Change of clinical diagnosis and treatment mode of colorectal cancer after local outbreak of COVID-19

doi:10.3877/cma.j.issn.1674-0785.2021.11.004

Abstract

Abstract:

The local outbreak of COVID-19 has a profound impact on the normal clinical diagnosis and treatment mode of colorectal cancer. As a result, the clinical diagnosis and treatment mode needs to be changed in a targeted manner. This paper summarizes the relevant experience and holds that the diagnosis and treatment strategy should be adjusted according to the actual situation timely, hierarchical management of patients with colorectal cancer should be adopted, and attention should be paid to the mental health of patients and the problems of staying in the hospital.

Key words: COVID-19, Colorectal cancer, Diagnosis and treatment mode

Baokun Li, Gu Feng, Chaoxi Zhou, Jianfeng Zhang, Xiaoran Wang, Hongqing Ma, Guanglin Wang, Wenbo Niu, Bin Yu, Guiying Wang. Change of clinical diagnosis and treatment mode of colorectal cancer after local outbreak of COVID-19[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(11): 819-823.

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References 27

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患者分层	地区	治疗建议
存在消化道不适症状、病因不明的患者	疫区内	可延缓就医，若不适症状加重，影响到日常生活，需及时与当地社区沟通外出就医
存在消化道不适症状、病因不明的患者	疫区外	明确病因需进一步检查检验，如结肠镜等，疫区外患者可考虑就近就医
已明确诊断需住院治疗的结直肠癌患者	疫区内	已确诊的结直肠癌患者建议延缓就医，关注疫情发展趋势，与主管医师保持联系；存在梗阻、出血、穿孔等危急情况，走急诊途径诊治
已明确诊断需住院治疗的结直肠癌患者	疫区外	早期结直肠癌患者建议定期复查、延迟手术；局部晚期患者推荐新辅助放化疗等治疗方案，延迟手术，存在梗阻、出血、穿孔等危急情况，走急诊途径诊治
新辅助治疗的结直肠癌患者	疫区内	暂缓治疗，关注疫情发展趋势，与主管医师保持联系，必要时外出就医
新辅助治疗的结直肠癌患者	疫区外	于当地医院继续治疗，酌情减少用药剂量或延长化疗周期
术后患者	疫区内	严格居家隔离休养，适当运动，增强营养，后续治疗及复查暂缓，与主管医师保持联系
术后患者	疫区外	就诊当地医院继续后续治疗及复查

患者分层	地区	治疗建议
存在消化道不适症状、病因不明的患者	疫区内	可延缓就医，若不适症状加重，影响到日常生活，需及时与当地社区沟通外出就医
存在消化道不适症状、病因不明的患者	疫区外	明确病因需进一步检查检验，如结肠镜等，疫区外患者可考虑就近就医
已明确诊断需住院治疗的结直肠癌患者	疫区内	已确诊的结直肠癌患者建议延缓就医，关注疫情发展趋势，与主管医师保持联系；存在梗阻、出血、穿孔等危急情况，走急诊途径诊治
已明确诊断需住院治疗的结直肠癌患者	疫区外	早期结直肠癌患者建议定期复查、延迟手术；局部晚期患者推荐新辅助放化疗等治疗方案，延迟手术，存在梗阻、出血、穿孔等危急情况，走急诊途径诊治
新辅助治疗的结直肠癌患者	疫区内	暂缓治疗，关注疫情发展趋势，与主管医师保持联系，必要时外出就医
新辅助治疗的结直肠癌患者	疫区外	于当地医院继续治疗，酌情减少用药剂量或延长化疗周期
术后患者	疫区内	严格居家隔离休养，适当运动，增强营养，后续治疗及复查暂缓，与主管医师保持联系
术后患者	疫区外	就诊当地医院继续后续治疗及复查

分类	措施
交通	积极与医院、政府沟通，反映现实问题，协商车辆，协助患者回家
疫情防控	加强滞留人员防护，做好防控宣教；病区封闭管理，无故不得外出；健康监测
日常生活	保障基本生活，协调物资购买
情绪管理	提供心理支持；加强沟通，适时引导；注重人文关怀

分类	措施
交通	积极与医院、政府沟通，反映现实问题，协商车辆，协助患者回家
疫情防控	加强滞留人员防护，做好防控宣教；病区封闭管理，无故不得外出；健康监测
日常生活	保障基本生活，协调物资购买
情绪管理	提供心理支持；加强沟通，适时引导；注重人文关怀

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