中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (3): 210-213.doi: 10.19438/j.cjoms.2020.03.004

• 新冠肺炎专栏 • 上一篇    下一篇

2019-nCoV重症患者气管切开防喷溅装置的设计与初步应用

吴嘉骏1,*, 夏伟梁2,*, 范晶娴1, 李颖川3, 韦贤4, 郭长峰5, 黄洁6, 徐兵1#, 卢洪洲7#   

  1. 1.上海交通大学医学院附属第九人民医院 急诊科,上海 200011;
    2.上海交通大学生物医学工程学院、致远学院,上海 200240;
    3.上海交通大学附属第六人民医院 重症医学科,上海 200233;
    4.上海清华国际创新中心, 上海 200333;
    5.同济大学附属第十人民医院 急诊重症医学科,上海 200072;
    6.上海交通大学医学院附属瑞金医院 重症医学科,上海 200025;
    7.复旦大学附属上海公共卫生临床中心,上海 201805
  • 收稿日期:2020-03-12 修回日期:2020-03-24 发布日期:2020-06-18
  • 通讯作者: 徐兵,E-mail:Xub1319@sh9hospital.org.cn;卢洪洲,E-mail:Luhongzhou@fudan.edu.cn。*共同通信作者
  • 作者简介:吴嘉骏（1979-）,男,硕士,主治医师,E-mail: thespecial2020@163.com;夏伟梁（1978-）,男,博士,教授,E-mail: wlxia@sjtu.edu.cn。*并列第一作者
  • 基金资助:
    上海交通大学“医工交叉研究基金新型冠状病毒防治攻关专项”

Development of anti-spray isolation device for critically ill 2019-nCoV patients who received tracheotomy

WU Jia-jun1, XIA Wei-liang2, FAN Jing-xian1, LI Ying-chuan3, WEI Xian4, GUO Chang-feng5, Huang Jie6, XU Bing1, LU Hong-zhou7   

  1. 1. Department of Emergency, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai200011;
    2. School of Biomedical Engineering. Shanghai200240;
    3. Department of Critical Care Medicine, The Sixth People's Hospital, Shanghai Jiao Tong University. Shanghai200233;
    4. The International Innovation Center of Tsinghua University. Shanghai200333;
    5. Department of Emergency Critical Care, Tenth People's Hospital, Tongji University. Shanghai200072;
    6. Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai200025;
    7. Department of Infectious Disease, Shanghai Public Health Clinical Center. Shanghai201805, China
  • Received:2020-03-12 Revised:2020-03-24 Published:2020-06-18

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摘要： 目的 对2019-nCoV高传染性重症患者进行气管插管、气管切开等高危程序操作,是一线医务人员发生感染的重要危险因素,急需降低操作者的感染风险。方法 本团队发明一种手术防喷溅隔离装置,在操作者与患者之间建立可视化防喷溅隔离区域,术者可将手伸进隔离装置的操作口进行手术操作,在不影响正常手术程序的同时,降低了自身感染风险。结果 本装置经申请专利后已初步试用于临床,在7例重症新型冠状病毒肺炎患者的气管切开术中得以成功应用,目前已批量生产,发往武汉抗疫一线。结论 本隔离装置在救治2019-nCoV患者的临床应用中得到良好反馈,为抗击疫情的一线医务工作者提供了有效防护措施,降低了感染风险。

关键词: 新型冠状病毒, 气管切开, 飞沫传播, 隔离装置

Abstract: PURPOSE: High risk procedures such as intubation, tracheotomy for critically ill 2019-nCoV patients were one of the most important factors that increased the risk of healthcare workers (HCWs)'s infection. METHODS: One anti-spray isolation device was developed to reduce virus infection during high risk procedures. Operators performed surgery through two holes on the isolation device, while not affected. RESULTS: This isolation device was patent and applied successfully in seven critically ill 2019-nCoV patients who received tracheotomy. Then it went into production and had been transported to Wuhan medical institutions. CONCLUSIONS: At present, this isolation device had been used in clinical practice and received good feedback. It was believed that the device would provide well protection for front-line HCWs and reduce their infection risk.

Key words: 2019-nCoV, Tracheotomy, Droplet transmission, Isolation device

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