武汉综合性医院门诊发热患者中新型冠状病毒肺炎确诊情况  

The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital

作　　者：刘莉 童晓玲 魏菁菁 梁晓明 王晓萌 LIU Li;TONG Xiao-ling;WEI Jing-jing;LIANG Xiao-ming;WANG Xiao-meng(Hankou Hospital Area,Central Theater General Hospital,Wuhan 430010,China;Department of Health and Service,Central Theater General Hospital,Wuhan 430070,China)

机构地区：[1]中部战区总医院汉口院区,武汉430010 [2]中部战区总医院卫勤部,武汉430070

出　　处：《中华疾病控制杂志》2021年第4期488-491,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的分析武汉市COVID-19疫情期间发热人群的流行病学特征规律,旨在为疫情防控提供科学依据。方法收集综合性医院发热门诊2698例发热病例中的肺炎病例和SARS-CoV-2核酸检测阳性病例,采用描述性流行病学方法进行统计分析。结果2020年1月1日至2020年2月12日武汉市综合性门诊共接诊发热患者2698人次,检出肺炎患者683人(25.3%),其中有377人(55.2%)为病毒性肺炎患者。结合影像学结果和临床表现,可判定为COVID-19确诊病例289例,而根据核酸检测结果判定为COVID-19确诊病286例。COVID-19确诊病例中50岁以上人群比例较高,尤其是60~69岁年龄段。结论对于发热门诊接诊的病毒性肺炎患者,如COVID-19核酸检测假阴性或者未检测的患者,应根据影像学结果和临床表现来判定。Objective To analyze the epidemiological characteristics of febrile patients during the outbreak of the COVID-19 in Wuhan and explore its pathogenesis,so as to provide scientific basis and theoretical support for the prevention and control of the epidemic.Methods The data of 2698 fever cases in fever clinic of general hospital were collected,including pneumonia cases and the positive cases of nucleic acid test of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),and analysed by descriptive epidemiology.Results From January 1,2020 to February 12,2020,a total of 2698 febrile patients were treated in the General outpatient department of Wuhan,including 683(25.3%)patients with pneumo nia,in which 377 patients(55.2%)with virus pneumonia.Combined with imaging examination results and clinical manifestations,289 cases were confirmed as COVID-19.However,286 cases were confirmed as COVID-19 according to the results of nucleic acid detection.Compared with other age groups,the rates of people over 50 years old was higher in confirmed cases of COVID-19,especially for aged 60-69.Conclusion For viral pneumonia patients in fever clinic,if COVID-19 nucleic acid test is false negative or not detected,it should be determined according to imaging results and clinical manifestations.

关 键 词：新型冠状病毒肺炎 发热门诊 核酸检测 

分 类 号：R181[医药卫生—流行病学]