输入性COVID-199例临床分析  

Clinical analysis of 9 imported cases of COVID 19

作　　者：刘斌[1] 梁其栋 潘远星 江善明 黄继康 Liu Bin;Liang Qidong;Pan Yuanxing;Jiang Shanming;Huang Jikang(Department of Infectious Diseases,the Affiliated Shunde Hospital of Ji'nan University,Foshan,Guangdong,528303,China;Medical Department,the Affiliated Shunde Hospital of Ji'nan University,Foshan,Guangdong,528303,China)

机构地区：[1]暨南大学附属顺德医院感染科,广东佛山528303 [2]暨南大学附属顺德医院医务科,广东佛山528303

出　　处：《西南国防医药》2020年第10期926-929,共4页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的总结分析广东顺德地区新型冠状病毒肺炎(COVID-19)输入性病例的临床和影像学特征。方法回顾性分析2020年1月22日~2月20日在暨南大学附属顺德医院感染科,以新型冠状病毒肺炎疑似患者收入院隔离治疗,并经佛山市疾病预防控制中心嗯拭子检测新型冠状病毒(SARS-CoV-2)核酸阳性,确诊的9例COVID-19患者的临床和影像学资料。结果9例患者中男4例,女5例,年龄21~61岁,1例患2型糖尿病,8例无基础疾病。9例患者住院前14 d均有湖北旅行史或长住湖北,其中4例患者来自武汉市,4例来自孝感市云梦县,1例来自湖北应城,家庭聚集性病例1起共4例。临床表现发热5例,最高体温38.7℃,咳嗽或呼吸道症状4例,2例无任何症状。实验室检查白细胞总数正常8例,减少1例,淋巴细胞绝对值正常7例,减少2例。9例患者均行胸部高分辨率CT检查,其中6例显示为病毒性肺炎或磨玻璃样影,1例显示为慢性支气管炎表现,2例未见明显异常。结论目前广东顺德地区仍以输入性病例为主,流行病学资料,尤其是家庭聚集性发病对筛查疑似病例极为重要,发热和咳嗽仍然是主要的临床表现,但也存在部分无发热,甚至无症状的患者。胸部CT多发或单发的斑片状磨玻璃影,对诊断COVID-19具有一定的特征性。Objective To summarize and analyze the clinical and imaging characteristics of imported cases of COVID-19 in Shunde District of Guangdong Province.Methods A retrospective analysis was made to the clinical and imaging data of 9 cases of COVID-19 who were admitted to the Department of Infectious Diseases of the Affiliated Shunde Hospital of Ji’nan University and received treatment in isolation due to suspected COVID-19.All the patients were diagnosed with COVID-2019 as the throat swab test for SARS-CoV-2 conducted by Foshan Center for Diseases Prevention and Control showed a positive result.Results Among the 9 patients(male:4,female:5;age:21-61 years),1 patient had type 2 diabetes and 8 patients had no underlying diseases.All the patients(n=9,including 1 from Wuhan,4 from Yunmeng County of Xiaogan City,1 from Yingcheng of Hubei Province)have traveled to or lived in Hubei Province 14 days before hospitalization.A family cluster of COVID involving 4 cases was reported.In terms of clinical manifestations,5 cases had a fever with the highest temperature of 38.7°C,4 cases had a cough or respiratory symptoms,and2 cases did not present any symptoms.In terms of laboratory test,normal and decreased total white cell count were observed in 8 cases and 1 case,respectively;normal and decreased absolute lymphocyte count were observed in 7 cases and 2 cases,respectively.A chest high-resolution CT examination was performed on 9 patients,in which,6 cases showed viral pneumonia or ground-glass opacity(GGO),1 case showed chronic bronchitis,and 2 cases showed no obvious abnormalities.Conclusion At present,imported cases account for the majority of COVID-19 in Shunde District of Guangdong Province.Epidemiological data,especially the family cluster cases are essential for screening suspected cases.Fever and cough still constitute the main symptoms,while there are also some cases presenting no fever or any symptoms.As for the diagnosis of COVID-19,the imaging findings of chest CT have certain characteristics,which manifested as multip

关 键 词：输入性 新型冠状病毒肺炎 临床分析 

分 类 号：R563.19[医药卫生—呼吸系统]