[Treatment strategies of Budd-Chiari syndrome during the epidemic period of 2019 coronavirus disease]

Zhonghua Wai Ke Za Zhi. 2020 Jun 1;58(6):401-403. doi: 10.3760/cma.j.cn112139-20200221-00109.
[Article in Chinese]

Abstract

Prevention and control about the situation of 2019 coronavirus disease (COVID-19) are grim at present. In addition to supporting the frontline actively, medical workers in general surgery spare no efforts in making good diagnosis and treatment of specialized diseases by optimizing treatment process, providing medical advice online, mastering indications of delayed operation and emergency operation reasonably, etc. Budd-Chiari syndrome is a complex disorder, and severity of the disease varies, serious cases can be life threatening. While fighting the epidemic, medical workers should also ensure the medical needs of patients. However, instead of continuing the traditional treatment, a new management system should be developed. Based on the characteristics of Budd-Chiari syndrome patients in China and our experience, patients are divided into ordinary cases and critical cases, and treatment strategies suitable for the epidemic period of COVID-19 are put forward for reference and discussion by physicians.

目前新型冠状病毒肺炎疫情防控形势严峻,普通外科医务人员除积极支援一线外,也通过优化就诊流程、开通线上诊疗、合理把握延期手术及急诊手术指征等,做好专科疾病的诊治工作。巴德-吉亚利综合征疾病复杂,患者病情轻重程度不一,严重者可危及生命。医务人员在抗击疫情的同时,也应保障患者的医疗需求。但疫情期间不能延续传统诊疗方案,需制定新的管理体系。本文根据国内巴德-吉亚利综合征患者的病情特征,结合自身经验,将巴德-吉亚利综合征患者分为普通患者和急危重症患者,提出适用于新型冠状病毒肺炎疫情期间巴德-吉亚利综合征的治疗策略,供广大医师借鉴和探讨。.

Keywords: 2019 coronavirus disease; Budd-Chiari syndrome; Coronavirus infections; Critical cases; Novel coronavirus pneumonia.

MeSH terms

  • Betacoronavirus
  • Budd-Chiari Syndrome / therapy*
  • COVID-19
  • China
  • Coronavirus Infections*
  • Humans
  • Pandemics*
  • Patient Care Management / standards*
  • Pneumonia, Viral*
  • SARS-CoV-2