Liu Meirong, Lyu Yang, Zhao Wenchang, Yu Shuang, Shi Dongsheng, Lu Wei
Department of Infectious Diseases, Tianjin Hospital, Tianjin, China.
Department of Intensive Care Unit, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Ann Palliat Med. 2020 Jul;9(4):2193-2202. doi: 10.21037/apm-20-1372. Epub 2020 Jul 20.
To analyze the clinical and infectious characteristics of new coronavirus pneumonia with diagnosed and suspected cases in the Second Hospital of WISCO(Wuhan Iron and Steel Company) of Qingshan District, Wuhan City, and further enhance the understanding of new coronavirus pneumonia.
According to the fifth and sixth editions of the new coronavirus pneumonia diagnosis and treatment plan issued by the National Health Commission of the People's Republic of China and National Administration of Traditional Chinese Medicine, we carried out the case analysis and infectious disease investigation and research on the confirmed and suspected cases of new coronavirus pneumonia admitted to the second-floor ward of the hospital from January 28th, 2020, to February 26th, 2020.
From January 28th, 2020 to February 26th, 2020, 83 patients were admitted, 40 were cured, and 7 died. Before February 13th, 69 patients were admitted, including 22 confirmed patients and 47 suspected patients. After February 13th, the data of newly hospitalized suspected patients decreased to 2 people. The average time from onset to diagnosis was 5.38 days. About 57.1% of the confirmed patients were isolated at home before admission, and 53.2% of the suspected patients were isolated by hospital observation before admission. The proportion of fever and other clinical symptoms was 81.8%, 65.5% of the patients had the fastest heart rate of 90-120 rpm, and 11 of the patients had severe/critical illness, accounting for 20%. The count of leukocytes, neutrophils, and C-reactive proteins (CRPs) in severe patients was higher than those in light patients (P<0.05), and the count of lymphocytes was lower than that in mild patients (P=0.016).
The novel coronavirus pneumonia in Qingshan District of Wuhan in February was diagnosed promptly, controlled,and treated effectively. The combination of traditional Chinese and western medicine in the treatment of new coronavirus pneumonia might help patients.
分析武汉市青山区武汉钢铁公司第二医院确诊和疑似新型冠状病毒肺炎病例的临床及感染特征，进一步提高对新型冠状病毒肺炎的认识。
依据中华人民共和国国家卫生健康委员会和国家中医药管理局发布的新型冠状病毒肺炎诊疗方案第五版和第六版，对2020年1月28日至2月26日期间收治于我院二楼病房的新型冠状病毒肺炎确诊及疑似病例进行病例分析及传染病调查研究。
2020年1月28日至2月26日，共收治患者83例，治愈40例，死亡7例。2月13日前收治69例，其中确诊患者22例，疑似患者47例。2月13日后，新入院疑似患者数据降至2人。从发病到确诊的平均时间为5.38天。约57.1%的确诊患者在入院前居家隔离，53.2%的疑似患者在入院前接受医院观察隔离。发热等临床症状的比例为81.8%，65.5%的患者最快心率为90 - 120次/分钟，11例患者为重症/危重症，占20%。重症患者白细胞、中性粒细胞及C反应蛋白（CRP）计数高于轻症患者（P<0.05），淋巴细胞计数低于轻症患者（P = 0.016）。
2月武汉市青山区新型冠状病毒肺炎得到及时诊断、控制及有效治疗。中西医结合治疗新型冠状病毒肺炎可能对患者有益。
