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支气管镜检查在新冠肺炎大流行期间的应用
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Abstract:
由2019新型冠状病毒(SARS-CoV-2)引起的新型冠状病毒肺炎(Corona Virus Disease 2019, COVID-19) (以下简称“新冠肺炎”)是一种新的大流行性传染病，目前已给世界各地的卫生系统造成相当大的负担，因此仍然需要采取保护措施来防止病毒的传播。虽然目前咽拭子核酸检测2019新型冠状病毒已广泛普及，但由于新冠肺炎潜伏期及被检测人员的不确定性，有检测出现假阴性可能，因此医院工作人员及住院患者感染风险极大。与呼吸系统相关的科室进行的呼吸相关的检查及治疗，更是让医务工作者直接与病人直接接触，例如支气管镜检查，其可能导致患者咳嗽和气溶胶的形成，从而增加了相关工作人员和其他患者感染的风险。因此，减少气溶胶的产生，对有关人员的个人保护，以及改进支气管镜检查程序组织的措施，从而确保即使在COVID-19期间也能安全地进行内窥镜检查。
Corona Virus Disease 2019 (COVID-19) is a new pandemic infectious disease that has placed a con-siderable burden on health systems around the world, so protective measures still need to be taken against the spread of the virus. Although the throat swab nucleic acid test novel coronavirus 2019 has been widely used, but the incubation period of COVID-19 and the uncertainty of the tested per-sonnel, may lead to false negative tests, so the risk of hospital staff and hospitalized patients infec-tion is great. Respiratory-related examination and treatment in departments related to the respir-atory system put medical workers in direct contact with patients, such as bronchoscopy, which may lead to cough and aerosols, thus increasing the risk of infection among relevant staff and other pa-tients. Therefore, reducing aerosol production, personal protection for the personnel concerned, and measures to improve the organization of bronchoscopy procedures to ensure that endoscopy is safely performed even during COVID-19.
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