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    席向宇, 白鹄, 王为民, 潘永, 王春颖, 刘慧梅, 张瑞梅, 闫家微. 徐州市60例COVID-19感染者的流行特点和临床表现[J]. 徐州医科大学学报, 2020, 40(6): 462-465.
    引用本文: 席向宇, 白鹄, 王为民, 潘永, 王春颖, 刘慧梅, 张瑞梅, 闫家微. 徐州市60例COVID-19感染者的流行特点和临床表现[J]. 徐州医科大学学报, 2020, 40(6): 462-465.
    Epidemiological?and clinical characteristics of 60 COVID-19 infection in Xuzhou[J]. Journal of Xuzhou Medical University, 2020, 40(6): 462-465.
    Citation: Epidemiological?and clinical characteristics of 60 COVID-19 infection in Xuzhou[J]. Journal of Xuzhou Medical University, 2020, 40(6): 462-465.

    徐州市60例COVID-19感染者的流行特点和临床表现

    Epidemiological?and clinical characteristics of 60 COVID-19 infection in Xuzhou

    • 摘要: 目的:了解COVID-19的流行情况和临床特征,为疾病的预防控制提供基础,并为以后的机制研究提供线索。方法:从住院电子病历中获取本院核酸检测阳性的60例COVID-19病例的资料,描述病例的人口学特点、流行情况、临床症状、实验室检查指标,胸部CT表现和治疗情况。结果: 60例COVID-19病例的中位平均年龄是39.5岁,主要集中于15~49岁。男女比例为22/38。83.3%的病例是普通型,多数(71.7%)患者是接触COVID-19病例感染。患者的主要症状有发热(63.3%)、胸闷(48.3%)、咳痰(41.7%)等;咯血(1.7%)和肌痛/关节痛(5.0%)比较少见;有20%的患者伴有高血压等其他疾病。实验室检查的异常指标有白细胞(28.3%)、中性粒(28.3%)和淋巴细胞减少(46.7%),C反应蛋白(40.0%)和乳酸脱氢酶升高(33.3%),低白蛋白血症(48.3%)、低钾(38.3%)和凝血酶原时间延长(41.7%)。抗体IgM和IgG的阳性率分别为71.7%和53.3%。CT检查中最常见的异常为磨玻璃病变(86.7%)和间质病变(40%),双侧病变多于单侧。经过系统化治疗后,所有的病人都痊愈并出院。结论:COVID-19普遍易感,我院收治者大部分集中在青壮年,发热为最常见的症状。入院时淋巴细胞减少,C反应蛋白升高为常见的实验室检查异常,而CT检查最常见的的病变为磨玻璃样改变。所有病人都痊愈,无死亡病例。

       

      Abstract: ob<x>jective: To understand the prevalence and clinical characteristics of COVID-19, to provide a basis for the prevention and control of the disease and offer clues for studying the mechanism.Methods: a total of 60 COVID-19 nucleic acid test positive data were collected from Xuzhou Infectious Diseases Hospital . The information on demographic, epidemiological, clinical characteristics, laboratory test, treatment and outcome were obtained from electronic medical records.Results: The median age was 39.5 and mainly concentrated in 15 to 49 years old. 36.7% was male, 83.3% are common cases, and71.7% had contact with COVID-19 patients. Fever (63.3%), chest distress (48.3%) and expectoration (41.7%) were the most common symptom s. hemoptysis (1.7%) and myalgia or arthralgia (5.0%) was uncommon . 20.0% had at least one coexisting illness. 4 6.7% cases had lymphocytopenia, 28.3% had leukopenia and neutropenia. 40.0% had elevated CRP and 33.3% had elevated lactate dehydrogenase. 48.3% had hypoalbuminemia, 38.3% had low potassium, and 41.7% had increased PT. 71.7 % of patients were IgM positive and 53.3% were IgG positive. Ground-glass opacity (86.7%) and interstitial abnormalities (40%) were the most common CT abnormalities . All patients were recovery and discharge after standard therapy.Conclusions: The main susceptible population of COVID-19 was young adults. Fever was the most common symptoms. O n admission, lymphocytopenia, elevated CRP and Ground-glass opacity were common abnormal laboratory testing and CT finding. All patients were recovery and discharge in our hospital.

       

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