新型冠状病毒肺炎疫期急性胆道脓性血栓梗阻一例诊治体会
Therapeutic Experience of Acute Biliary Py-ogenic Thrombosis Obstruction during the Epidemic Period of COVID-19 Pneumonia: A Case Report

新型冠状病毒(COVID-19)肺炎疫情爆发以来，全国各地医务人员众志成城，打响了一场轰轰烈烈的疫情阻击战，取得了举世瞩目的决定性抗疫胜利。由于疫情目前仍然在全世界肆虐，因此积极做好疫情防控成为常态化工作。作为非定点医院、非隔离病区的普通外科，如何在常态化防疫情况下，既要做好防护工作、又要及时救治急危重患者的生命，是时代赋予我们的一项迫切任务。本文通过介绍COVID-19疫情期间一例罕见老年急性胆道脓性血栓梗阻的诊治过程，强化术前检查的针对性和特殊性，分析急诊手术的必要性和紧迫性，总结该例患者抢救成功的经验，同时探讨疫情期间急诊手术的防护要点和注意事项，以期为常态化防疫期间的普通外科手术决策提供借鉴。
Since the outbreak of coronavirus disease 2019 (COVID-19) pneumonia, the medical staff all over the country joined hands and launched a vigorous fight against the epidemic, and achieved the world's attention to the stage victory. As the epidemic continues to rampant around the world, ac-tively doing a good job in epidemic prevention and control become the normalization work. Under the condition of normalized epidemic prevention, as a department of a non designated hospital in the rear of the epidemic situation, General surgery is facing on an urgent task entrusted by the times of how to effectively prevent nosocomial infection and avoid the occurrence of clustered epidemic events, and actively carry out emergency surgical treatment for critically-ill patients. This paper introduces the diagnosis and treatment process of a rare elderly patient with acute biliary pyogenic thrombosis obstruction during the outbreak of COVID-19, strengthens the pertinence and particularity of preoperative examination, analyzes the necessity and urgency of emergency operation, summarizes the successful rescue experience of the patient, and discusses the key points and precautions of emergency operation, so as to provide reference for emergency treatment and effective epidemic protection of general surgery during the normalized COVID-19 epidemic.