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Abstract：
Objective. To describe coronavirus disease 2019 (COVID-19) patient presentations requiring otolaryngology consultation and provide recommendations for protective measures based on the experience of ear, nose, and throat (ENT) departments in 4 Chinese hospitals during the COVID-19 pandemic. Study Design. Retrospective case series. Setting. Multicenter. Subjects and Methods. Twenty hospitalized COVID-19 patients requiring ENT consultation from 3 designated COVID-19 hospitals in Wuhan, Shanghai, and Shenzhen were identified. Data on demographics, comorbidities, COVID-19 symptoms and severity, consult reason, treatment, and personal protective equipment (PPE) use were collected and analyzed. Infection control strategies implemented for ENT outpatients and emergency room visits at the Eye and ENT Hospital of Fudan University were reported. Results. Median age was 63 years, 55% were male, and 95% were in severe or critical condition. Six tracheotomies were performed. Posttracheotomy outcomes were mixed (2 deaths, 2 patients comatose, all living patients still hospitalized). Other consults included epistaxis, pharyngitis, nasal congestion, hyposmia, rhinitis, otitis externa, dizziness, and tinnitus. At all hospitals, powered air-supply filter respirators (PAPRs) were used for tracheotomy or bleeding control. PAPR or N95-equivalent masks plus full protective clothing were used for other complaints. No inpatient ENT providers were infected. After implementation of infection control strategies for outpatient clinics, emergency visits, and surgeries, no providers were infected at the Eye and ENT Hospital of Fudan University. Conclusions and Relevance. COVID-19 patients require ENT consultation for many reasons, including tracheotomy. Otolaryngologists play an indispensable role in the treatment of COVID-19 patients but, due to their work, are at high risk of exposure. Appropriate protective strategies can prevent infection of otolaryngologists.
摘要：
Objective.描述2019年冠状病毒病（COVID-19）需要耳鼻喉科咨询的患者介绍，并根据耳朵的经验提供保护措施建议，鼻子,在COVID-19大流行期间，4家中国医院的喉部（ENT）。研究设计。回顾性病例系列。设置。多中心。主题和方法。20例住院的COVID-19患者需要武汉3家指定的COVID-19医院进行耳鼻喉科咨询，上海,深圳被确认。人口统计数据，合并症,COVID-19症状和严重程度，咨询理由,治疗,收集和分析了个人防护装备(PPE)的使用情况。报告了复旦大学附属眼科和耳鼻喉科医院耳鼻喉科门诊和急诊室就诊的感染控制策略。结果。中位年龄为63岁,55%是男性，95%处于严重或危急状态。进行了六次气管切开术。气管切开术后结果混合（2例死亡，2名患者昏迷，所有仍住院的患者)。其他咨询包括鼻出血，咽炎,鼻塞,失足,鼻炎,外耳道炎,头晕,还有耳鸣.在所有医院，动力供气过滤呼吸器(PAPRs)用于气管切开术或出血控制.PAPR或N95等效口罩以及全套防护服用于其他投诉。没有住院的耳鼻喉科提供者被感染。在门诊实施感染控制策略后，紧急访问,和手术，复旦大学眼科和耳鼻喉科医院没有提供者被感染.结论和相关性。COVID-19患者因多种原因需要耳鼻喉科咨询，包括气管切开术.耳鼻喉科医师在COVID-19患者的治疗中起着不可或缺的作用，但是，由于他们的工作,暴露的风险很高。适当的保护策略可以预防耳鼻喉科医师的感染。
