摘要
目的分析发热门诊患者新型冠状病毒感染的流行病学临床特征,及时了解发热门诊患者的发热原因及临床表现,为疾病的预防与治疗提供依据。方法对某大型综合医院2020年1月17日—2月2日发热门诊就诊患者的病历资料进行分析,包括一般资料、流行病学史、新型冠状病毒核酸检测及其他实验室检查结果。结果共有1770例患者,男性888例,女性882例,其中21~40岁患者占61.24%。实验室检查结果显示:15例新型冠状病毒核酸检测阳性的患者,主要以白细胞计数正常或减少,淋巴细胞计数减少为主,分别占100.00%、40.00%。857份胸部CT普通扫描检查报告中,阳性822份,阳性率为95.92%。结论发热门诊的设立有利于对发热患者进行快速、有效的筛检,就诊患者中以病毒感染最为常见,以中青年为主,新型冠状病毒核酸检测阳性的患者行胸部CT检查阳性率较高。
Objective To analyze epidemiological and clinical characteristics of novel coronavirus(2019-nCoV)infection in patients in fever clinic,understand the causes and clinical manifestations of fever,and povide basis for disease prevention and treatment.Methods Medical records of patients with fever in fever clinic of a large general hospital from January 17 to February 2,2020 were analyzed,including general information,epidemiological history,2019-nCoV nucleic acid test and other laboratory test results.Results There were 1770 patients,888 were males and 882 were females,61.24%of whom were aged 21-40 years.Laboratory examination showed 2019-nCoV nucleic acid test was positive in 15 patients,mainly white blood cell count was normal or decreased,lymphocyte count decreased,accounted for 100.00%and 40.00%respectively.Of 857 chest CT scan reports,822(95.92%)were positive.Conclusion Setting up fever clinic is conducive to the rapid and effective screening of fever patients,virus infection is most common among patients in fever clinic,mainly young and middle-aged people,positive of chest CT examination is high in patients with positive of 2019-nCoV nucleic acid test.
作者
苑伟
陈相军
黄应德
周益
方明旺
曹钰
李大江
曾勇
陈敏
YUAN Wei;CHEN Xiang-jun;HUANG Ying-de;ZHOU Yi;FANG Ming-wang;CAO Yu;LI Da-jiang;ZENG Yong;CHEN Min(Medical Department,West China Hospital,Sichuan University,Chengdu 610041,China;Emergency Department,West China Hospital,Sichuan University,Chengdu 610041,China;Office of Hospital Director, West China Hospital, Sichuan University, Chengdu 610041, China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2020年第3期277-280,共4页
Chinese Journal of Infection Control
