新型冠状病毒感染患者的围手术期机械通气策略推荐  

Perioperative mechanical ventilation strategy for COVID-19 patients:Recommendation

作　　者：余海[1] 郑宏[1] 庄蕙嘉 韩杨 黄治宇 成都医学会麻醉专业委员会 YU Hai;ZHENG Hong;ZHUANG Hujia;HAN Yang;HUANG Zhiyu;The Society of Anesthesiology,Chengdu Medical Association(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《中国胸心血管外科临床杂志》2023年第4期501-505,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：2019年12月以来,新型冠状病毒(新冠病毒)感染逐渐蔓延全球,随着“乙类乙管”政策的实施,国内已经历了第一次大流行,在大流行期间接受急诊与限期手术的新冠病毒感染患者术后肺部并发症发生风险较大,合适的围手术期机械通气策略(如肺保护性通气策略)对于预防全身麻醉手术患者术后肺部并发症的发生尤为重要。此外,在“乙类乙管”的政策下,如何做好医护人员防护也是我们需要关注的重点。本文就新冠病毒感染患者围手术期机械通气策略与医护人员防护展开论述,以期为麻醉管理相关指南的制定提供参考。Since December 2019,severe acute respiratory syndrome coronavirus-2(SARS-CoV-2)infection has gradually spread all over the world.With the implementation of class B infectious disease management policy for coronavirus disease 2019(COVID-19),China has experienced a pandemic.For patients receiving a time-sensitive or emergency surgery,SARS-CoV-2 infection may increase the risk of postoperative pulmonary complications.An appropriate perioperative mechanical ventilation strategy,such as lung protective ventilation strategy,is particularly important for preventing postoperative pulmonary complications in patients undergoing general anesthesia.In addition,how to protect medical personnel from being infected is also the focus we need to pay attention to.This article will discuss the perioperative mechanical ventilation strategy for COVID-19 patients and the protection of medical personnel,in order to provide reference for the development of guidelines.

关 键 词：新型冠状病毒感染 机械通气 围手术期管理 

分 类 号：R614[医药卫生—麻醉学]