海南省107岁高龄奥密克戎变异株BA.5.1.3感染新型冠状病毒肺炎1例  

A case of a 107-year-old elderly COVID-19 patient infected with Omicron variant BA.5.1.3 in Hainan

作　　者：符沙沙[1] 吴海霞 苏汝开 曾慈梅 王加充 FU Sha-sha;WU Hai-xia;SU Ru-kai;ZENG Ci-mei;WANG Jia-chong(Department of Respiratory and Critical Care Medicine,CentralSouth University Xiangya School of Medicine Affiliated Haikou Hospital,HaiKou,Hainan 570208,China;Department ofRehabilitation Medicine,Central South University Xiangya School of Medicine Affiliated Haikou Hospital,HaiKou,Hainan 570208,China;Department of Infectious Disease,Central South University Xiangya School of Medicine Affiliated Haikou Hospital,HaiKou,Hainan 570208,China;Department of Neurosurgery,Central South University Xiangya School of MedicineAffiliated Haikou Hospital,HaiKou,Hainan 570208,China)

机构地区：[1]中南大学湘雅医学院附属海口医院(海口市人民医院)呼吸与危重症医学科,海南海口570208 [2]中南大学湘雅医学院附属海口医院(海口市人民医院)康复医学科,海南海口570208 [3]中南大学湘雅医学院附属海口医院(海口市人民医院)感染科,海南海口570208 [4]中南大学湘雅医学院附属海口医院(海口市人民医院)神经外科,海南海口570208

出　　处：《中国热带医学》2023年第1期102-105,共4页China Tropical Medicine

摘　　要：目的 总结1例海南高龄感染新型冠状病毒奥密克戎变异株BA.5.1.3的新型冠状病毒肺炎(简称新冠肺炎)患者的临床特征和诊疗经验。方法 回顾分析2022年8月15日海口定点医院收治的1例高龄新冠病毒Omicron变异株BA.5.1.3感染患者的临床资料及治疗经过。结果 患者女性,107岁,因“发热、咳嗽1 d”入院。其2位家属感染新冠病毒。患者病初出现发热,伴咳嗽、咳痰,咳少许白色粘痰,伴咽痛、肌肉酸痛、乏力。咽拭子核酸检测阳性,为Omicron变异株BA.5.1.3感染。确诊为新型冠状病毒肺炎轻型,给予抗病毒、中药调理、抗凝、调节电解质紊乱及对症等治疗9 d,患者临床症状缓解,2次核酸检测阴性后治愈出院。1周后随访患者恢复情况良好。结论 Omicron变异株BA.5.1.3感染的新冠肺炎的传染性强,给予抗病毒、中药调理等综合治疗取得较好的疗效。对于高龄患者,要注意维持各器官功能和内环境稳定,有助于改善患者预后。Objective This article summarizes the clinical characteristics and diagnosis and treatment experience of an elderly patient infected with Omicron variant BA.5.1.3 of COVID-19 in Hainan Province.Methods The clinical data and treatment of an elderly patient infected with Omicron variant BA.5.1.3 of COVID-19 admitted to Haikou designated hospital on August 15, 2022 were retrospectively analyzed.ResultsA 107-year-old female patient was admitted to the hospital with "fever and cough for 1 day". Two of her family members have infected with COVID-19. The patient initially developed fever,accompanied by cough, expectoration, a little white sticky sputum, accompanied by sore throat, muscle pain, fatigue. Nucleic acid test was positive in throat swab, indicating Omicron variant BA.5.1.3 infection. The patient was diagnosed as mild COVID-19 and treated with antiviral therapy, Chinese medicine conditioning, anticoagulation, electrolyte disorder regulation and symptomatic treatment for 9 days. The patient’s clinical symptoms were relieved, and she was cured and discharged after two negative nucleic acid tests. One week later, the patient recovered well.Conclusions Omicron variant BA.5.1.3 is highly infectious, and comprehensive treatment such as antiviral treatment and traditional Chinese medicine treatment has achieved good efficacy. For elderly patients, attention should be paid to maintaining the stability of organ function and internal environment, which is helpful to improve the prognosis of patients.

关 键 词：新型冠状病毒肺炎 高龄 Omicron 抗病毒 

分 类 号：R563[医药卫生—呼吸系统]