浙南山区肺部不典型新型冠状病毒肺炎患者的流行病学病史及救治体会  

Epidemiological history and treatment experience of corona virus disease 2019 with atypical features in lung in mountainous area of southern Zhejiang Province

作　　者：吴跃明[1] 周玲丽 陈巧英 徐俊龙[1] 楼天正[1] Wu Yueming;Zhou Lingli;Chen Qiaoying;Xu Junlong;LouTianzheng(Emergency and Critical Care Center,Lishui People's Hospital,Lishui 323000,Zhejiang,China;Department of Infection,People's Hospital of Jinyun County,Lishui City,Lishui 321400,Zhejiang,China)

机构地区：[1]丽水市人民医院急危重症中心,浙江丽水323000 [2]丽水市缙云县人民医院感染科,浙江丽水321400

出　　处：《中国中西医结合急救杂志》2020年第1期53-55,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：对于非武汉人员,新型冠状病毒肺炎(简称新冠肺炎)患者大多有较为明确的武汉旅行史或相关人员接触史.患者大多存在不同程度的发热、咳嗽、咳痰等临床症状,且大部分患者整个病程中具有典型的肺部影像学表现,最终经新型冠状病毒(2019-nCoV)核酸检测确诊.本文报道的是浙江省丽水地区1例肺部不典型新冠肺炎患者的流行病学病史及救治体会,也是本市首例确诊及出院患者.该患者存在典型的武汉旅游史和典型的发热、咳嗽、咳痰症状,血液学检测基本在正常范围,甲型流感病毒、呼吸道合胞病毒、腺病毒、肺支原体抗原检测均为阴性,且肺部影像学无明显肺炎特征,但2019-nCoV核酸检测阳性,确诊为新冠肺炎.患者从发热确诊到治愈出院仅经历5d,使用了克力芝抗病毒及其他对应处理最终2019-nCoV核酸检测转为阴性,达到治愈标准.For personnel unrelated with Wuhan,most of the patients with corona virus disease 2019(COVID-19)have a clear history of travel in Wuhan or an epidemiological history of contact with relevant personnel.Most of the patients have different degrees of fever,cough,expectoration and other clinical symptoms,and most of the patients have typical pulmonary imaging manifestations in the whole course of the disease,and finally confirmed by 2019 novel corona virus(2019-nCoV)nucleic acid detection.This paper reports the epidemiological history and treatment experience of a COVID-19 patient with atypical features in lung in Lishui District,Zhejiang Province,who was also the first confirmed and discharged patient in this city.The patient had a typical history of traveling in Wuhan and typical symptoms of fever,cough and expectoration,the hematological test indexes were basically in the normal range,the antigen tests of influenza A,respiratory syncytial virus,adenovirus and Mycoplasma pneumoniae were all negative,and there was no significant change in lung imaging.However,the 2019-nCoV nucleic acid detection was positive,and the patient was confirmed with COVID-19.It only took 5 days from the fever and diagnosis for patient's the cure and discharge.After antiviral treatment,the nucleic acid test turned negative and the patient reached the cure standard.

关 键 词：新型冠状病毒 新型冠状病毒肺炎 丽水地区 肺部CT 

分 类 号：S85[农业科学—兽医学]