Eguchi Daiki, Adachi Hiroshi, Choi Kwonil, Yonemori Koji
Department of Emergency Medicine Intensive Care Unit Yonemori Hospital Kagoshima Japan.
Acute Med Surg. 2020 Nov 12;7(1):e594. doi: 10.1002/ams2.594. eCollection 2020 Jan-Dec.
Coronavirus disease (COVID-19) is an emerging infectious disease with human-to-human transmission. Early identification of patients with COVID-19 is important in preventing its spread.
A 36-year-old man with a fever for 3 days fell from the 5th floor and was transported to our emergency department. Pan-scan computed tomography (CT) revealed multiple ground-glass opacities just below the pleura, pelvic fractures, thoracic vertebral fracture (Th11), and right femoral fracture. COVID-19 was ruled out based on negative real-time reverse transcription-polymerase chain reaction results on days 2 and 3, and a reduction in the multiple ground-glass opacities on CT carried out on day 5. Until the suspicion of COVID-19 was cleared, strict and standardized processing procedures were implemented in the same way as for a patient with COVID-19.
It is very difficult to rapidly differentiate between pulmonary contusions and COVID-19, as these conditions have many similarities on CT.
冠状病毒病（COVID-19）是一种具有人传人特性的新兴传染病。早期识别COVID-19患者对于预防其传播至关重要。
一名发热3天的36岁男性从5楼坠落，被送往我院急诊科。全扫描计算机断层扫描（CT）显示胸膜下多发磨玻璃影、骨盆骨折、胸11椎体骨折和右侧股骨骨折。第2天和第3天实时逆转录聚合酶链反应结果为阴性，且第5天CT显示多发磨玻璃影减少，排除了COVID-19。在COVID-19疑似排除之前，按照对COVID-19患者的处理方式实施了严格且规范的处理程序。
由于肺挫伤和COVID-19在CT上有许多相似之处，因此很难快速鉴别。
