| 岳 英,李 荣,董西林,任 斐,周 婕,党丽云.33例普通型新型冠状病毒肺炎的临床特征分析[J].,2021,(12):2358-2362 |
| 33例普通型新型冠状病毒肺炎的临床特征分析 |
| Analysis of the Clinical Features of 33 Cases of Common Coronary Pneumonia |
| 投稿时间：2020-08-27 修订日期：2020-09-23 |
| DOI：10.13241/j.cnki.pmb.2021.12.035 |
| 中文关键词: 普通型新型冠状肺炎 临床特征 分析 |
| 英文关键词: Common novel coronary pneumonia Clinical features Analysis |
| 基金项目:西安市科技计划项目(20200001YX001(2)) |
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| 中文摘要: |
| 摘要 目的：总结33例普通型新型冠状病毒肺炎(coronavirus disease 2019，COVID-19)患者的临床特征，为临床治疗提供指导。方法：回顾性分析我院收治的33例COVID-19患者的临床资料，对其特征进行分析。结果：31例患者有流行病学接触史，其中16例有家庭聚集情况。最常见的临床症状为发热、咳嗽等上呼吸道感染症状，少见可出现腹泻、上腹部不适，罕见头痛、视神经脊髓炎。患者治疗后实验室大部分指标均改善明显，但淋巴细胞以及心肌损伤标记物高敏心肌肌钙蛋白T(high sensitive cardiac troponin，hs-cTnT)改善稍晚。97.0 %的患者胸部CT中以磨玻璃影为主，但这与普通病毒性肺炎无明显区别，老年患者可合并胸腔积液。结论：在西安地区收治的COVID-19患者多数有明确的流行病学史，临床表现主要为发热咳嗽，但也可累及消化系统及神经系统出现症状。患者经治疗后实验室指标大部分改善明显，肺部影像学以磨玻璃样改变居多，也可出现胸腔积液。普通型患者经治疗后预后良好。 |
| 英文摘要: |
| ABSTRACT Objective: To summarize the clinical characteristics of 33 cases of novel coronavirus pneumonia, so as to provide theoretical guidance for the clinical treatment. Methods: The clinical data of 33 patients with novel coronavirus pneumonia admitted to our hospital were analyzed retrospectivly. Results: All 31 cases have a history of epidemiological exposure, including 16 family gathering. The clinical symptoms are respiratory infections such as fever and cough. Diarrhea, upper abdominal discomfort, rare headaches, and Optic neuromyelitis are relatvively rare. Indicating that the virus can affect the digestive system and nervous system. The clinical classifications of this study are all ordinary types. Antiviral combined with traditional Chinese medicine was given promptly after admission. Most of the patients' laboratory indicators improved significantly after treatment. However, the improvement of lymphocyte and myocardial damage(hs-cTnT) is not obvious, suggesting that the changes of lymphocyte and myocardial damage should be paid attention to review the prognosis. 97.0 % of patients with chest glass CT are mainly ground glass shadow, but this is not significantly different from ordinary viral pneumonia, and elderly patients can be combined with pleural effusion. Conclusion: Most of the patients with COVID-19 treated in Xi'an have a clear epidemiological history. The clinical manifestations are mainly fever and cough, they can also affect the digestive and nervous systems. Laboratory indicators improved significantly after treatment. Most patients have ground-glass changes in lung imaging and pleural effusions can also occur. The prognosis of common patients was good after treatment. |
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