新型冠状病毒肺炎疫情期间眼科手术安全性及防控对策

来源 :中华眼外伤职业眼病杂志 | 被引量 : 0次 | 上传用户:FuSoo
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨新型冠状病毒肺炎疫情期间开展眼科手术的安全性,并提出相关防控对策。方法:收集2020年1月25日至2020年2月28日新型冠状病毒肺炎疫情期间,在天津医科大学总医院眼科接受手术治疗者11例(12眼)的资料。其中眼球破裂,角膜穿孔伤,角膜穿孔伤合并外伤性白内障,眼内异物各1例(1眼),泪小管断裂2例(2眼),孔源性视网膜脱离4例(4眼),青光眼1例(2眼)。所有患者进行体温监测和流行病学调查。按照国家疫情防控要求和医院的应急管理流程,制订了眼科诊疗流程,所有患者均严格按照此流程进行管理,围手术期严格监测体温、呼吸道等全身情况。结果:11名患者就诊前行体温监测、流行病学调查、临床及影像学检查均正常,并请感染科专家会诊排除新型冠状病毒肺炎。所有患者均为眼外伤和急性眼病,包括急诊手术6眼,限期手术6眼,严格遵照眼科诊疗流程进行手术治疗,术后恢复良好,均未出现严重手术并发症。住院及随访期间患者、家属及医护人员均未发生新型冠状病毒肺炎。结论:新型冠状病毒肺炎疫情期间严格筛查患者,严格按照疫情期间防控工作流程要求,眼科手术是安全可行的。“,”Objective:To investigate the safety of ophthalmic surgery during the epidemic of COVID-19 and to make related protective measures.Methods:The clinical data of 12 eyes of 11 patients who underwent ophthalmic surgeries from Jan. 25th to Feb. 28th in Tianjin Medical University General Hospital were collected during the outbreak of COVID-19. There were 1 eye of 1 case with rupture of eyeball, 1 eye of 1 case with corneal perforating injury, 1 eye of 1 case of corneal perforating injury with traumatic cataract, 1 eye of 1 case with intraocular foreign body, 2 eyes of 2 cases of canalicular laceration, 4 eyes of 4 cases of rhegmatogenous retinal detachment, and 2 eyes of 1 case of glaucoma. All patients were monitored temperature and made epidemiological investigations. According to the national epidemic prevention and control requirements and hospital’s emergency management process, an ophthalmologic diagnosis and treatment process had been formulated. All patients were strictly managed in accordance with this process. Body temperature, respiratory tract and other general conditions were monitored on the perioperative period.Results:The temperature monitoring, epidemiological investigation, clinical and imaging examinations before consultation in all cases were normal, and all cases were treaded by infectious experts consultation to eliminate COVID-19. Ophthalmic surgeries were performed in 12 eyes of 11 patients with ocular trauma and acute eye diseases, included 6 eyes of emergency surgery, 6 eyes of limited-term surgery, and strictly followed the ophthalmologic diagnosis and treatment process for surgical treatment. All patients recovered well postoperatively, and no serious complication occurred. No COVID-19 occurred among patients, family members and medical staff during the hospitalization and follow-up period.Conclusion:The ophthalmic surgeries can be safely performed after strict screening and in accordance with the requirements of prevention and control workflow during the epidemic of the novel coronavirus pneumonia.
其他文献
目的:分析自体耳软骨垫鼻尖辅助膨体假体综合隆鼻临床效果.方法:选择我院2018年9月-2019年9月收治的120例隆鼻手术求美者,采用回顾式分析方法,按照手术方式,将其分为观察组与
随着工业水平的不断提高,工业生产设备已从人工操作设备向全自动、半自动机器设备转变。基于机器视觉的智能检测类设备逐步代替依靠人眼的各类检测环节,提高检测精度,增加工业生
相干反斯托克斯拉曼散射(Coherent Anti-Stokes Raman Scattering,CARS)技术由于具有不干扰流场、信号强度高、空间谱分辨率高等优点,广泛应用于燃烧场温度的测量。随着超短
目前,全球经济增速放缓,但仍保持着复苏的走势,尤其是新兴经济体发展状态良好。相关国家及区域间贸易合作正不断加强,全球贸易量正处于积极恢复的增长当中。海上运输在全球贸易沟
人们生活水平的提高往往会促进出行的需求,航空以其快捷舒适的特点,在传统的出行方式中占据的比例越来越大。民航领域持续增长的交通压力,不可避免地造成航站楼出现拥堵的现象,因
当今世界,人类面临着人口爆炸、环境恶化等诸多严峻的挑战,诱发了对人类自身的最大威胁——癌症。然而,由于国家与地域、人类与种族及人与人个体等差异化,即便是相同的癌症疾病,其
学位
近年来,国家高度重视高校对大学生的美育教育工作.与传统第一课堂相对应的第二课堂,也逐渐成为高校美育教育的新阵地.第二课堂在面对学生的“非强制性”和“非专业性”条件下
扫描白光干涉法(Scanning white light interferometry,SWLI)测量物体表面微观三维形貌在对断口表面进行检测上具有潜在的应用前景。通过对断口表面进行检查时发现存在大量的
广西南宁作为东盟的永久举办地,极具地理位置优势下广西缺乏高端人才为广西带来发展和创新,所以广西猎头行业有很大的发展前景.在东盟的大环境趋势下,整个广西地区对于高端人