Diagnosis and rational approach to emergency vascular surgery in the shadow of novel coronavirus pneumonia
10.3760/cma.j.cn113855-20200216-00086
- VernacularTitle: 新型冠状病毒肺炎疫情下血管外科急症手术的诊治体会
- Author:
Jun BAI
1
;
Lefeng QU
;
Jie JIN
;
Jianjin WU
Author Information
1. Department of Vascular and Endovascular Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
- Publication Type:Journal Article
- Keywords:
Coronavirus Infection;
Vascular surgical procedures;
Emergency treatment
- From:
Chinese Journal of General Surgery
2020;35(0):E002-E002
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore a safe, effective and rapid rescue method and key points for the management of vascular surgical emergencies in an area under guaranting Covid-19 (corona virus disease 2019) .
Methods:Under the guidance of COVID-19 diagnosis and treatment guidelines , 4 cases of vascular surgical emergency patients admitted to our department from Feb 1 to Feb 10, 2020 were screened for COVID-19 and given emergency vascular surgical treatment.
Results:Two patients had acute thoracic aortic dissection, one patient had acute left foot ulcer with infection, one patient had severe carotid artery stenosis and frequent TIA. All patients were diagnosed quickly according to the three-level triage process. Endovascular repair (TEVAR) was performed in 2 cases, carotid stenting in 1 case, and left foot amputation in 1 case. Two patients running postoperative fever below 38℃ were safely excluded COVID-19 and cured. There were no other major morbidities nor mortality.
Conclusions:Under the COVID-19 prevention and control guidelines, the establishing of a comprehensive prevention and control system of patient-medicine-care-management helps to perform confine operation on vascular surgical emergency.
