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三位妇科肿瘤术后女性的 COVID-19 临床特征:病历回顾性研究。

Clinical Characteristics of COVID-19 After Gynecologic Oncology Surgery in Three Women: A Retrospective Review of Medical Records.

机构信息

Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People's Republic of China.

出版信息

Oncologist. 2020 Jun;25(6):e982-e985. doi: 10.1634/theoncologist.2020-0157. Epub 2020 Apr 7.


DOI:10.1634/theoncologist.2020-0157
PMID:32259322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7262154/
Abstract

From a large medical center in Wuhan, the epicenter of the 2019 novel coronavirus disease (COVID-19), we report clinical features and prognosis for three women diagnosed with COVID-19 after gynecologic oncology surgery and hospitalized in January 2020. The incidence of COVID-19 was 0.77% (3 of 389) of total hospitalizations and 1.59% (3 of 189) of patients undergoing surgeries in the ward. The infection of severe acute respiratory syndrome coronavirus 2 may be related to the older age, comorbidities, malignant tumor, and surgery in gynecologic hospitalizations. By February 20, 2020, only two of the three patients had met the clinical discharge criteria. Given the long and uncertain incubation period of COVID-19, screening for the virus infection should be carried out for all patients, both preoperatively and postoperatively. Postponement of scheduled gynecologic surgery for patients in the epidemic area should be considered.

摘要

从武汉一家大型医学中心——2019 年新型冠状病毒病(COVID-19)的震中——我们报告了 3 名在 2020 年 1 月接受妇科肿瘤手术后住院的 COVID-19 诊断的女性的临床特征和预后。COVID-19 的发病率为 389 例总住院患者的 0.77%(3 例)和 189 例接受病房手术患者的 1.59%(3 例)。严重急性呼吸综合征冠状病毒 2 的感染可能与年龄较大、合并症、恶性肿瘤和妇科住院手术有关。截至 2020 年 2 月 20 日,仅 3 名患者中的 2 名符合临床出院标准。鉴于 COVID-19 的潜伏期长且不确定,应在术前和术后对所有患者进行病毒感染筛查。应考虑推迟疫区患者的妇科择期手术。

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本文引用的文献

[1]
Clinical Characteristics of Coronavirus Disease 2019 in China.

N Engl J Med. 2020-2-28

[2]
Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China.

Lancet Oncol. 2020-3

[3]
Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV) Pneumonia in Wuhan, China.

Radiology. 2020-4

[4]
Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study.

Lancet. 2020-1-30

[5]
Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia.

N Engl J Med. 2020-1-29

[6]
Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.

Lancet. 2020-1-24

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