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Lancet 柳葉刀期刊 2/24 發表的通訊文章

web: https://reurl.cc/b6ZYKX
pdf: https://reurl.cc/M7Yjlp


重點節錄

1.作者是廣東支援武漢護理人員

2.武漢目前所有防護裝備短缺，護目鏡使用到磨損不清還是得繼續用，醫療手套一次
  得戴4層

3.醫護長時間需進行著防護衣工作，經常有醫護低血糖或缺氧昏倒，口罩、護目鏡壓
  迫處也長出褥瘡

4.至今中國支援武漢醫護有14000人，1716人感染確診，9人死亡

5.目前武漢疫情仍急需醫療人力支援，還無緩和跡象以容許外地支援人力撤離



原文：

On Jan 24, 2020, we came to Wuhan, China, to support the local nurses in
their fight against the COVID-19 infection. We entered the Wuhan isolation
ward as the first batch of medical aid workers from Guangdong Province,
China. The daily work we are doing is mainly focused on provision of oxygen,
electrocardiogram (ECG) monitoring, tube care, airway management, ventilator
debugging, central venous intubation, haemodialysis care, and basic nursing
care such as disposal and disinfection.

The conditions and environment here in Wuhan are more difficult and extreme
than we could ever have imagined. There is a severe shortage of protective
equipment, such as N95 respirators, face shields, goggles, gowns, and gloves.
The goggles are made of plastic that must be repeatedly cleaned and
sterilised in the ward, making them difficult to see through. Due to the need
for frequent hand washing, several of our colleagues' hands are covered in
painful rashes. As a result of wearing an N95 respirator for extended periods
of time and layers of protective equipment, some nurses now have pressure
ulcers on their ears and forehead. When wearing a mask to speak with
patients, our voices are muted, so we have to speak very loudly. Wearing four
layers of gloves is abnormally clumsy and does not work—we can't even open
the packaging bags for medical devices, so giving patients injections is a
huge challenge. In order to save energy and the time it takes to put on and
take off protective clothing, we avoid eating and drinking for 2 hours before
entering the isolation ward. Often, nurses' mouths are covered in blisters.
Some nurses have fainted due to hypoglycaemia and hypoxia.

In addition to the physical exhaustion, we are also suffering
psychologically. While we are professional nurses, we are also human. Like
everyone else, we feel helplessness, anxiety, and fear. Experienced nurses
occasionally find the time to comfort colleagues and try to relieve our
anxiety. But even experienced nurses may also cry, possibly because we do not
know how long we need to stay here and we are the highest-risk group for
COVID-19 infection. So far 1716 Chinese staff have been infected with
COVID-19 and nine of them have unfortunately passed away. Due to an extreme
shortage of health-care professionals in Wuhan, 1400 nurses from across
China have voluntarily come to Wuhan to support local medical health-care
professionals. But we need much more help. We are asking nurses and medical
staff from countries around the world to come to China now, to help us in
this battle.

We hope the COVID-19 epidemic will end soon, and that people worldwide will
remain in good health.

We declare no competing interests.





全文翻譯:






我們需要經常洗手，許多同事的手上都長了皮疹，看著非常疼。由於需要長時間佩戴N95
口罩和穿戴多層防護設備，一些護士的耳朵和額頭上都長了壓瘡。





除了身體上的疲憊之外，我們還在遭受內心的痛苦。
雖然我們是專業醫務人員，但我們也是人。我們像其他所有人一樣，會感到無助、焦慮
和恐懼。經驗豐富的護士們有時候會抽空安慰年輕的同事們、嘗試緩解他們心中的焦慮。
但即使是經驗再豐富的護士，也還是會哭泣。

我們之所以哭泣，可能是因為我們不知道自己要在這里待多久，而且我們都知道，自己身
為醫務人員，是 COVID-19 感染風險最高的人群。



到目前為止，已有 1716 名中國醫務人員感染 COVID-19，其中 9 人不幸犧牲。
由於武漢當地醫務人員極度短缺，來自中國各地的 14000 名醫務人員已經自願來到武漢
進行支援。

但現在，我們需要更多的幫助。
我們在此向全球的醫務工作者請求醫療支援，請你們來到中國，幫助我們抗擊疫情。
我們希望 COVID-19 能夠盡快結束，我們希望世界各地的人們都能保持健康。



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