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Emergency surgical workflow and experience of suspected cases of COVID-19: A case report

World Journal of Clinical Cases 2020年第21期8卷 5361-5370页

作者： Di Wu Tian-Yu Xie Xue-Hong Sun Xin-Xin Wang Department of General Surgery Chinese PLA General HospitalBeijing 100853China School of Medicine Nankai UniversityTianjin 300071China Department of Surgery Jiaocheng Medical Group HospitalLvliang030500Shanxi ProvinceChina

BACKGROUND Severe acute respiratory syndrome coronavirus 2 has been confirmed to be a newly discovered zoonotic pathogen that causes highly contagious viral pneumonia,which the World Health Organization has named novel coronavirus *** its outbreak,it has become a global *** the outbreak of coronavirus disease 2019(COVID-19),however,there is no mature experience or guidance on how to carry out emergency surgery for suspected cases requiring emergency surgical intervention and perioperative safety protection against *** SUMMARY A 41-year-old man was admitted to the hospital for emergency treatment due to"3-d abdominal pain aggravated with cessation of exhaust and defecation".After improving inspections and laboratory tests,the patient was assessed and diagnosed by the multiple discipline team as"strangulation obstruction,pulmonary infection”.His body temperature was 38.8℃,and the chest computed tomography showed pulmonary *** fever and pneumonia,we could not rule out COVID-19 after consultation by fever clinicians and respiratory ***,we performed emergency surgery under three-level protection for the suspected *** surgery,his nucleic acid test for COVID-19 was negative,meaning COVID-19 was excluded,and routine postoperative treatment and nursing was *** patient was treated with symptomatic support after the *** stomach tube and urinary tube were removed on the 1st d after the *** clearing diet was started on the 3rd d after the operation,and the body temperature returned to *** and bowel movements were noted on 5th postoperative *** was discharged after 8 d of *** patient was followed up for 4 mo after discharge,no serious complications occurred.A 71-year-old woman was admitted to our emergency room due to"abdominal distention,fatigue for 6 d and fever for 13 h".After the multiple discipline team evaluation,the patient was diagnosed as"intestinal obstr

关键词： COVID-19 Emergency surgery Treatment flowchart perioperative protection Case report

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