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重庆东北部地区 COVID-19 患者的临床特征和治疗方法。

Clinical features and treatment of COVID-19 patients in northeast Chongqing.

机构信息

Pharmaceutical Department of Chongqing Three Gorges Central Hospital, Chongqing University Three Gorges Hospital, Chongqing, China.

Liver Center, Yu'an Branch of Chongqing Three Gorges Central Hospital, Chongqing, China.

出版信息

J Med Virol. 2020 Jul;92(7):797-806. doi: 10.1002/jmv.25783. Epub 2020 Apr 1.

Abstract

The outbreak of the novel coronavirus in China (SARS-CoV-2) that began in December 2019 presents a significant and urgent threat to global health. This study was conducted to provide the international community with a deeper understanding of this new infectious disease. Epidemiological, clinical features, laboratory findings, radiological characteristics, treatment, and clinical outcomes of 135 patients in northeast Chongqing were collected and analyzed in this study. A total of 135 hospitalized patients with COVID-19 were enrolled. The median age was 47 years (interquartile range, 36-55), and there was no significant gender difference (53.3% men). The majority of patients had contact with people from the Wuhan area. Forty-three (31.9%) patients had underlying disease, primarily hypertension (13 [9.6%]), diabetes (12 [8.9%]), cardiovascular disease (7 [5.2%]), and malignancy (4 [3.0%]). Common symptoms included fever (120 [88.9%]), cough (102 [76.5%]), and fatigue (44 [32.5%]). Chest computed tomography scans showed bilateral patchy shadows or ground glass opacity in the lungs of all the patients. All patients received antiviral therapy (135 [100%]) (Kaletra and interferon were both used), antibacterial therapy (59 [43.7%]), and corticosteroids (36 [26.7%]). In addition, many patients received traditional Chinese medicine (TCM) (124 [91.8%]). It is suggested that patients should receive Kaletra early and should be treated by a combination of Western and Chinese medicines. Compared to the mild cases, the severe ones had lower lymphocyte counts and higher plasma levels of Pt, APTT, d-dimer, lactate dehydrogenase, PCT, ALB, C-reactive protein, and aspartate aminotransferase. This study demonstrates the clinic features and therapies of 135 COVID-19 patients. Kaletra and TCM played an important role in the treatment of the viral pneumonia. Further studies are required to explore the role of Kaletra and TCM in the treatment of COVID-19.

摘要

2019 年 12 月在中国爆发的新型冠状病毒(SARS-CoV-2)对全球健康构成了重大而紧迫的威胁。本研究旨在为国际社会提供对这种新传染病的更深入了解。本研究收集并分析了重庆市东北部 135 例 COVID-19 住院患者的流行病学、临床特征、实验室检查结果、影像学特征、治疗方法和临床转归。共纳入 135 例 COVID-19 住院患者,中位年龄 47 岁(四分位距 36-55 岁),性别差异无统计学意义(男性 53.3%)。大多数患者与来自武汉地区的人有接触。43 例(31.9%)患者有基础疾病,主要为高血压(13 例[9.6%])、糖尿病(12 例[8.9%])、心血管疾病(7 例[5.2%])和恶性肿瘤(4 例[3.0%])。常见症状包括发热(120 例[88.9%])、咳嗽(102 例[76.5%])和乏力(44 例[32.5%])。所有患者的胸部 CT 扫描均显示双肺斑片状阴影或磨玻璃影。所有患者均接受抗病毒治疗(135 例[100%])(使用克力芝和干扰素)、抗菌治疗(59 例[43.7%])和皮质类固醇治疗(36 例[26.7%])。此外,许多患者还接受了中药治疗(124 例[91.8%])。研究提示,患者应早期使用克力芝,并采用中西医结合治疗。与轻症患者相比,重症患者的淋巴细胞计数较低,血浆 Pt、APTT、D-二聚体、乳酸脱氢酶、PCT、ALB、C-反应蛋白和天门冬氨酸氨基转移酶水平较高。本研究展示了 135 例 COVID-19 患者的临床特征和治疗方法。克力芝和中药在病毒性肺炎的治疗中发挥了重要作用。需要进一步研究来探讨克力芝和中药在 COVID-19 治疗中的作用。

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