COVID-19診療と脳神経内科—当院における重症患者診療の経験から

COVID-19 and the Hospital Neurologist: How should we confront the COVID pandemic?

2020年春の新型コロナウイルス感染症のパンデミックにより地域の基幹病院である当院は混乱に陥った。病院の崩壊を招かないためには濃厚接触者を作らない対策，日々変化してゆく指示の確実な伝達，地域医療機関の明確な役割分担が大切だと考えた。96症例の検討では意識障害，高次脳機能障害，四肢脱力などの神経系の症状を高頻度に伴っていた。病態について未解決な部分が多く，脳神経内科医の感染初期からの積極的な診療への関与が重要である。

Abstract

Ninety-six patients were admitted to our hospital during the first wave of the 2020 COVID pandemic. Our hospital, a core hospital in Kobe, was in confusion at the beginning of the pandemic. The following three factors were considered important for preventing the collapse of hospitals during the pandemic based on our experiences: avoidance of contact, prompt and accurate communication, and role-sharing among community medical institutions. Of the 96 patients, 36 had severe cases with several neurological problems: 18 had consciousness disorders, 19 had generalized weakness, 7 had polyneuropathy, and 2 had severe limb weakness. There are several unsolved pathological problems, and neurologists should play important roles in the treatment of patients with COVID.