13例新冠状病毒感染病例临床特点和诊治分析  

Clinical Characteristics,Diagnosis and Treatment of 13 Cases of New Coronavirus Infection

作　　者：陈小华[1] 余汉光[2] 周小辉[3] 陈英杰[1] 黄泽虹[1] 陈运立[1] 翁顺利 CHEN Xiao?hua;YU Han?quang;ZHOU Xiao?hui;CHEN Ying?jie;HUANG Ze?hong;CHEN Yun?li;WENG Shun?li(Emergency department of the first affiliated hospital of shantou university medical college,515041;Pneumology department of the first affiliated hospital of shantou university medical college;Infections Disease of the first affiliated hospital of shantou university medical college)

机构地区：[1]汕头大学医学院第一附属医院急诊科,515041 [2]汕头大学医学院第一附属医院吸呼科,515041 [3]汕头大学医学院第一附属医院感染科,515041

出　　处：《岭南急诊医学杂志》2020年第1期10-13,共4页Lingnan Journal of Emergency Medicine

摘　　要：目的:分析新型冠状病毒肺炎确诊病例临床特点和诊治情况,为提高新型冠状病毒肺炎诊疗防治能力提供依据。方法:收集13例确诊病例的临床资料,包括流行病学、临床表现、实验室检查、影像学特征、治疗措施和临床转归。结果:13例均从疫区来,男女数量相仿,年龄17?50岁(平均32.5岁)。发热6例(46.2%),白细胞和降钙素原检查无升高,淋巴细胞减少3例(23.1%),C反应蛋白升高6例(46.2),胸部CT异常12例(92.3%),其中8例为单侧病变。13例均用洛匹那韦利托那韦(克力芝)治疗,10例同时服用连花清瘟胶囊(92.3%),鼻导管吸氧9例(69.2%),无创通气1例(7.7%),机械通气1例(7.7%)。10例(76.9%)治愈出院,平均住院日14.7天。结论:积极从流行病学防范,掌握临床特点,有助于减少漏诊率;综合治疗能提高治愈率;出院后仍需隔离观察。Objective:To analyze the clinical characteristics,diagnosis and treatment of new coronavirus pneumonia,andprovide a basis for improving the ability of diagnosis and treatment of new coronavirus pneumonia.Methods:Clinical data of 13 confirmed cases were collected,including epidemiology,clinical manifestations,laboratory examinations,imaging features,treatment measures and clinical outcomes.There were 6 cases(46.2%)of fever,no increase in leucocyte and procalcitonin,3 cases(23.1%)of lymphocytosis,6 cases(46.2)of c?reactive protein elevation,and 12 cases(92.3%)of chest CT abnormality with 8 case of unilateral lesions.Results:All 13 cases came from affected areas.The number of men and women was similar,ranging from 17 to 50 years old(mean 32.5 years old),and there were 6 cases of fever(46.2%).All 13 patients were treated with lopinavelitonavir(clizoderm),10 with lianhuaqing wen capsule(92.3%),9 with nasal catheter oxygen(69.2%),1 with noninvasive ventilation(7.7%),and 1 with mechanical ventilation(7.7%).Ten patients(76.9%)were cured and discharged,with an average stay of 14.7 days.Conclusion:It is helpful to reduce the rate of missed diagnosis by epidemiology and mastering clinical characteristics.Comprehensive treatment can improve the cure rate.After discharge,the patients still need isolation.

关 键 词：新型冠状病毒 临床特点 

分 类 号：R563.1[医药卫生—呼吸系统]