9例治愈危重型新型冠状病毒肺炎患者的临床与流行病学特征  

Clinical and Epidemiologic Characteristics of 9 Cured Patients Diagnosed with Critical Novel Coronavirus Pneumonia in Wuhan,China

作　　者：许娟娟[1] 殷峥嵘 安義 汪速飞 朱佩佩[3] 吴凤[1] 王剑桥 李泽宇 方岩 张蓓 王维慈 金阳[1] 林能兴 Xu Juanjuan;Yin Zhengrong;An Yi(Department of Respiratory and Critical Care Medicine,Department of Anesthesiology,Union Hos pital,Tongji Medical College,Huazhang 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呼吸与危重症医学科,武汉430022 [2]华中科技大学同济医学院附属协和医院麻醉科,武汉430022 [3]华中科技大学同济医学院附属协和医院骨科,武汉430022 [4]华中科技大学同济医学院附属协和医院血管外科,武汉430022 [5]华中科技大学同济医学院附属协和医院皮肤科,武汉430022 [6]甘肃省第二人民医院重症医学科,兰州730030 [7]兰州大学第二医院重症医学科,兰州730030

出　　处：《华中科技大学学报（医学版）》2020年第2期213-216,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的 分析9例治愈的新型冠状病毒肺炎危重型病例的临床和流行病学特征,为一线临床有效诊治新型冠状病毒肺炎危重型患者提供参考.方法 回顾性分析华中科技大学同济医学院附属协和医院西院2020年1月22日至2020年2月15日收治入院并治愈出院的9例危重型新型冠状病毒肺炎患者的临床资料,整理总结其流行病学特征及临床特点.结果 患者最大年龄64岁,最小29岁,平均(51.0±13.7)岁;<40岁者3例(33.3%),40~60岁者3例(33.3%),>60岁者3例(33.3%);病例男女比例0.8:1;9例患者(100.0%)均为武汉居民,发病前14 d与确诊新型冠状病毒肺炎患者有接触史者6例(66.7%),与疑似患者有接触史者2例(22.2%);发热8例(88.9%),咳嗽6例(66.7%),咳痰5例(55.6%),乏力2例(22.2%),腹泻2例(22.2%),呼吸困难1例(11.1%);有慢性基础疾病7例(77.7%);首次肺部CT,表现为双肺多发斑片状磨玻璃影7例(77.7%),表现为单侧肺多发斑片状影2例(22.2%);患者血常规检查基本正常,炎症指标C反应蛋白显著升高.结论 8例危重型新型冠状病毒肺炎患者系接触确诊或疑似患者而感染,早期隔离至关重要;危重型患者多同时患有慢性基础疾病,免疫力较弱,此类人群应特别注意,如出现发热、咳嗽等症状应尽快就医.Objective To analyze the clinical and epidemiological characteristics of 9 cured severe cases of novel coronavirus pneumonia(NCP)so as to provide a reference for the first-line clinical effective diagnosis and treatment of critical patients with NCP.Methods Nine cured patients with critical NCP who were admitted to hospital after January 22,2020 and discharged before February 15,2020 were retrospectively included in the West Hospital District,Wuhan Union Hospital.The epidemiological and clinical characteristics were summarized and analyzed.Results The maximum age of the patients was 64 years and the minimum was 29 years;the average was(51.0±13.7)years;3 cases(33.3%)were<40 years old,3 cases(33.3%)were 40-60 years old,and 3 cases(33.3%)were>60 years old.The ratio of male to female was 0.8∶1;9(100.0%)patients were Wuhan residents;there were 6 patients(66.7%)who had the history of contact with confirmed patients,2(22.2%)had the history of contact with suspected fever patients;8(88.9%)patients had fever,6 cases had cough(66.7%),5 cases had expectoration(55.6%),2 cases had fatigue(22.2%),2 cases had diarrhea(22.2%),1 case had dyspnea(11.1%);7 cases suffered chronic underlying diseases.7 patients(77.7%)had first lung CT manifestations of multiple lungs with patchy ground-glass shadows,and two patients(22.2%)had first lung CT manifestations with unilateral lungs with multiple patchy shadows;blood tests were almost normal,the inflammation index CRP increased significantly.Conclusion 8 patients were contacted with confirmed or suspected patients,so early isolation and treatment of confirmed or suspected patients is critical.Most of the critical patients suffer from chronic basic diseases and weak immunity,more attention should be paid to such people,and they should seek medical treatment as soon as possible if they have fever,cough and other questionable symptoms.

关 键 词：新型冠状病毒肺炎 危重型 临床表现 流行病学特征 

分 类 号：R512.99[医药卫生—内科学]