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中国武汉78例2019冠状病毒病感染患者的临床特征

Clinical characteristics of 78 cases of patients infected with coronavirus disease 2019 in Wuhan, China.

作者信息

Lin Liying, Zhong Canmei, Rao Shanshan, Lin Hongguang, Huang Rongfeng, Chen Fenglin

机构信息

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.

出版信息

Exp Ther Med. 2021 Jan;21(1):7. doi: 10.3892/etm.2020.9439. Epub 2020 Nov 4.


DOI:10.3892/etm.2020.9439
PMID:33235616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7678631/
Abstract

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.

摘要

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。

相似文献

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Clinical characteristics of 78 cases of patients infected with coronavirus disease 2019 in Wuhan, China.

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引用本文的文献

[1]
Comparison between D-dimer levels in diabetic and non-diabetic positive COVID-19 adult patients: A hospital-based study.

Endocrinol Diabetes Metab. 2022-7

[2]
Abnormal Liver Biochemistry Tests and Acute Liver Injury in COVID-19 Patients: Current Evidence and Potential Pathogenesis.

Diseases. 2021-7-1

[3]
Immunological Interfaces: The COVID-19 Pandemic and Depression.

Front Neurol. 2021-4-23

[4]
Using the IPcase Index with Inflection Points and the Corresponding Case Numbers to Identify the Impact Hit by COVID-19 in China: An Observation Study.

Int J Environ Res Public Health. 2021-2-18

本文引用的文献

[1]
Hypolipidemia is associated with the severity of COVID-19.

J Clin Lipidol. 2020-4-30

[2]
Use of Tocilizumab for COVID-19-Induced Cytokine Release Syndrome: A Cautionary Case Report.

Chest. 2020-4-25

[3]
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Clin Drug Investig. 2020-6

[4]
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Zhonghua Gan Zang Bing Za Zhi. 2020-3-20

[5]
Pathological evidence of pulmonary thrombotic phenomena in severe COVID-19.

J Thromb Haemost. 2020-6

[6]
The use of anti-inflammatory drugs in the treatment of people with severe coronavirus disease 2019 (COVID-19): The Perspectives of clinical immunologists from China.

Clin Immunol. 2020-3-25

[7]
The clinical characteristics of pneumonia patients coinfected with 2019 novel coronavirus and influenza virus in Wuhan, China.

J Med Virol. 2020-3-30

[8]
Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study.

Lancet. 2020-3-11

[9]
Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China.

JAMA Intern Med. 2020-7-1

[10]
Review of the Clinical Characteristics of Coronavirus Disease 2019 (COVID-19).

J Gen Intern Med. 2020-3-4

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