新型冠状病毒肺炎疫区肺移植患者的管理策略  

Management strategies for lung transplant patients in COVID-19 epidemic areas

作　　者：江文洋[1] 林维辰 胡海丰[1] 张兴华[1] 王博 朱铁源[1] 康敢军[1] 黄杰[1] 林慧庆[1] 耿庆[1] JIANG Wenyang;LIN Weichen;HU Haifeng;ZHANG Xinghua;WANG Bo;ZHU Tieyuan;KANG Ganjun;HUANG Jie;LIN Huiqing;GENG Qing(Dept,of Thoracic Surgery,Renmin Hospital of Wuhan University Wuhan 430060,Hubei,China)

机构地区：[1]武汉大学人民医院胸外科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2021年第4期546-550,共5页Medical Journal of Wuhan University

摘　　要：目的:探讨新型冠状病毒肺炎(COVID-19)疫情期间(2020年1月1日-4月8日)武汉及周边疫区肺移植患者的管理策略。方法:对疫情期间武汉大学人民医院3例肺移植等待患者暂停手术,对1例肺移植手术患者加强隔离和环境消毒,对9例肺移植术后患者进行电话或网络平台的防疫宣教和随访,收集并分析患者的临床和随访资料。结果:疫情早期实施的1例肺移植手术患者恢复顺利,肺移植术后患者疫情期间感染新型冠状病毒并造成死亡1例,余患者均未感染新型冠状病毒。结论:COVID-19疫情期间疫区采取有效的管理策略,可以减少肺移植患者中COVID-19的发病率。Objective:To investigate the management strategies for lung transplant patients in Wuhan areas during the COVID-19 epidemic period(from January 1, 2020 to April 8, 2020).Methods:During the epidemic period in Renmin Hospital of Wuhan University, three potential lung transplant patients on the waiting list were suspended for operation, one who underwent lung transplantation was carefully quarantined and the surrounding environment was disinfected, nine patients after lung transplantation received epidemic prevention instructions and were followed up through phone call or online communication.The clinical and follow-up data of these patients were collected and analyzed.Results:The patient with lung transplantation performed in the early stage of the epidemic was survived and didn’t infected with SARS-CoV-2.Of the postoperative cases, only one was infected with SARS-CoV-2 which eventually caused death during the epidemic.Conclusion:During the COVID-19 epidemic, effective management strategies adopted in affected areas could reduce the incidence of SARS-CoV-2 infection in lung transplant patients.

关 键 词：新型冠状病毒肺炎 肺移植 管理 策略 

分 类 号：R617[医药卫生—外科学]