如何对疑似或确诊COVID-19的OVCF患者进行准确诊断、病情评估并制订合理的治疗方案和诊疗全程防护措施等是骨科医师面临的困难。因此,专家组制订本共识,系统规范疑似或确诊COVID-19的OVCF患者在急、门诊的筛查与确诊流程及防护措施,对确诊COVID-19的OVCF患者按病情程度进行科学分级、分型并推荐不同的治疗方案和相应的防护措施。Since December 2019,the corona virus disease 2019(COVID-19)caused by the 2019 novel coronavirus(2019-nCoV)has been reported in Wuhan,Hubei Province.Almost 70%of patients susceptible to 2019-nCoV are over age of 50 years,with extremely large proportion of critical illness and death of the elderly patients.Meanwhile,the elderly patients are at high risk of osteoporotic fractures especially osteoporotic vertebral compression fractures(OVCF).During the prevention and control of COVID-19 epidemic,the orthopedists are confronted with the following difficulties including how to screen and protect OVCF patients,how to accurately diagnose and assess the condition of suspected or confirmed COVID-19 patients,and how to develop reasonable treatment plans and comprehensive protective measures in emergency and outpatient clinics.In order to standardize the diagnosis and treatment of OVCF patients diagnosed with COVID-19,the authors jointly develop this expert consensus to systematically recommend the standardized emergency and outpatient screening and confirmation procedures for OVCF patients with suspected or confirmed COVID-19 and protective measures for emergency and outpatient clinics.Moreover,the consensus describes the grading and classification of OVCF patients diagnosed with COVID-19 according to the severity of illness and recommends different treatment plans and corresponding protective measures.

关 键 词：冠状病毒感染 肺炎 骨质疏松性骨折 脊柱骨折 感染控制 

分 类 号：R6[医药卫生—外科学] R5[医药卫生—临床医学]