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江苏卫生事业管理:2020,Vol.>>Issue(9):1127-1130
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24例口腔颌面外科住院患者在新冠肺炎疫情期间的诊疗回顾△
张怡雯,尤 莹,张金灿,庄 海,朱榴宁,卜寿山*
(南京医科大学第一附属医院口腔科)
Clinical analysis of 24 cases with oral and maxillofacial surgery during the prevalence of COVID-19△
ZHANG Yiwen,YOU Ying,ZHANG Jincan,ZHUANG Hai,ZHU Liuning,BU Shoushan*
(Department of Stomatology,The First Affiliated Hospital of Nanjing Medical University)
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中文摘要: 目的:回顾分析新型冠状病毒肺炎(COVID-19)期间,南京医科大学第一附属医院口腔颌面外科住院患者的基本情况、收治流程与感控措施,为口腔临床诊疗提供参考。方法:收集2020年1月22日至2020年3月5日南京医科大学第一附属医院口腔科收治患者的病历资料,统计分析患者的基本信息、临床诊断、治疗方式及实验室检查结果等数据,探讨疫情期间口腔颌面外科患者的收治流程及感染防控措施。结果:疫情期间共收治了24例7至77岁患者,其中男性13例,女性11例。包括口腔颌面部感染3例、口腔颌面部骨折4例、恶性肿瘤8例、口腔恶性肿瘤术后7例及其他2例。17例行手术治疗,且恢复良好,其余7例行术后辅助化疗。收治患者均未出现新冠病毒感染。结论:COVID-19疫情期间,除急诊患者外,限期手术患者的诊断和治疗也应谨慎进行。严格控制患者的入院标准,入院后优化治疗方案,对术前准备标准化,术中简化术式以缩短手术时间并减少出血,术后对患者进行严密监测与管理。在精准防控疫情的基础上,有序开展口腔颌面部外科手术,尽可能降低感染风险。
Abstract:Purpose:Retrospective analysis on the basic information,admission procedures and infection control of inpatient in stomatological department of Jiangsu province hospital provides reference for oral clinical diagnosis and treatment during the outbreak of coronavirus disease 2019(COVID-19). Methods:The basic data were collected by stomatological department of Jiangsu province hospital from January 22,2020 to March5,2020. The investigation was analyzed statistically according to patients’information,clinical diagnosis,treatment plan and laboratory examination to discuss the admission and treatment process and infection prevention and control measures of oral and maxillofacial surgery patients during the epidemic. Results:A total of 24 patients aged form 7 to 77years were admitted during the prevalence,including 13males and 11 females. There were 3 cases of oral and maxillofacial multi-gap infections,4 cases of oral maxillofacial fractures,8 cases of malignant tumors,7 cases of oral malignant tumors after operation,and 2 other cases. Of these,17 studies selected after surgical treatment recovered well and remaining studies werereceived postoperative chemotherapy. None of the hospitalized and discharged patients were infected with COVID-19. Conclusions:The diagnosis and treatments of inpatients whether emergency or limited situation ought to keep the process carefully in the period of outbreak. The criteria of admission and preoperative preparation must be controlled strictly before hospitalization,optimize treatment plan after admission,standardize preoperative preparation. The surgical procedures require shortening the operation times and reducing bleeding during the operation. Patients are closely monitored and managed after operation. Oral and maxillofacial surgery is launched scientific and orderly base on precise epidemic prevention and controlto reduce the risk of COVID-19 infection as much as possible.
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基金项目:国家自然科学基金面上项目(81670967) 国家自然科学基金面上项目(81670967)
引用文本:
张怡雯,尤 莹,张金灿,庄 海,朱榴宁,卜寿山*.24例口腔颌面外科住院患者在新冠肺炎疫情期间的诊疗回顾△[J].江苏卫生事业管理,2020,31(9):1127-1130.
ZHANG Yiwen,YOU Ying,ZHANG Jincan,ZHUANG Hai,ZHU Liuning,BU Shoushan*.Clinical analysis of 24 cases with oral and maxillofacial surgery during the prevalence of COVID-19△[J].Jiangsu Health System Management,2020,31(9):1127-1130.

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