新型冠状病毒肺炎合并肝硬化食管胃底静脉曲张破裂大出血1例的非内镜治疗体会  

Non-endoscopic treatment of COVID-19 complicated with cirrhosis and esophageal gastric varices bleeding: A case report

作　　者：章诺贝[1] 陈新[2] Nuo-Bei Zhang;Xin Chen(Department of Gastroenterology,The Second Affiliated Hospital of Nanchang University,Nanchang 330000,Jiangxi Province,China;Department of Nuclear Medicine,The Second Affiliated Hospital of Nanchang University,Nanchang 330000,Jiangxi Province,China)

机构地区：[1]南昌大学第二附属医院消化内科,江西省南昌市330000 [2]南昌大学第二附属医院核医学科,江西省南昌市330000

出　　处：《世界华人消化杂志》2020年第10期389-392,共4页World Chinese Journal of Digestology

摘　　要：背景肝硬化食管胃底静脉曲张破裂大出血是临床常见的急危重症之一,若合并新型冠状病毒(coronavirus disease-2019,COVID-19)肺炎,患者死亡率极高,尤其是因为在COVID-19疫情特殊时期多数COVID-19定点医疗机构不具备行内镜诊疗的设备及护防条件,治疗异常棘手.病例简介1例COVID-19肺炎合并肝硬化食管胃底静脉曲张大出血的患者,通过非内镜非介入治疗后抢救成功.结论在COVID-19肺炎疫情的特殊时期,由于特殊诊疗设备及防护条件的限制,因此对临床上常见的急危重症,需要更加谨慎的对病情进行提前、准确的预判和并制定完善的应急预案,只有这样才可以为抢救工作提供更为有力的保障.BACKGROUND Hepatic cirrhosis combined with esophageal and gastric varicose vein rupture bleeding is one of the common clinical critical illnesses. If combined with corona virus disease-2019(COVID-19), the mortality rate is very high, especially because many COVID-19 designated medical institutions do not have the expertise diagnosis and treatment equipment and protective conditions in the special period of COVID-19 epidemic, which makes the treatment extremely difficult.CASE SUMMARY A patient with COVID-19 complicated by cirrhosis and esophageal gastric varices bleeding was successfully rescued after non-endoscopic and non-interventional treatment.CONCLUSION In the special period of COVID-19 epidemic, due to the limitation of special diagnosis and treatment equipment and protective conditions, it is necessary to be more cautious to predict the condition in advance and accurately and to develop a comprehensive emergency plan for the acute and critical illnesses which are common in the clinic. Only in this way can we provide a stronger guarantee for rescue work.

关 键 词：食管胃底静脉曲张破裂大出血 新型冠状病毒肺炎 失血性休克 非内镜 抢救 应急预案 

分 类 号：R575.2[医药卫生—消化系统] R563.1[医药卫生—内科学]