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自从新型冠状病毒肺炎(corona virus disease 2019,COVID-19)被发现以来,传播迅速。该病毒主要通过呼吸道飞沫和接触传播。相关数据表明,短期内感染该病毒的人数急剧上升,重症患者的病情进展较快,该病毒存在人际传播[1-4],对社会危害极大。目前我国所有省级行政区域内均有确诊病例出现,且已在多个国家出现确诊病例。故而在未发生病毒流行区域,应控制输入型病例,一旦发现区域内首例COVID-19感染者,应积极开展流行病学调查,这对防控区域内疫情的蔓延意义重大。笔者就本区域首例COVID-19患者的临床特点和早期诊疗工作做一报道。
区域内首发新型冠状病毒肺炎的病例报道
First COVID-19 case report in the region
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摘要: 笔者报道了1例以乏力、发热为首发症状,流行病学史不明确、实验室检查倾向于细菌性感染,发病第8天经胸部CT影像学检查结果考虑为新型冠状病毒肺炎(COVID-19)的疑似病例,并最终经核酸检测结果而确诊。该病是一种新型冠状病毒所致的呼吸道传染病,传播性强,部分患者累及多个脏器,病情进展迅速。该病例为区域内聚集性发病的首例,笔者意在提示,在COVID-19防控临床工作中,对于从事高危职业但无明确流行病学史的患者应予以足够重视,应尽早行胸部CT影像学检查,综合判断,并反复多次行核酸检测,避免漏诊。
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关键词:
- 新型冠状病毒肺炎 /
- 肺炎,病毒性 /
- 体层摄影术,X线计算机
Abstract: The study reported a COVID-19 case performed with asthenia, fever as the first symptom, unclear history of epidemiology, laboratory examination implied bacterial infection. Chest CT imaging examination on the 8th day after onset indicated suspected case and finally confirmed by nucleic acid detection. The disease is a respiratory infectious disease caused by a novel corona virus. It is highly communicable. Some patients had multiple visceral involvement, and the disease progressed rapidly. This case is the first case of regional aggregation. The authors are trying to imply that patients with high-risk occupation but without a clear history of epidemiology should pay enough attention to the clinical work of COVID-19 and control. Early chest CT imaging examination and repeated nucleic acid tests for suspected cases are helpful to reduce ignored diagnosis.-
Key words:
- COVID-19 /
- Pneumonia, viral /
- Tomography, X-ray computed
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National Health Commission of the People's Republic of China. Novel coronavirus pneumonia diagnosis and treatment plan (trial third edition)[EB/OL]. (2020-01-22) [2020-02-20]. http://www.nhc.gov.cn/xcs/zhengcwj/202001/f492c9153ea9437bb587ce2ffcbee1fa/files/39e7578d85964dbe81117736dd789d8f.pdf.