【摘要】 目的分享新型冠状病毒肺炎(简称新冠肺炎)疫情期间脑血管病中心对破裂颅内动脉瘤显微手术患者的围手术期管理经验。方法回顾性连续纳入2020年1月19日至2月28日十堰市太和医院脑血管疾病诊疗中心收治的22例破裂颅内动脉瘤患者,总结疫情期间破裂动脉瘤患者院前转诊、入院检查及术前评估、手术策略、术后管理完整的管理经验,所有患者按照严格的流程进行管理,分析患者治疗效果及医护人员防护效果。结果 22例破裂动脉瘤患者中无新冠肺炎确诊患者,有2例新冠肺炎疑似患者;出院时患者改良Rankin量表评分0～1分17例,2分4例,4分1例,无致死病例;无患者发生院内感染,参与患者管理的医护人员无1人感染新冠肺炎。结论新冠肺炎疫情期间,完整的颅内破裂动脉瘤患者管理流程,可以为患者提供及时有效的治疗,同时也能保障医护人员的安全,为包括破裂颅内动脉瘤患者在内的危重脑血管病患者管理提供参考。更多还原

【Abstract】 Objective To share the perioperative management experience of patients under microsurgical treatment of ruptured intracranial aneurysms in cerebrovascular disease center during the coronavirus disease2019( COVID-19) epidemic.Methods A total of 22 patients with ruptured aneurysms admitted in the Department of Neurosurgery,Shiyan Taihe Hospital from January 19 th,2020 to February 28 th,2020,were recruited retrospectively.The management experience,including pre-hospital referral,admission examination,preoperative evaluation,surgical strategy,and postoperative management was summarized.All patients were managed according to strict procedures.The therapeutic effect of patients and the protective effect of medical staff were analyzed.Results Among the 22 patients with ruptured aneurysms,there was no patient confirmed COVID-19 but 2 patients suspected COVID-19.At the time of discharge,modified Rankin scale score was 0 to 1 in 17 cases,2 points in 4 cases,and 4 points in 1 case.There was no fatal case.No patient developed nosocomial infection,and none of the medical staff involved in patient management were infected with COVID-19.Conclusions During the COVID-19 epidemic,a complete management process for patients with ruptured aneurysms can provide timely and effective treatment,and maximize the safety of medical staff at the same time.The current article provides a reference for the management of critically cerebrovascular patients,including patients with ruptured intracranial aneurysms.更多还原