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长沙地区46例疑似新型冠状病毒肺炎患者临床特征分析

Clinical characteristics of 46 suspected novel coronaviruspneumonia patients in Changsha area
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摘要 目的:分析长沙地区新型冠状病毒肺炎疑似病例患者的临床特征,为确诊患者与排除新型冠状病毒肺炎患者的临床诊疗提供依据。方法:对我院2020年1月21日至2月14日收治的符合疑似新型冠状病毒肺炎诊断标准46例患者,通过采集人口学资料、流行病学资料及血液检查数据、胸部CT报告进行研究分析。结果:46例疑似新型冠状病毒肺炎患者,确诊19例,排除新型冠状病毒肺炎27例,两组患者男性居多,确诊患者与排除新型冠状病毒肺炎患者密切接触史或湖北地区旅居史分别为100%和33%,差异有统计学意义(P<0.05);确诊患者与排除新型冠状病毒肺炎患者出现白细胞及淋巴细胞下降,确诊患者白细胞及淋巴细胞数值更低,差异有统计学意义(P<0.05);确诊患者与排除新型冠状病毒肺炎患者胸部CT双肺磨玻璃影多见,单肺少见,差异无统计学意义(P>0.05)。确诊患者与排除新型冠状病毒肺炎患者确诊时间分别为2.2天和9.4天,后者时间更长,差异有统计学意义。结论:新型冠状病毒肺炎确诊患者有密切接触史,白细胞及淋巴细胞下降更明显,疑似新型冠状病毒肺炎患者排除诊断时间长。 Objective:To analyze the charecteristics of the suspected novel coronavirus pneumonia patients in Changsha area,to provide some evidence for the diagnosis and treatment of the confirmed cases.Methods:46 suspected novel coronavirus pneumonia patients(January 21st to February 14th,Changsha Central Hospital)were collected for demographic data,epidemiological data,blood test data and chest CT report.Results:Of the 46 suspected cases,19 were confirmrd,27 were excluded.The majority of the two groups were male,and the history of close contact with the patients with novel coronavirus pneumonia patients or the Hubei residence history were 100%and 33%respectively,The difference is statistically significant(P<0.05).The leukocytes and lymphocytes of the two groups was decreased.The white blood cell and lymphocyte count of the confirmed ones were lower.The difference between the two groups was statistically significant(P<0.05).The CT reports of the confirmed patients and excluded patients pionted out that the double lung ground glass opacity of the patients was more common than that of the seperate lung,and the difference was not statistically significant(P>0.05).The time of confirming diagnosis of the confirmed patients and excluded ones was within 2.2 and 9.4 days respectively,the latter lasted longer,and the difference between the two groups was statistically significant.Conclusions:The novel coronavirus pneumonia patients had close contact history with other novel coronavirus pneumonia patients.and the leukocyte and lymphocyte decrease was more obvious.The suspected ones need longer time to make excluding diagnosis.
作者 王伟明 陈剑波 王菁 周若兰 谌妮 文艳红 WANG Wei-ming;CHEN Jian-bo;WANG Jing;ZHOU Ruo-lan;SHEN Ni;WEN Yan-hong(Affiliated Changsha Central Hospital of the University of South China,Changsha,Hunan 410004)
出处 《赣南医学院学报》 2020年第3期234-238,共5页 JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词 疑似新型冠状病毒肺炎 临床特征 长沙 Suspected novel coronavirus pneumonia Clinical characteristics Changsha
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