新型冠状病毒肺炎疫情期间胸外伤患者临床管理策略专家共识  

Expert consensus on clinical management strategy for patients with thoracic trauma during the epidemic period of COVID-19

作　　者：朱启航 何哲 杨异[2] 杨金良[3] 苏志勇 王冬滨[5] 金龙玉[6] 张强[7] 张鑫[8] 易俊 高旭辉 徐驰 陈兴娅 查露露 徐恩五 无 Zhu Qi-Hang;He Zhe;Yang Yi;Yang Jin-Liang;Su Zhi-Yong;Wang Dong-Bin;Jin Long-Yu;Zhang Qiang;Zhang Xin;Yi Jun;Gao Xu-Hui;Xu Chi;Chen Xing-Ya;Zha Lu-Lu;Xu En-Wu;无(Department of Thoracic Surgery,General Hospital of Southern Theater Command of Chinese PLA,Guangzhou 510010,China;Department of Thoracic Surgery,Shanghai Sixth People's Hospital,Shanghai 200233,China;Department of Thoracic Surgery,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Thoracic Surgery,Affiliated Hospital of Chifeng College,Chifeng,Inner Mongolia 024001,China;Department of Cardiothoracic Surgery,Tianjin Hospital,Tianjin 300210,China;Department of Thoracic Surgery,the Third Xiangya Hospital of Central South University,Changsha 410013,China;Department of Thoracic Surgery,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Thoracic Surgery,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;Department of Cardiothoracic Surgery,General Hospital of Eastern Theater Command of Chinese PLA,Nanjing 210000,China;Department of Thoracic Surgery,General Hospital of Central Theater Command of Chinese PLA,Wuhan 430000,China;Department of Thoracic Surgery,Union Hospital Affiliated to Fujian Medical University,Fuzhou 350000,China;Department of Anesthesiology,Zhujiang Hospital Affiliated to Southern Medical University,Guangzhou 510280,China;Thoracic Trauma Group,Thoracic Surgery Branch of China International Exchange and Promotion Association for Medical and Healthcare)

机构地区：[1]解放军南部战区总医院胸外科,广州510010 [2]上海市第六人民医院胸外科,上海200233 [3]河北医科大学第三医院胸外科,石家庄050051 [4]赤峰学院附属医院胸外科,内蒙古赤峰024001 [5]天津市天津医院心胸外科,天津300210 [6]中南大学湘雅三医院胸外科,长沙410013 [7]北京积水潭医院胸外科,北京100035 [8]广州医科大学附属第一医院胸外科,广州510120 [9]解放军东部战区总医院心胸外科,南京210000 [10]解放军中部战区总医院胸外科,武汉430000 [11]福建医科大学附属协和医院胸外科,福州350000 [12]南方医科大学附属珠江医院麻醉科,广州510280 [13]中国医疗保健国际交流促进会胸外科分会胸部创伤学组

出　　处：《解放军医学杂志》2020年第3期229-235,共7页Medical Journal of Chinese People's Liberation Army

基　　金：广州市科技计划项目(201804010022)。

摘　　要：2019年12月以来,新型冠状病毒肺炎(COVID-19)疫情持续蔓延至全国。此次疫情的特征为传染性强、隐匿性强。中国严格的隔离及管控措施逐步控制了国内疫情,同时降低了创伤的发生率。但随着全国复工复产、交通恢复,以交通事故及高处坠落伤为主要发病因素的胸外伤逐渐增加,临床救治面临巨大的风险和挑战。结合当前疫情环境及胸外伤救治特点,中国医疗保健国际交流促进会胸外科分会胸部创伤学组联合广东省胸部疾病学会胸部创伤管理专委会的部分专家共同制定《新型冠状病毒肺炎疫情期间胸外伤患者临床管理策略专家共识》。该共识包括疫情期间胸外伤手术患者的分类及治疗策略、胸外伤的非手术治疗、胸外伤诊疗管理流程、病区的防护及管理等4个部分,以指导胸外伤诊治工作科学有序地开展。Since December 2019,a corona virus disease 2019(COVID-19)has been continuing to spread throughout China.This epidemic is characterized by strong infectivity and concealment.China’s domestic epidemic is gradually under control by strict quarantine and control measures,meanwhile the incidence of trauma has reduced.However,with the resumption of industry and traffic,the chest trauma caused mainly by traffic accidents and high falling has increased gradually,great risks and challenges are faced in clinical treatment.Therefore,combined with the current epidemic environment and the treatment characteristics of thoracic trauma,experts from the Thoracic Trauma Group,Thoracic Surgery Branch of China International Exchange and Promotion Association for Medical and Health Care and Chest Trauma Management Committee,Guangdong Association of Thoracic Disease develop an"Expert consensus on clinical management strategy for patients with thoracic trauma during the epidemic period of COVID-19 pneumonia".In order to promote the treatment of chest trauma in a scientific and orderly way,the consensus elaborated 4 parts,including classification and treatment strategy for patients with thoracic trauma required a surgical procedure,non-operative treatment of patients with thoracic trauma,management process of chest trauma,and protection and management of ward.

关 键 词：新型冠状病毒肺炎 胸外伤 感染防护 外科手术 病毒性肺炎 肺挫伤 

分 类 号：R563.1[医药卫生—呼吸系统]