Suppr超能文献

以胸腔积液为首发症状的新型冠状病毒肺炎:病例研究分析

COVID-19 with pleural effusion as the initial symptom: a case study analysis.

作者信息

Zhang Jing, Chai Chunwei, Li Lifang, Qu Mengrui, Duan Huiping, Ren Liping, Zhao Hui

机构信息

Department of Internal Medicine, The Fourth People's Hospital of Taiyuan, Taiyuan, China.

Department of Respiratory and Critical Care Medicine, Shanxi Medical University, Second Affiliated Hospital, Taiyuan, China.

出版信息

Ann Palliat Med. 2020 Sep;9(5):3710-3715. doi: 10.21037/apm-20-1720.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a newly identified strain of coronavirus in the human body and was reported in Wuhan at the end of 2019. So far, the epidemic is continuing and very serious, with the number of infections and deaths increasing. Despite active investigations around the world to better understand the dynamics of transmission and the scope of clinical disease, COVID-19 continues to spread rapidly from person to person. The common signs and symptoms of SARS-CoV-2 infection include fever, fatigue, dry cough, and dyspnea; in severe cases, patients may have acute respiratory distress syndrome, septic shock, metabolic acidosis difficult to treat and coagulation disorder. However, some patients who test positive for SARS-CoV-2 in their respiratory tract may not have such clinical signs and symptoms. This report presents a case study analysis of a patient admitted in the Fourth Taiyuan People's Hospital, who had suffered traumatic injuries from a car accident and survived COVID-19, with pleural effusion as the initial symptom. We report a case of 2019-NCOV with pleural effusion as the first symptom. Describe in detail the differential diagnosis, diagnosis, clinical management, and cure of this case. In order to combat the novel CoronaviruscoVID-19 in the process to provide lessons and help.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是一种新发现的人体冠状病毒株,于2019年底在武汉被报道。截至目前,疫情仍在持续且非常严重,感染人数和死亡人数不断增加。尽管全球都在积极开展调查以更好地了解传播动态和临床疾病范围,但新型冠状病毒肺炎(COVID-19)仍在人与人之间迅速传播。SARS-CoV-2感染的常见体征和症状包括发热、乏力、干咳和呼吸困难;严重时,患者可能会出现急性呼吸窘迫综合征、感染性休克、难以治疗的代谢性酸中毒和凝血功能障碍。然而,一些呼吸道SARS-CoV-2检测呈阳性的患者可能没有这些临床体征和症状。本报告呈现了一例在太原市第四人民医院收治的患者的病例研究分析,该患者因车祸受外伤,感染COVID-19后存活,最初症状为胸腔积液。我们报告一例以胸腔积液为首发症状的2019-NCOV病例。详细描述该病例的鉴别诊断、诊断、临床管理及治愈情况。以便在抗击新型冠状病毒COVID-19的过程中提供经验教训和帮助。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验