新型冠状病毒感染相关神经系统并发症的评估与管理中国专家共识(2023)

Chin J Clin Neurosci 2023.31 (2).121~131·121·专家建议和共识新型冠状病毒感染相关神经系统并发症的评估与管理中国专家共识(2023)执笔：陈向军，邵凌云，关鸿志(国家传染病医学中心，国家神经疾病医学中心，上海200040)摘要新型冠状病毒流行期间出现了大量新冠病毒感染相关神经系统并发症病例。如何正确识别、评估和管理新冠病毒感染相关神经系统并发症，对接诊新型冠状病毒感染患者的相关科室医生而言充满挑战。国家传染病医学中心、国家神经疾病医学中心联合复旦大学循证医学中心，基于当前的最佳循证医学证据，结合来自中国一线诊治新型冠病毒感染相关神经系统并发症的临床经验，经全国多家医院神经科、感染科专家共同讨论，制订了“新型冠状病毒感染相关神经系统并发症的评估与管理中国专家共识(2023)”，内容包括脑病、脑血管病、脑/脊髓炎、吉兰-巴雷综合征等新型冠状病毒感染神经系统并发症人群的识别、评估项目和治疗策略，为指导临床正确地评估与管理新型冠状病毒感染神经系统并发症提供理论依据。关键词新型冠状病毒感染；神经系统并发症；评估；管理Assessment and Management of Neurological Complications Associated with COVID-19:Consensusof Chinese Experts (2023)CHEN Xiang-jun,SHAO Ling-yun,GUAN Hong-zhi National Center forInfectious Diseases,National Center for Neurological Disorders,Shanghai 200040,ChinaABSTRACT A large number of neurological complications associated with COVID-19 occurred duringthe pandemic ofCOVID-19.For clinicians in relevant departments treating patients with COVID-19,howto correctly identify,evaluate and manage the neurological complications associated with COVID-19 is agreat challenge.This consensus was drafted by the National Center for Infectious Diseases,the NationalCenter for Neurological Disorders and the Evidence-based Medical Center of Fudan University,basedon the best evidence up to date,combined with the experience of first-line diagnosis and treatment ofneurological complications associated with COVID-19 in China,and through the joint discussion ofexperts from the departments of neurology and infectious diseases in multiple clinical centers across thecountry.The contents included the identification,assessment and management strategies of the populationwith neurological complications associated with COVID-19,including encephalopathy,cerebrovasculardiseases,encephalitis or myelitis,Guillain-Barre syndrome,etc.,which will provide a theoretical basisfor the guidance of correct assessment and management of neurological complications assiciated with1文章编号11008-06782023)02-0121-11I中图分类号引R742R563文献标识码引AI基金项目引上海申康医院发展中心临床三年行动计划（编号：SHDC2020CR2027B片2020年医疗服务与保障能力提升项目：基于队列的神经系统自身免疫与感染疾病多学科精准诊治平台建设。[作者简介]陈向军，博士，教授，主要从事神经系统免疫性疾病的临床和基础研究。通信作者)陈向军，E-mailxiangjchen@fudan.cdu.cn;邵凌云，E-mail:lingyun2870@163.com;关鸿志，E-mail:pumchghz@l26,com