关于 2019 年冠状病毒疾病肺损伤相关实验室指标的研究。

Study on Laboratory Indicators Related to Lung Injury of Corona Virus Disease 2019.

出版信息

Clin Lab. 2021 Jan 1;67(1). doi: 10.7754/Clin.Lab.2020.200606.

Abstract

BACKGROUND

Since December 2019, a series of pneumonia cases caused by COVID-19 emerged in Wuhan, Hubei Province, China. People are generally susceptible to COVID-19 because people lack immunity to this new virus. With the spread of this epidemic disease from Wuhan, a national outbreak soon appeared, and now many countries have this disease. Unfortunately, no effective drug for COVID-19 treatment has been found so far.

METHODS

We designed a retrospective study based on patients admitted to The Affiliated Infectious Hospital of Soochow University from January 22, 2020, to February 25, 2020, with diagnosed COVID-19. We analyzed correlations between RT-PCR negative time and laboratory indicators, then divided all cases into 2 groups according to oxygenation index, data of RT-PCR negative time and related laboratory indicators of the two groups were com-pared.

RESULTS

We collected 84 confirmed patients whose RT-PCR had turned negative, including 23 patients with the lowest oxygenation index ≤ 300 mmHg and 61 patients had > 300 mmHg. There was a positive correlation between the RT-PCR negative time and age, WBC count, LDH, SCr. There were statistically significant differences in fever numbers, WBC count, lymphocyte count, CRP, ALT, AST, albumin, LDH, SCr, D-dimer, and fibrinogen between the two groups based on the oxygenation index.

CONCLUSIONS

Age, WBC count, LDH, and SCr may be related to the duration of COVID-19 disease. Fever, WBC count, lymphocyte count, CRP, ALT, AST, albumin, LDH, SCr, D-dimer, and fibrinogen are related to the severity of acute lung injury.

摘要

背景

自 2019 年 12 月以来,中国湖北省武汉市出现了一系列由 COVID-19 引起的肺炎病例。由于人们对这种新型病毒缺乏免疫力,因此人们普遍容易感染 COVID-19。随着这种传染病从武汉传播,很快出现了全国性疫情,现在许多国家都有这种疾病。不幸的是,到目前为止还没有找到治疗 COVID-19 的有效药物。

方法

我们基于 2020 年 1 月 22 日至 2 月 25 日期间在苏州大学附属传染病医院确诊的 COVID-19 患者设计了一项回顾性研究。我们分析了 RT-PCR 阴性时间与实验室指标之间的相关性,然后根据氧合指数将所有病例分为 2 组,比较了两组的 RT-PCR 阴性时间和相关实验室指标数据。

结果

我们收集了 84 例 RT-PCR 转为阴性的确诊患者,其中氧合指数最低为≤300mmHg 的患者有 23 例,氧合指数>300mmHg 的患者有 61 例。RT-PCR 阴性时间与年龄、白细胞计数、乳酸脱氢酶、血清肌酐呈正相关。根据氧合指数,两组之间的发热次数、白细胞计数、淋巴细胞计数、C 反应蛋白、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、白蛋白、乳酸脱氢酶、血清肌酐、D-二聚体和纤维蛋白原存在统计学差异。

结论

年龄、白细胞计数、乳酸脱氢酶和血清肌酐可能与 COVID-19 疾病的持续时间有关。发热、白细胞计数、淋巴细胞计数、C 反应蛋白、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、白蛋白、乳酸脱氢酶、血清肌酐、D-二聚体和纤维蛋白原与急性肺损伤的严重程度有关。

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