中华胸心血管外科杂志2023年4月第39卷第4期Chin】Thorae Cardiovase Surg,Apil2023,Val.39No.4·193·指南·共识·规范新型冠状病毒感染后肺结节治疗专家共识中华医学会胸心血管外科分会通信作者：赫捷Email:hejie@cicams.ac.cn【摘要】新型冠状病毒（新冠病毒）感染不仅给安全有效地开展临床诊治带来困难，也使医疗工作者面临的感染风险增加。部分新冠病毒感染患者的肺部影像学表现可能与普通肺结节相似，这给肺结节的诊断及治疗带来挑战。目前，我国进入新冠病毒感染“乙类乙管”常态化防控阶段，针对新冠病毒感染后肺结节患者的诊治、随访及围手术期管理尚缺乏相应的共识，相关诊疗工作的开展主要依靠各中心的经验。本共识旨在针对新冠流行背景下的肺结节患者的诊疗，总结国内外相关经验，为广大胸外科医务工作者的科学、规范诊治提供依据。【关键词】新冠肺炎肺结节围手术期管理专家共识D01:10.3760/cma.i.cnl12434-20230302-00047Expert consensus for the treatment of post-COVID-19 patients with pulmonary nodulesChinese Society for Thoracie and Cardiowascular SurgeryCorresponding author:He Jie Email:heje@cicams.ae.enAbstract ]SARS-CoV-2 was first reporied in Wuhan in 2019 and subsequent global COVID-19 pandemie was defined asa public bealth emergeney of international concern by the Word Health Organization.The medical challenges posed by SARSCoV-2 infection in hospitalized patients arose from the increased risk of infection faced by doctors and the multisystem complica-tions following infection.This makes it difficult to conduct safe and effective elinical work.In the field of thoracie surry,COVID-19 patients may have similar appearance to pulmonary nodules on CT scans,which also increases the difficulty of defin-itive diagnosis.Currently,China is managing COVID-19 with measures against Class B infectious diseases,entering a newphase of COVID-19 response.There is still a lack of consensus and guidelines for the perioperative management of patients withpulmonary nodules who recovered from COVID-19.Therefore,the consensus aims to summarize the relevant experience at homeand abroad for patients with pulmonary nodules in the context of COVID-19 pandemic.This will surely provide a reference forand standardized and treatment for the majority of thoracic suery colleages.[Key words]COVID-19 Pulmonary nodule Perioperative managementD01:10.3760/ma.j.m112434-20230302-000471前言究表明，即便是感染后康复的患者，短期内手术并发新型冠状病毒(severe acute respiratory syndrome症发生率及死亡风险仍然很高4)。而新冠病毒感coronavirus2,SARS-CoV-2,新冠病毒)于2019年首染也可能导致全身多系统合并症6)，增加了围手次在湖北武汉被报道，随后出现全球范围内的新术期风险0。因此，择期手术一般延期或取消，型冠状病毒大流行。新冠病毒疫情于2020年1月急诊手术的适应证也相应收紧[。国外专家共识30日被世界卫生组织正式定义为国际公共卫生紧明确提出择期手术应至少推迟7周川。急事件。至今，全球已有超过6.5亿人确诊新型新冠病毒沿呼吸道传播，肺是其主要致病器官冠状病毒肺炎(coronavirus disease2019,C0VID-之一。一部分新冠病毒感染患者会接受胸部CT等19),死亡人数超680万)。当前我国疫情防控形影像学检查：另一方面，越来越多的人群采用低剂量势总体向好，平稳进入“乙类乙管”常态化防控阶螺旋CT(LDCT)进行早期肺癌筛查s-。部分新段，但全球疫情仍在流行，病毒还在不断变异，新冠冠肺炎患者的CT影像学特征可以表现为与早期肺病毒感染对人体造成的损伤依旧存在。国外已有研癌类似的磨玻璃或实性结节，给两者的鉴别诊断及
