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在COVID-19阳性患者的紧急心脏手术中的经验:一个案例系列

Takanori Hishikawa¹, Takeki Ohashi¹, Soichiro Kageyama¹

¹Cardiac Surgery, Nagoya Tokushukai General Hospital, Kasugai, JPN.

|September 4, 2023

概括

患有COVID-19的患者可以安全地接受紧急手术. 这项研究强调了COVID-19阳性患者的三个成功的紧急手术干预,证明了有效的管理和积极的结果.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
手术创新在外科创新.

背景情况:

随着COVID-19的流行,选择性和紧急医疗程序受到重大影响.
由于患者或机构COVID-19状态,手术治疗时间经常被推迟.
对手术内传播和术后并发症的担忧导致不愿用手术治疗COVID-19阳性患者.

研究的目的:

报告COVID-19诊断患者紧急手术干预的可行性和结果.
为了说明标准的预防措施和量身定制的术后管理可以在这个患者群体中取得出色的结果.
为解决需要紧急护理的COVID-19阳性患者拒绝手术的问题.

主要方法:

一系列病例描述了三名手术前COVID-19阳性患者,通过逆转录-聚合酶链反应 (RT-PCR) 确认.
患者出现了危及生命的疾病,需要立即进行手术:心肌梗塞后的左心室破裂,急性A型大动脉剖析和透析顺位阻塞.
实施了标准的外科预防措施和特定的术后管理策略.

主要成果:

这三名患者都接受了紧急手术,尽管他们的COVID-19阳性状态.
在所有病例中都取得了优异的外科和术后结果.
这些干预措施解决了危急的,危及生命的疾病,如果没有手术,情况会变得更糟.

结论:

当标准预防措施严格执行时,对于COVID-19阳性患者来说,紧急外科治疗是可行的和安全的.
有效的术后管理对于这一队列的成功结果至关重要.
这一案例系列挑战了仅仅基于COVID-19阳性而拒绝必要的紧急手术的做法.

关键词:

心脏外科手术的心脏手术在COVID-19中,有很多人.紧急手术是紧急手术.新兴传染病是新出现的传染病.医院内感染医院内感染

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