洛阳市31例新型冠状病毒肺炎患者流行病学特征及临床分析  

Epidemiological characteristics and clinical analysis of 31 patients with coronavirus disease 2019 in Luoyang City

作　　者：王俊红[1] 伍星[1] 胡莹莹[1] 张冲 魏晓蕾 尹小君[1] 杨璞 李站民 张国秀 Wang Junhong;Wu Xing;Hu Yingying;Zhang Chong;Wei Xiaolei;Yin Xiaojun;Yang Pu;Li Zhanmin;Zhang Guoxiu(Department 0f Emergency,the First Afiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China;Department of Hematology,Luoyang Central Hospital,Luoyang 471000,Henan,China;Department of Emergency,Yanshi People's Hospital,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院急诊科,河南洛阳471000 [2]洛阳市中心医院血液内科,河南洛阳471000 [3]偃师市人民医院急诊科,河南洛阳471000

出　　处：《中国中西医结合急救杂志》2020年第6期653-656,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：河南省洛阳市疫情防控应急科研攻关指导性计划项目(2020YZ25)。

摘　　要：目的分析洛阳市收治的31例新型冠状病毒肺炎(简称新冠肺炎)确诊患者的流行病学特征和临床情况,为洛阳市新冠肺炎疫情防控及开发和验证新冠肺炎诊断预测模型提供依据.方法回顾性分析洛阳市(包括河南科技大学第一附属医院、洛阳市中心医院及偃师市人民医院)2020年1月22日至2月14日收治的31例新冠肺炎确诊患者的临床资料、流行病学特征及临床情况,分享疫情防控经验.结果31例新冠肺炎确诊患者中,男性17例,女性14例,男性和女性比例为1.21:1;年龄25~87岁,平均(51.7±18.7)岁;以涧西区(10例)和瀍河区(8例)累计确诊患者数最多.临床分型:轻型0例,普通型16例,重型10例,危重型5例.1月31日至2月9日为确诊病例高发阶段,其中2月3日至2月6日为确诊高峰,单日确诊病例最多为5例.25例患者发病至首次就诊时间间隔为(3.8±2.2)d,发病至住院时间间隔为(5.1±1.8)d;另外6例患者在出现症状前已采取隔离措施.确诊病例呈现明显聚集性发病,31例确诊病例中的22例(71.0%)为聚集性发病,且以家庭式聚集为主.31例患者住院时间为(17.8±5.5)d.死亡1例(病死率3.2%).结论关注患者的流行病学史和流行病学调查,是做到早发现、早报告、早隔离、早治疗的关键环节.重视无症状感染者,可针对性加强核酸检测力度.患者年龄大,基础疾病多,病情容易加重.Objective To investigate the epidemiological characteristics and elinical situation of 31 confirmed cases of coronavirus disease 2019(COVID-19)in Luoyang City,so as to provide evidence for epidemic prevention and control of COVID-19 and development and validation of COVID-19 diagnostic prediction model.Methods The clinical data,epidemiological characteristics and clinical situation of 31 confirmed COVID-19 patients in Luoyang City(the First Affiliated Hospital of Henan University of Science and Technology,Luoyang Central Hospital and Yanshi People's Hospital)during January 22 to February 14,2020 were retrospectively analyzed,and the epidemie prevention and control experiences were shared.Results Among the 31 COVID-19 confirmed patients,17 cases were males and 14 cases were females.The ratio of male to female was 1.21:1.The patients aged 25-87 years old,with the average of(51.7±18.7)years old.The numbers of accumulative total confirmed patients in Jianxi district was 10 and in Fuhe district was 8,being the highest in this area.The clinical ty pes:there were no case of mild type,16 cases of common type,10 cases of severe type and 5 cases of critical type.From January 31 to February 9 the occurrence of confirmed COVID-19 cases was high,among which the peak being from February 3 to February 6,5 cases were diagnosed at most in one day.There were 25 cases whose time interval from the onset to the first visit to hospital was(3.8±2.2)days,and from onset to hospitalization was(5.1±1.8)days;the other 6 patients were isolated before symptoms appeared.The confirmed cases showed obv ious aggregation epidemic.Among the 31 confirmed cases,22 cases(71.0%)were clustered cases,which were mainly clustered in families.The length of hospitalization of 31 patients was(17.8±5.5)days.One case died(fatality rate 3.2%).Conclusions Paying regard to epidemiologic history and investigation of COVID-19 patients are the key links of early detection,early report,early isolation and early treatment of COVID-19 disease.Attention should be pai

关 键 词：新型冠状病毒肺炎 流行病学 特征 

分 类 号：S85[农业科学—兽医学]