胆囊结石伴急性胆囊炎患者在新型冠状病毒肺炎疫情期间的防控和诊治

徐露瑶; 李昌旭; 唐朝辉; 王守乾; 王英超

doi:10.3969/j.issn.1001-5256.2020.06.051

胆囊结石伴急性胆囊炎患者在新型冠状病毒肺炎疫情期间的防控和诊治

DOI: 10.3969/j.issn.1001-5256.2020.06.051

吉林大学第一医院肝胆胰外科

基金项目:

吉林省教育厅“一三五”科学技术项目(3D5196781428)；

详细信息

中图分类号: R575.6
计量
- 文章访问数: 1718
- HTML全文浏览量: 56
- PDF下载量: 139
- 被引次数: 0
出版历程
- 出版日期: 2020-06-20

Management of patients with gallstones and acute cholecystitis during the epidemic of coronavirus disease 2019

Research funding:

摘要

摘要:
目前,新型冠状病毒肺炎疫情依然十分严峻,全国各地高度重视疫情防控工作。胆囊结石伴急性胆囊炎作为肝胆外科常见的急腹症之一,发病急、进展快,需要早期诊断和及时有效的治疗。在疫情防控的特殊时期,应合理收治患者,减少院内交叉感染。胆囊结石伴急性胆囊炎常伴有发热,要明确是否合并有新型冠状病毒感染的情况,合理选择治疗方案,制订个体化治疗措施。在确保患者得到及时有效的诊治的同时,落实落细患者及陪护人的防控工作,切实防止院内感染的发生。重视医务人员的个人防护工作,科学施救,切实保障医务人员的人身安全。
- 新型冠状病毒肺炎 /
- 胆囊结石病 /
- 胆囊炎,急性
Abstract:
At present,the epidemic of coronavirus disease 2019 is still serious,and the prevention and control of this epidemic is taken seriously throughout the country. As one of the most common acute abdominal diseases in hepatobiliary surgery,gallstones with acute cholecystitis has sudden onset and rapid progression and thus requires early diagnosis and timely and effective treatment. During the prevention and control of the epidemic,patients should be admitted properly to reduce nosocomial infection. Gallstones with acute cholecystitis is often accompanied by pyrexia,and therefore,the presence or absence of severe acute respiratory syndrome coronavirus 2 infection should be clarified. Treatment regimen should be selected appropriately and individualized treatment measures should be developed. While ensuring that patients receive timely and effective diagnosis and treatment,hospitals should adopt prevention and control measures for patients and their caregivers to reduce nosocomial infection. The personal protection of medical personnel should also be taken seriously,and scientific measures should be implemented to guarantee their safety.
- coronavirus disease 2019 /
- cholecystolithiasis /
- cholecystitis,acute

HTML全文

参考文献(16)

[1] GUAN WJ,NI ZY,HU Y,et al. Clinical characteristics of coronavirus disease 2019 in China[J]. N Engl J Med,2020.[Online ahead of print]

[2] CAO AM,ESLICK GD,COX MR. Early cholecystectomy is superior to delayed cholecystectomy for acute cholecystitis:A meta-analysis[J]. J Gastrointest Surg,2015,19(5):848-857.

[3] YOKOE M,HATA J,TAKADA T,et al. Tokyo guidelines 2018:Diagnostic criteria and severity grading of acute cholecystitis(with videos)[J]. J Hepatobiliary Pancreat Sci,2018,25(1):41-54.

[4] XIE X,ZHONG Z,ZHAO W,et al. Chest CT for typical 2019-n Co V pneumonia:Relationship to negative RT-PCR testing[J]. Radiology,2020:200343.

[5] SONG F,SHI N,SHAN F,et al. Emerging 2019 Novel Coronavirus(2019-n Co V)pneumonia[J]. Radiology,2020,295(1):210-217.

[6] KIMURA Y,TAKADA T,KAWARADA Y,et al. Definitions,pathophysiology,and epidemiology of acute cholangitis and cholecystitis:Tokyo guidelines[J]. J Hepatobiliary Pancreat Surg,2007,14(1):15-26.

[7] ZACKS SL,SANDLER RS,RUTLEDGE R,et al. A population-based cohort study comparing laparoscopic cholecystectomy and open cholecystectomy[J]. Am J Gastroenterol,2002,97(2):334-340.

[8] YU HB,CHEN HC,XIAO J,et al. Percutaneous transhepatic gallbladder drainage and elective laparoscopic cholecystectomy vs emergency LC for elderly patients with acute cholecystitis[J]. Chin J Gen Surg,2016,7(31):573-575.(in Chinese)俞海波，陈海川，肖竣，等．经皮经肝胆囊穿刺引流术后择期行腹腔镜胆囊切除术与急诊腹腔镜胆囊切除术治疗急性胆囊炎的对比分析[J]．中华普通外科杂志，2016,7(31):573-575.

[9] HUANG J,REN SP,YANG LW. Clinical effect of ultrasoundguided percutaneous transhepatic gallbladder draiilage in treatment of acute cholecystitis[J]. J Clin Hepatol,2017,33(2):286-288.(in Chinese)黄洁，任拾璞，杨理雯．超声引导下经皮经肝胆囊穿刺引流术治疗急性胆囊炎的临床效果[J]．临床肝胆病杂志，2017,33(2):286-288.

[10] LIN JZ,LIU B. An excerpt of 2016 WSES guidelines on acute calculous cholecystitis[J]. J Clin Hepatol,2016,32(10):1843-1846.(in Chinese)林继宗，刘波．《2016年世界急诊外科学会急性结石性胆囊炎指南》摘译[J]．临床肝胆病杂志，2016,32(10):1843-1846.

[11] CHEN P,JIANG HT. Application analysis of glucorticosteroids during perioperation period in senile patient who underwent emergent operation for acute calculous cholecystit[J]. J Hepatobiliary Surg,2012,20(6):438-441.(in Chinese)陈平，姜海涛．激素在急性结石性胆囊炎高龄患者围手术期中的应用研究[J]．肝胆外科杂志，2012,20(6):438-441.

[12] WANG C,HORBY PW,HAYDEN FG,et al. A novel coronavirus outbreak of global health concern[J]. Lancet,2020,395(10223):470-473.

[13] GUO WY,YUAN JP,FU T. Perioperative management strategies for surgical patients during the COVID-19 outbreak[J].Chin J Dig Surg,2020,19(3):259-261.(in Chinese)郭闻一，袁静萍，付涛．新型冠状病毒肺炎疫情期间外科患者围术期防控策略[J]．中华消化外科杂志，2020,19(3):259-261.

[14] WANG D,HU B,HU C,et al. Clinical characteristics of 138hospitalized patients with 2019 Novel Coronavirus-infected pneumonia in Wuhan,China[J]. JAMA,2020.[Online ahead of print]

[15] HUANG GW. Thoughts and advices on performing procedures in general surgery during the outbreak of novel coronavirus pneumonia[J]. Chin J Gen Surg,2020,29(2):127-130.(in Chinese)黄耿文．新型冠状病毒肺炎疫情下实施普通外科手术的思考和建议[J]．中国普通外科杂志，2020,29(2):127-130.

[16] ZHOU TC,YU HY,CHEN S,Consideration of diagnosis and treatment for hernia and surgical diseases of the abdominal wall under outbreak of novel coronavirus pneumonia[J]. Chin J Gen Surg,2020,29(2):131-136.(in Chinese)周太成，于洪燕，陈双．新型冠状病毒肺炎大流行形势下疝和腹壁外科疾病诊疗思考[J]．中国普通外科杂志，2020,29(2):131-136.

施引文献

资源附件(0)

访问统计