2019冠状病毒病流行期间骨质疏松性椎体压缩性骨折患者标准化诊断和治疗的共识

中华创伤杂志 Pub Date : 2020-02-26 DOI:10.3760/CMA.J.ISSN.1001-8050.2020.02.004

Z. Fang, B. He, D. Hao, Feng Li, Liang Yan, Yanzheng Gao, Shiqing Feng, T. Sun, D. Jiang, Jiwei Tian, Huan Wang, Yingze Zhang, S. Fan, Yue Zhu, Yijian Liang, Yun Tian, L. Bo, Weimin Jiang, Jing-yan Wang, Xiao-Bei Mao, Changsheng Zhu, L. Yali, Lijun He, Yuan He, Q. Shi, Shuixia Li, Jing Wang, Zijun Gao, Buhuai Dong, Honghui Yu, Yonghong Jiang

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引用次数: 1

摘要

自2019年12月以来，湖北武汉报告了由2019年新型冠状病毒（2019-nCoV）引起的2019冠状病毒病（新冠肺炎）。近70%的2019-nCoV易感患者年龄在50岁以上，其中老年患者的危重症和死亡比例极高。同时，老年患者发生骨质疏松性骨折的风险较高，尤其是骨质疏松性椎体压缩性骨折（OVCF）。在新冠肺炎疫情防控过程中，骨科医生面临的困难包括如何筛查和保护OVCF患者，如何准确诊断和评估疑似或确诊新冠肺炎的OVCF患者的病情，以及如何在急诊和门诊制定合理的治疗计划和全面的防护措施。为了规范诊断为新冠肺炎的OVCF患者的诊断和治疗，作者共同制定了这一专家共识。该共识系统地建议对疑似或确诊新冠肺炎的OVCF患者进行标准化的急诊和门诊筛查和确认程序，以及急诊和门诊的保护措施。此外，该共识描述了根据疾病严重程度对诊断为新冠肺炎的OVCF患者进行分级和分类，并根据不同类型和疫情防控要求建议了不同的治疗方案和相应的防护措施。关键词：冠状病毒感染；肺炎；骨质疏松性骨折；脊柱骨折；感染控制

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Consensus on standardized diagnosis and treatment for osteoporotic vertebral compression fracture patients during epidemic of corona virus disease 2019

Since December 2019, the corona virus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (2019-nCoV) has been reported in Wuhan, Hubei Province. Almost 70% of patients susceptible to 2019-nCoV are over age of 50 years, with extremely large proportion of critical illness and death of the elderly patients. Meanwhile, the elderly patients are at high risk of osteoporotic fractures especially osteoporotic vertebral compression fractures (OVCF). During the prevention and control of COVID-19 epidemic, orthopedists are confronted with the following difficulties including how to screen and protect OVCF patients, how to accurately diagnose and assess the condition of OVCF patients with suspected or confirmed COVID-19, and how to develop reasonable treatment plans and comprehensive protective measures in emergency and outpatient clinics. In order to standardize the diagnosis and treatment of patients with OVCF diagnosed with COVID-19, the authors jointly develop this expert consensus. The consensus systematically recommends the standardized emergency and outpatient screening and confirmation procedures for OVCF patients with suspected or confirmed COVID-19 and protective measures for emergency and outpatient clinics. Moreover, the consensus describes the grading and classification of OVCF patients diagnosed with COVID-19 according to the severity of illness and recommends different treatment plans and corresponding protective measures based on the different types and epidemic prevention and control requirements. Key words: Coronavirus infections; Pneumonia; Osteoporotic fractures; Spinal fractures; Infection control

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来源期刊

中华创伤杂志

自引率

0.00%

发文量

11327

期刊介绍： Chinese Journal of Trauma (International Standard Serial Publication Number: ISSN 1001-8050, Domestic Uniform Serial Publication Number: CN 50-1098/R) was founded in September 1985, which is the only high-level medical professional academic journal that can comprehensively and systematically reflect the achievements and development trends of China's traumatology medicine, and has a wide academic influence in China's traumatology medicine community. It has a wide range of academic influence in China's trauma medicine. Chinese Journal of Trauma is a source journal of China Science and Technology Paper Statistics, a source journal of China Science Citation Database (CSCD), a core journal of China Comprehensive Medicine and Health Care, a source journal of China Academic Journals Comprehensive Evaluation Database (CAJCED), a full-text journal of China Journal Full-text Database (CJFD), a core academic journal of China Center for Scientific Evaluation (RCCSE), a core academic journal of China Traumatology and Traumatology Center (CTC), a core academic journal of China Traumatology Center (RCCSE). RCCSE) core academic journals; Chinese Biomedical Journal Database (CMCC), Chinese Biomedical Journal Citation Database (CBJCED), China Journal Network (CJN), China Academic Journals (CD-ROM), Chinese Academic Journals Abstracts (Chinese Edition), Chemical Abstracts of the United States (CA), Index Copernicus of Poland (IC), and Japan Institute of Science and Technology Database (JICST), World Health Organization Western Pacific Region Medical Search (WPRIM) and Russian Journal of Abstracts (ΡЖ) included journals.