新型冠状病毒肺炎合并急性脑梗死一例  

COVID-19 with acute cerebral infarction:one case report

作　　者：陈胜财 胡波[1] 李红戈[1] 夏远鹏[1] 张允建 毛玲 李亚男 Chen Shengcai;Hu Bo;Li Hongge;Xia Yuanpeng;Zhang Yunjian;Mao Ling;Li Yanan(Department of Neurology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院神经内科,武汉430022

出　　处：《中华神经科杂志》2020年第4期309-311,共3页Chinese Journal of Neurology

摘　　要：新型冠状病毒肺炎(COVID-19)为2019新型冠状病毒所致,其起病隐匿,潜伏期较长,具有高度传染性的特点。新型冠状病毒除了可累及呼吸系统,还可累及其他系统,如心脏、肾脏、消化道,并且可合并多个系统疾病,如急性脑血管病等,如果在接诊患者时不引起高度重视、做好防护,极易造成医护人员的感染。文中总结1例起病隐匿的COVID-19患者合并脑梗死症状,在行静脉溶栓治疗后造成1名医务人员感染的临床体会,探讨其临床特点、治疗经过并对其防控环节进行分析,以帮助疫情防控中首诊医生注意识别、减少漏诊、科学排查以减少职业感染。COVID-19 is caused by the 2019 novel coronavirus,which is characterized by hidden onset,long incubation period,and high contagion.COVID-19 not only attacks the respiratory system,but also affects other systems such as the heart,kidney,and digestive tract,and could be combined with multiple system diseases such as acute cerebrovascular disease.If doctors,especially non-infective or respiratory doctors,do not pay great attention to the disease when they are receiving patients,and take good care of them,they may easily be infected.This article summarizes the case of a concealed onset COVID-19 patient with cerebral infarction,which caused a medical staff infection after intravenous thrombolytic therapy,explores its clinical characteristics,treatment process and analyzes its prevention and control links to help the epidemic situation.In the prevention and control of the disease,the first doctor should pay attention to identification,reduce missed diagnosis,and conduct scientific investigation to reduce occupational infection.

关 键 词：新型冠状病毒肺炎 脑梗塞 静脉溶栓 职业感染 防护改进 

分 类 号：R743[医药卫生—神经病学与精神病学] R563.1[医药卫生—临床医学]