摘要
目的分析杭州市新型冠状病毒肺炎(COVID-19)患者的流行病学及临床特征,以期为杭州市下一步COVID-19防治工作提供参考。方法选取杭州市87例COVID-19患者为研究对象,统计分析其流行病学特征、临床症状、外周血液检验结果及肺部CT影像学特征。结果本组患者男40例,女47例;年龄4~88(42.89±17.02)岁。杭州市收治的COVID-19患者多为输入性,87例患者中75例(86.2%)有明确流行病学病史,潜伏期1~26(6.30±3.99)d。患者以发热为主要临床表现62例(71.3%)。外周血白细胞计数正常或降低82例(94.3%),淋巴细胞计数减少30例(34.5%)。78例(89.7%)患者入院时即有肺部CT影像学改变。5例(5.7%)为重型患者,82例(94.3%)为普通型患者。结论杭州市的COVID-19患者大多和湖北省有流行病学史上的关联,大多为普通型患者,肺部CT检查有助于诊断。杭州市的COVID-19属于散发,做好高危人群的隔离观察是预防的关键。
Objective To analyze the epidemiological and clinical characteristics of coronavirus disease 2019(COVID-19)in Hangzhou.Methods From January 20 to February 12,2020,87 patients with COVID-19 admitted in Hangzhou Xixi Hospital.The epidemiological characteristics,clinical manifestations,blood test results and CT findings of patients were analyzed.Results Among 87 patients there were 40 males and 47 females aged 4~88(42.89±17.02)years;there were 5 severe cases(5.7%)and 82 mild cases(94.3%).Most of cases were imported,75 cases(86.2%)had definite epidemiological history with a incubation period of 1~26(6.30±3.99)d.Sixty two patients(71.3%)had fever,which was the main clinical symptom.The peripheral blood leukocyte count(WBC)was normal or decreased in 82 cases(94.3%),and lymphocyte count was decreased in 30 cases(34.5%).Seventy eight patients(89.7%)had lung CT changes at the time of admission.Conclusion Most of the patients with COVID-19 in Hangzhou are related to the epidemiological history of Hubei province.Most of themare mild cases.Pulmonary CT is helpful for diagnosis.The COVID-19 patients in Hangzhou are sporadic,and isolation observation of high-risk groups is the key to prevention.
作者
余吉仙
张晓敏
黄劲松
YU Jixian;ZHANG Xiaomin;HUANG Jinsong(Department of Infectious Diseases,Xixi Hospital of Hangzhou,Hangzhou 310023,China)
出处
《浙江医学》
CAS
2020年第4期318-320,324,共4页
Zhejiang Medical Journal
关键词
新型冠状病毒肺炎
流行病学特征
临床特征
Coronavirus disease 2019
Epidemiological characteristics
Clinical characteristics
