新型冠状病毒肺炎疫情下泌尿外科急症的诊疗意见  

Diagnosis and treatment of urological emergency patients during the epidemic of novel coronavirus pneumonia

作　　者：陈朝晖[1] 汪良[1] 韩晓敏 黄超 侯腾 杨军[1] 杨雄 海波 肖行远 潘峰 蒋国松 王振迪 石瑛 李文成[1] 王进 张友朋 曾汉青 朱朝辉[1] 鞠文[1] 谌科 邢毅飞[1] 李兵[1] 赵军[1] 肖亚军[1] 章小平 CHEN Zhaohui;WANG Liang;HAN Xiaomin;HUANG Chao;HOU Teng;YANG Jun;YANG Xiong;HAI Bo;XIAO Xingyuan;PAN Feng;JIANG Guosong;WANG Zhendi;SHI Ying;LI Wencheng;WANG Jin;ZHANG Youpeng;ZENG Hanqing;ZHU Zhaohui;JU Wen;CHEN Ke;XING Yifei;LI Bing;ZHAO Jun;XIAO Yajun;ZHANG Xiaoping(Department of Urology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430022

出　　处：《临床泌尿外科杂志》2020年第6期501-504,共4页Journal of Clinical Urology

摘　　要：探究新型冠状病毒肺炎疫情期间泌尿外科相关急症的治疗原则、诊疗策略和治疗方式。方法:研究分析在新型冠状病毒肺炎疫情期间华中科技大学同济医学院附属协和医院泌尿外科各类急症的诊疗情况,并对各类急症的诊疗方法和处理进行讨论。结果:我们中心自1月20日~3月26日合计收治和处理各类泌尿外科急症累计729例,包括血尿65例、尿潴留356例、肾绞痛256例、肾积水8例、更换引流管42例、泌尿系损伤2例。所有急症患者中包括新型冠状病毒肺炎确诊患者16例(2.19%)、疑似患者36例(4.94%)、确诊康复患者6例(0.82%)。所有急症患者在分级防护下,分别行相应的处理。无急症患者死亡病例,患者转归良好并得到进一步治疗。结论:在新型冠状病毒肺炎流行期间,急性尿潴留和肾绞痛是疫情期间最常见泌尿外科急症。由于泌尿外科专科常规医疗模式受到较大冲击,对于新型疫情期间泌尿外科急症的处理需要科学防护,并采取安全有效的管理模式和诊疗方案。Objective: To investigate the diagnosis and treatment strategies of urological emergency patients during the epidemic of novel coronavirus pneumonia(NCP). Method: We analyzed and discussed the diagnosis and treatment of various emergency cases in Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology during the epidemic of NCP. Result: In our center, from January 20 th to March 26 th, 2020, a total of 729 cases of various types of urological emergencies were treated, including 65 cases of hematuria, 356 cases of urinary retention, 256 cases of renal colic, 8 cases of hydronephrosis, 42 cases of replacement of drainage tube, and 2 cases of urinary system injury. Among all emergency patients, 36 patients(4.94%) were suspected of NCP, 16 patients(2.19%) were diagnosed with NCP, and 6 patients(0.82%) recovered from NCP. Under protection, all emergency patients were treated respectively. There were no death cases, and the patients recovered well and received further treatment. Conclusion: During the epidemic of NCP, acute urinary retention and renal colic are the most common urological emergencies. Due to the impact on the conventional medical model of urological specialty, it is necessary to prevent infection, adopt safe and effective management mode, and diagnosis and treatment plan for the emergencies of urology.

关 键 词：新型冠状病毒肺炎 泌尿外科急症 治疗 

分 类 号：R69[医药卫生—泌尿科学]