Lin Liying, Zhong Canmei, Rao Shanshan, Lin Hongguang, Huang Rongfeng, Chen Fenglin
Department of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, Fujian 350000, P.R. China.
Department of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, Fujian 350000, P.R. China.
Exp Ther Med. 2021 Jan;21(1):7. doi: 10.3892/etm.2020.9439. Epub 2020 Nov 4.
Coronavirus disease 2019 (COVID-19) emerged in Wuhan and rapidly spread throughout the world in December 2019. The present study aimed to describe the clinical characteristics and laboratory findings of 78 patients with COVID-19 in order to enhance the understanding of the disease. Medical records and data of 78 patients with COVID-19, including demographics, clinical features, laboratory findings and radiological characteristics, were collected and analyzed. Of the 78 hospitalized patients with COVID-19, the median age was 66.5 years and 48.7% of patients were male. Hypertension and diabetes were the most common chronic underlying diseases, and the most common symptoms were a cough and a fever. Furthermore, the most common findings on the chest CT were extensive ground-glass opacity and bilateral shadowing. Anemia and lymphocytopenia were the most common abnormalities identified during routine blood tests. COVID-19 caused early liver renal damage, with 52.9% of patients displaying elevated D-dimer levels, 98.7% of patients displaying elevated IL-6 levels and 80.8% of patients displaying a reduced level of low-density lipoprotein cholesterol (LDL-C). In the present single-center case study of 78 patients with COVID-19 in Wuhan, China, the patients displayed abnormal routine blood tests, liver function, renal function and levels of D-dimer, LDL-C and IL-6. Therefore, the development of drugs and vaccines that can be used to prevent and treat infections of COVID-19 is urgently required.
2019年冠状病毒病(COVID-19)于2019年12月在武汉出现并迅速在全球传播。本研究旨在描述78例COVID-19患者的临床特征和实验室检查结果,以增进对该疾病的了解。收集并分析了78例COVID-19患者的病历和数据,包括人口统计学、临床特征、实验室检查结果和放射学特征。在78例住院的COVID-19患者中,年龄中位数为66.5岁,48.7%的患者为男性。高血压和糖尿病是最常见的慢性基础疾病,最常见的症状是咳嗽和发热。此外,胸部CT最常见的表现是广泛的磨玻璃影和双侧阴影。贫血和淋巴细胞减少是常规血液检查中最常见的异常。COVID-19导致早期肝肾损伤,52.9%的患者D-二聚体水平升高,98.7%的患者IL-6水平升高,80.8%的患者低密度脂蛋白胆固醇(LDL-C)水平降低。在中国武汉对78例COVID-19患者进行的本单中心病例研究中,患者的常规血液检查、肝功能、肾功能以及D-二聚体、LDL-C和IL-6水平均出现异常。因此,迫切需要开发可用于预防和治疗COVID-19感染的药物和疫苗。
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