42例新型冠状病毒肺炎临床特征分析

Saiduo Liu, Xiangao Jiang, Hongye Ning, X. Ye, Ning Pan, Zheng-xing Wu, Yueying Zhou, Chaochao Qiu, Jichan Shi
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引用次数: 0

摘要

[目的]探讨42例2019-ncov肺炎患者出院后的临床特点、实验室表现、胸部CT表现及治疗方法,并分析其与预后的关系。[方法]2020年1月至2020年2月,对温州市第六人民医院收治的42例新型冠状病毒肺炎患者的临床资料进行回顾性分析。[结果]42例患者临床症状包括发热(35例)、咳嗽(26例)、乏力(14例)、咽痛(4例)、肌肉酸痛(5例)、头痛(2例)、恶心(4例、腹泻(6例)、误吸(9例)、腹痛(1例)。血淋巴细胞绝对数均有不同程度下降,半数以上患者乳酸脱氢酶明显,原肌肽(PCT)无明显变化,影像学表现为云状、磨玻璃样高密度影散在肺外,局部可见小片状实变和支气管膨胀征。少数影像学表现为弥漫性高密度,多数病变为实变或条纹状改变,双肺下叶形成局部纤维化。【结论】发热、咳嗽是2019-ncov肺炎的首发症状,少数病例伴有气短、腹泻,并伴有不同程度的全身症状,多数患者病情好转。这种病传染性很强,病情变化很快。因此,早发现、早诊断、尽早全身综合治疗是治疗的关键。关键词:2019新型冠状病毒;2019年新型冠状病毒肺炎;临床特征
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of clinical features of 42 cases of new coronavirus pneumonia
[Objective] To investigate the clinical features, laboratory findings, chest CT findings and treatment of 42 patients with 2019-ncov pneumonia after discharge from our hospital, and to analyze their relationship with prognosis. [Methods] from January 2020 to February 2020, the clinical data of 42 patients with 2019-ncov pneumonia admitted to the sixth people's Hospital of Wenzhou City were analyzed retrospectively. [Results] the clinical symptoms of 42 cases included fever (35 cases) , cough (26 cases) , fatigue (14 cases) , sore throat (4 cases) , Muscle Ache (5 cases) , headache (2 cases) , nausea (4 cases) , diarrhea (6 cases) , aspiration (9 cases) and abdominal pain (1 case) . The absolute number of blood lymphocyte decreased in different degree, more than half of the patients Lactate dehydrogenase obviously, the PROCALCITONIN (PCT) had no obvious change, the imaging manifestations were cloud-like and ground-glass-like high density shadows scattered outside the lungs, small flaky consolidation and bronchus inflating sign were seen locally. A few images showed diffuse high density, most of the lesions showed consolidation or striate change, and local fibrosis was formed in the lower lobes of both lungs. [Conclusion] Fever and cough are the first symptoms of 2019-ncov pneumonia, and a few cases are associated with shortness of breath and diarrhea, accompanied by different degrees of systemic symptoms, most of the patients improved. The disease is highly infectious and its condition changes rapidly. Therefore, early detection, early diagnosis and comprehensive treatment of the whole body as soon as possible are the keys to treatment. Key words: 2019 novel coronavirus; 2019 novel coronavirus pneumonia; clinical features
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
10697
期刊介绍: Shanghai Journal of Preventive Medicine(SJPM) sponsored by Shanghai Preventive Medicine Association,ISSN 1004-9231, CN 31-1635/R , was founded in October 1989. Over the past 33 years, the Journal has been “a mentor for preventive health care professionals and an important link between professionals”. It is a platform to exchange academic achievements and information, to encourage the development of new technology, to combine theory with practice, popularization with improvement in the fields of preventive medicine, public health and safety, maternity care, health education, health supervision and community health work. SJPM has been accepted by many leading databases home and abroad, including: Directory of Open Access Journals (DOAJ) CAB Abstracts, CABI Global Health, CABI Japan Science and Technology Agency, Chinese Bibliographic (JST China) Database Western Pacific Region Index Medicus of WHO (WPRIM) Chemical Abstracts (CA), American Chemical Society Ulrich's Periodicals Directory(Ulrichsweb) ICI World of Journals Database Chinese Academic Journal Comprehensive Evaluation Database Chinese Core Journal (Selection) Database Chinese Periodical Full-text Database (CJFD) Chinese Science and Technology Periodical Database Wanfang Data - Digital Journal Group China National Knowledge Infrastructure Weipu Information Network, etc.
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