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[重症监护病房中的新型冠状病毒肺炎。大流行首月的经验分析]

[COVID-19 in the intensive care unit. Analysis of the experience during the first month of pandemic].

作者信息

Carboni Bisso Indalecio, Huespe Iván, Lockhart Carolina, Massó Agustín, González Anaya Juieta, Hornos Micaela, San Román Eduardo, Las Heras Marcos

机构信息

Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires, Argentina. E-mail:

Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 2020;80 Suppl 3:25-30.

Abstract

This is an analysis of clinical characteristics, images findings, laboratory variables and respiratory mechanics in patients with coronavirus disease 2019 (COVID-19) during the first month of the pandemic outbreak in Buenos Aires. In this descriptive case study of a single-centre, we included all confirmed cases of COVID-19 hospitalized in intensive care unit (ICU). All cases were confirmed by reverse transcription polymerase chain reaction. A total of 7 patients with confirmed COVID-19 were referred to out ICU. The median age was 71 years (interquartile range 52-75), including 4 men and 3 women. Patients most common clinical manifestations were fever (7), cough (5), asthenia (4) and shortness of breath (3). Among the radiological findings, five of them showed interstitial opacities and one patient had bilateral pulmonary consolidation. Five required invasive mechanical ventilation and multiple prone sessions. None died during hospitalization, although three still remain in the ICU. According to imaging examination, 71.4% showed interstitial opacities and one patient bilateral consolidation. Five patients required invasive mechanical ventilation and multiple prone sessions. None of them died during hospitalization, although three still remain in the ICU.

摘要

这是一项针对2019年冠状病毒病(COVID-19)患者在布宜诺斯艾利斯大流行爆发的第一个月期间的临床特征、影像表现、实验室指标和呼吸力学的分析。在这个单中心的描述性病例研究中,我们纳入了所有在重症监护病房(ICU)住院的确诊COVID-19病例。所有病例均通过逆转录聚合酶链反应确诊。共有7例确诊COVID-19患者被转入我们的ICU。中位年龄为71岁(四分位间距52 - 75),其中男性4例,女性3例。患者最常见的临床表现为发热(7例)、咳嗽(5例)、乏力(4例)和气短(3例)。在影像学表现中,5例显示间质模糊影,1例患者出现双侧肺实变。5例需要有创机械通气并多次俯卧位通气。住院期间无死亡病例,尽管仍有3例患者留在ICU。根据影像学检查,71.4%显示间质模糊影,1例患者双侧实变。5例患者需要有创机械通气并多次俯卧位通气。他们中无人在住院期间死亡,尽管仍有3例留在ICU。

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