COVID-19疫情期间儿童糖尿病危急重症的识别与转运建议

Recommendations on the identification and transfer of children with critical diabetes during the COVID-19 outbreak

摘要:

2019冠状病毒病（COVID-19）是目前我国面临的最严峻的公共卫生问题。儿童糖尿病患者也在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）易感人群之列。疫情防控管理后的交通问题增加了儿童糖尿病患者的管理救治难度。为控制疫情扩散，轻症糖尿病患者建议居家及社区管理，但危重症患儿如何在COVID-19疫情期间得到高效、安全的救治，无疑给基层医生带来了巨大的挑战。中华医学会儿科学分会内分泌遗传代谢学组和中国医师协会儿科学分会内分泌遗传代谢学组组织相关专家，撰写了COVID-19疫情期间儿童糖尿病危急重症的识别与转运建议，为基层医生快速评估、分级救治，减少转诊感染风险、改善临床预后提供参考。

Abstract:

Coronavirus disease 2019 (COVID-19) is the most serious public health problem in China. Children with diabetes are also among the population susceptible to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Traffic problems caused by epidemic prevention and control increase the difficulty in the management of children with severe diabetes. In order to control the spread of epidemic, children with mild diabetes are advised to be managed at home and in the community. However, how to treat children with severe diabetes effectively and safely during the outbreak of COVID-19 brings great challenges to primary doctors. The Subspecialty Group of Endocrinology and Metabolism, Society of Pediatrics, Chinese Medical Association and the Subspecialty Group of Endocrinology and Metabolism, Society of Pediatrics, Chinese Medical Doctor Association have developed the recommendations on the identification and transfer of children with critical diabetes during the COVID-19 outbreak, which provide a reference for primary doctors to quickly assess the severity of patient's condition and treat the illness accordingly, thus reducing the risk of referral infection and improving clinical prognosis.