鄂地输入型和本地继发型新型冠状病毒肺炎的临床特点研究  

Clinical Features of the Imported Novel Coronavirus Pneumonia inHubei Province and Local Secondary Novel Coronavirus Pneumonia

作　　者：李长力[1] 郑喜胜[1] 贾明雅[1] 董照刚[1] 左方田 周小超 魏超 LI Chang-li;ZHENG Xi-sheng;JIA Ming-ya;DONG Zhao-gang;ZUO Fang-tian;ZHOU Xiao-chao;WEI Chao(Department of Critical Care Medicine,Nanyang Center Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院重症医学科,南阳473000

出　　处：《中国合理用药探索》2020年第5期6-11,共6页Chinese Journal of Rational Drug Use

摘　　要：目的:分析鄂地输入型及本地继发型冠状病毒肺炎(COVID-19)患者的临床特点及治疗转归。方法:将36例确诊COVID-19患者分为鄂地输入型和本地继发型,对其流行病学、临床特点及转归进行回顾性分析。结果:36例COVID-19患者首发症状以发热多见,常伴随乏力、咳嗽、呼吸困难;实验室检查:白细胞、淋巴细胞计数正常或降低;肺部CT平扫显示两肺外缘、下段磨玻璃影或实变。结论:流行病学、实验室、影像学检查是COVID-19诊断的重要依据;采用中西医结合治疗方案,效果显著。但上述指标的两组间差异无显著统计学意义。Objective:To analyze the clinical features and outcomes of patients with the imported novel coronavirus pneumonia in Hubei Province or local secondary novel coronavirus pneumonia.Methods:36 patients with COVID-19 were identified as the imported novel coronavirus pneumonia in Hubei Province or local secondary novel coronavirus pneumonia.The epidemiology,clinical characteristics and outcomes were analyzed retrospectively.Results:In all 36 patients with COVID-19,the first symptoms were mostly fever and often accompanied with fatigue,cough and dyspnea.Laboratory examination revealed that white blood cells count and lymphocyte count were normal or reduced.The CT scan showed ground-glass opacity or consolidation in the outer edge and the lower part of the lungs.Conclusion:Epidemiology,laboratory and imageology examinations were the important basis for the diagnosis of COVID-19.Treatment plans combining traditional Chinese medicine and western medicine have showed remarkable the effect.However,there was no significant difference in the above indicators between the two groups.

关 键 词：鄂地输入型 新型冠状病毒肺炎(COVID-19) 新型冠状病毒(nCoV-19) 临床特点 

分 类 号：R511[医药卫生—内科学]