Challenges and countermeasures of thoracic surgery in the epidemic of novel coronavirus pneumonia_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIE Dong ¹ , WANG Sihua ² , JIANG Gening ¹ , LIAO Yongde ² , ZHU Yuming ¹ , ZHANG Lei ¹ , XU Zhifei ³ , CHEN Keneng ⁴ , FANG Wentao ⁵ , GE Di ⁶ , TAN Lijie ⁶ , CHEN Xiaofeng ⁷ , LI Hecheng ⁸ , WU Chuangyan ² , TONG Song ² , LIU Zheng ⁹ , DING Xiangchao ¹⁰ , CHEN Jiuling ² , CHENG Chao ⁹ , WANG Haifeng ¹ ,  CHEN Chang ¹

1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, P.R.China;
2. Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, P.R.China;
3. Department of Minimally Invasive Thoracic Surgery Center, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, 200003, P.R.China;
4. The First Department of Thoracic Surgery, Cancer Hospital and Institute, Peking University, Beijing, 100142, P.R.China;
5. Department of Thoracic Surgery, Shanghai Chest Hospital, Medical School of Shanghai Jiaotong University, Shanghai, 200030, P.R.China;
6. Department of Thoracic Surgery, Zhongshan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200032, P.R.China;
7. Department of Thoracic Surgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, P.R.China;
8. Department of Thoracic Surgery, Ruijin Hospital, Medical School of Shanghai Jiaotong University, Shanghai, 200025, P.R.China;
9. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
10. Department of Thoracic Surgery, Renmin Hospital, Wuhan University,Wuhan, 430060, P.R.China;

Corresponding author：

CHEN Chang, Email: chenthoracic@163.com

Keywords：

2019 novel coronavirus (SARS-CoV-2) infection; thoracic surgery; outpatient clinics

DOI：

10.7507/1007-4848.202002033

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Since December 2019, a novel coronavirus (2019-nCoV, SARS-CoV-2) pneumonia (COVID-19) outbreak has occurred in Wuhan, Hubei Province, and the epidemic situation has continued to spread. Such cases have also been found in other parts of the country. The spread of the novel coronavirus pneumonia epidemic has brought great challenges to the clinical practice of thoracic surgery. Outpatient clinics need to strengthen the differential diagnosis of ground glass opacity and pulmonary plaque shadows. During the epidemic, surgical indications are strictly controlled, and selective surgery is postponed. Patients planning to undergo a limited period of surgery should be quarantined for 2 weeks and have a nucleic acid test when necessary before surgery. For patients who are planning to undergo emergency surgery, nucleic acid testing should be carried out before surgery, and three-level protection should be performed during surgery. Patients who are planning to undergo emergency surgery in the epidemic area should be confirmed with or without novel coronavirus pneumonia before operation, and perform nucleic acid test if necessary. Surgical disinfection and isolation measures should be strictly carried out. Among postoperative patients, cases with new coronavirus infection were actively investigated. For the rescue of patients with novel coronavirus infection, attention needs to be paid to prevention and treatment and related complications, including mechanical ventilation-related pneumothorax or mediastinal emphysema, and injury after tracheal intubation.

Citation： XIE Dong, WANG Sihua, JIANG Gening, LIAO Yongde, ZHU Yuming, ZHANG Lei, XU Zhifei, CHEN Keneng, FANG Wentao, GE Di, TAN Lijie, CHEN Xiaofeng, LI Hecheng, WU Chuangyan, TONG Song, LIU Zheng, DING Xiangchao, CHEN Jiuling, CHENG Chao, WANG Haifeng, CHEN Chang. Challenges and countermeasures of thoracic surgery in the epidemic of novel coronavirus pneumonia. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(4): 359-363. doi: 10.7507/1007-4848.202002033 Copy

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1. 新型冠状病毒感染的肺炎诊疗方案(试行第五版) [2020-02-08]. 中国中西医结合杂志, 2020. URL: http://kns.cnki.net/kcms/detail/11.2787.R.20200208.1034.002.html.
2. 雷子乔, 史河水, 梁波, 等. 新型冠状病毒(2019-nCoV)感染的肺炎的影像学检查与感染防控的工作方案 [2020-02-08]. 临床放射学杂志, 2020. doi: 10.13437/j.cnki.jcr.20200206.001.
3. 中华医学会放射学分会. 新型冠状病毒肺炎的放射学诊断: 中华医学会放射学分会专家推荐意见(第一版). 中华放射学杂志, 2020, 54: E001.
4. 陈思, 史嘉玮, 夏家红, 等. 心血管外科急诊手术合并新型冠状病毒感染管理策略. 中国胸心血管外科临床杂志, 2020, 27(3): 243-245.
5. 孟凡慧, 范红艳, 闻智, 等. SARS 疑似患者急诊手术的管理. 解放军护理杂, 2003, 20(8): 8-9.
6. 杨磊, 李非, 李铎, 等. SARS 危重患者机械通气后并发症的临床分析及呼吸治疗策略的探讨. 首都医科大学学报, 2003, 24(4): 426-429.
7. 谢冬, 姜格宁, 徐志飞, 等. 插管后气管狭窄的治疗进展. 中华胸心血管外科杂志, 2013, 29(3): 180-182.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Challenges and countermeasures of thoracic surgery in the epidemic of novel coronavirus pneumonia

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