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肺癌术后合并新型冠状病毒肺炎临床诊治1例报告

Clinical diagnosis and management of patient with novel coronavirus pneumonia post-lung cancer resection: case report

  • 摘要: 2019年12月起,新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)首发于中国武汉。目前全球多个国家均已有确诊病例。该病传播迅速,且存在明确的人际传播。但对于围手术期,尤其是胸外科,NCP患者则尚未见报道。本例病案主要描述了1例肺癌围手术期合并NCP患者从术前检查到术后最终确诊的诊治全过程,包括患者术前症状体征及实验室检查、术后发热症状及胸部CT影像演变过程和相应治疗防护措施以及确诊后的诊治流程等,为胸外科围手术期合并NCP患者的诊断、治疗及特殊防护提供经验。

     

    Abstract: Since December 2019, novel coronavirus pneumonia has appeared in Wuhan, Hubei, China. Currently, there have been confirmed cases in many countries around the world. The disease spreads rapidly, and various evidences have shown that interpersonal transmission of NCP is occurring. However, for perioperative period, especially thoracic surgery, NCP patients have not been reported. This case mainly describes the whole process of diagnosis and treatment of a patient with lung cancer combined with NCP from preoperative examination to final diagnosis after operation, including the description of the patient's preoperative symptoms and signs, laboratory examination, and postoperative fever symptoms. The dynamic process of chest CT images and proper treatment and protective measures, as well as the diagnosis and treatment process after diagnosis provide experience for the diagnosis, treatment, and special protection for patients with perioperative thoracic surgery combined with NCP.

     

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