摘要
目的探讨新型冠状病毒肺炎(COVID-19)疫情暴发期急性眼病围手术期管理和感染防控方法。方法自2020年1月20日至2月19日中国将COVID-19纳入乙类传染病并按照甲类传染病管理以来,陆军军医大学第一附属医院眼科按照国家疫情防控要求实施眼科手术的127例患者围手术期管理情况进行总结,探讨疫情防控形势下眼科围手术期应采取的临床管理措施。结果127例手术眼科手术类型包括急诊手术、日间手术和威胁患者视力相关疾病手术;手术麻醉方式包括全身麻醉、局部麻醉和表面麻醉。眼科手术围手术期按国家疫情防控要求完成了患者疫情筛查、相关环境、相关设备、医护人员及患者的消毒和疫情防护措施,手术过程顺利。无2019-nCoV感染病例,术后未发现医源性和交叉感染发生及手术相关并发症,无医护人员感染事件,手术室及病房、检查区等相关区域空气采样达标率为100%。结论COVID-19疫情防控期间严格遵守眼科诊疗防控措施可有效保障手术顺利实施和眼科围手术期医护人员和患者的安全。
Objective To explore the perioperative management and infection prevention methods for acute eye diseases during the outbreak of 2019 novel coronavirus disease(COVID-19).Methods Since the COVID-19 was included in the Class B infectious diseases and was managed according to Class A infectious diseases in China,127 patients who underwent ophthalmic surgery were enrolled in First Affiliated Hospital of Army Military Medical University from January 20 to February 19,2020.The perioperative management according to the national epidemic prevention and control requirements was summarized,and the perioperative clinical management that should be taken during the epidemic prevention period were discussed.Results One hundred and twenty-seven patients underwent ophthalmic surgeries,including emergency surgery,daytime surgery and other surgeries for sight-threatening diseases.The methods of anesthesia included general anesthesia,local anesthesia and ocular superficial anesthesia.According to the national epidemic prevention and control requirements,epidemic screening for these patients and infectious managing measures were performed during the perioperative period,including the sterilization of relevant environment and equipments,the personal medical prevention and protection for medical staffs and patients,which made sure all the operations went smoothly and safely.There were no 2019-nCoV infection,surgical-relative infection,crossing infection and operation-related complications occurred.Meanwhile,there were not COVID-19-related infection events of medical staffs.The air sampling compliance rate in the operating room,ward,examination room and other areas was 100%.Conclusions During the prevention and control period of the epidemic of COVID-19,strict adherence to the prevention and control measures can effectively ensure the smooth implementation of the operation and the perioperative safety of medical staff and patients.
作者
王晓蕾
王贞
姚春莲
李世迎
Wang Xiaolei;Wang Zhen;Yao Chunlian;Li Shiying(Department of Ophthalmology,First Affiliated Hospital,Army Medical University,Chongqing 400038,China)
出处
《中华实验眼科杂志》
CAS
CSCD
北大核心
2020年第3期200-203,共4页
Chinese Journal Of Experimental Ophthalmology
基金
重庆市社会事业与民生保障科技创新专题项目(cstc2017shmsA130100)。
关键词
新型冠状病毒肺炎
眼科疾病/手术
感染管理
围手术期
眼科
Corona virus disease-19
Eye diseases/surgery
Infectious management
Perioperative period
Opthalmology
