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苏丹喀土穆一家中心的经验:COVID-19 患者的实验室特征。

Laboratory characteristics among patients with COVID-19: a single-center experience from Khartoum, Sudan.

机构信息

Alghad International Colleges for Applied Medical Sciences, Educational and Academic Affairs.

Sudan International University, Faculty of Medical Laboratory Sciences.

出版信息

Afr Health Sci. 2023 Mar;23(1):16-22. doi: 10.4314/ahs.v23i1.3.

Abstract

BACKGROUND

COVID19 is associated with a number of laboratory characteristics and changes with different levels of prognostic significance. We report changes in lab findings between severe and non-severe COVID-19 in patients that had molecular testing of nasopharyngeal swabs in Khartoum, Sudan.

MATERIAL AND METHODS

This was a descriptive cross-sectional study, conducted from Jan to May 2021. It included 66 preidentified COVID19 patients who attended the isolation center at Jabra Hospital in Khartoum the capital city of Sudan. Participants were enrolled for CBC, D-dimer and C-Reactive Protein testing. Among these participants, 21(31.8%) had severe COVID19 pneumonia.. Data were analysed using SPSS version 24, and the independent sample t-test was used to compare severe and non-sever cases.

RESULTS

The mean values for all cases showed a mild decrease in Hb (9.53±1.83 g/dl), MCHC (28.3±2.91 g/dl); lymphocytes % (19.8 ±6.82); increased RDW-SD (50.1±5.70 fL), D-dimer (4.2±3.73 µg/ml) and CRP (107.2±61.21 mg/dl). There were significant d/span>differences in the laboratory findings between severe and non-severe COVID-19 cases in total WBCs (p value = .001), lymphocyte % (p value = .000), neutrophil % (p value=.038), RDW-SD (p value = .044), D-dimer (p value = .029) and CRP (p value = .044).

CONCLUSION

The laboratory findings of CBC, D-dimer and CRP provide an essential contribution to predicti COVID-19 severity and prognosis.

摘要

背景

COVID19 与许多实验室特征有关,并随着不同预后意义的水平而变化。我们报告了苏丹喀土穆鼻咽拭子分子检测的 COVID-19 患者中重症与非重症之间实验室结果的变化。

材料与方法

这是一项描述性的横断面研究,于 2021 年 1 月至 5 月进行。它包括了 66 名预先确定的 COVID19 患者,他们在苏丹首都喀土穆的 Jabra 医院隔离中心就诊。参与者接受了全血细胞计数(CBC)、D-二聚体和 C 反应蛋白检测。在这些参与者中,21 人(31.8%)患有严重的 COVID19 肺炎。使用 SPSS 版本 24 分析数据,使用独立样本 t 检验比较严重和非严重病例。

结果

所有病例的平均数值显示 Hb(9.53±1.83 g/dl)、MCHC(28.3±2.91 g/dl)轻度下降;淋巴细胞%(19.8 ±6.82);红细胞分布宽度标准差(RDW-SD)(50.1±5.70 fL)、D-二聚体(4.2±3.73 µg/ml)和 C 反应蛋白(CRP)(107.2±61.21 mg/dl)升高。重症和非重症 COVID-19 病例的实验室结果存在显著差异,包括总白细胞计数(p 值=.001)、淋巴细胞%(p 值=.000)、中性粒细胞%(p 值=.038)、RDW-SD(p 值=.044)、D-二聚体(p 值=.029)和 CRP(p 值=.044)。

结论

CBC、D-二聚体和 CRP 的实验室结果对 COVID-19 的严重程度和预后预测有重要贡献。

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Laboratory findings in COVID-19 diagnosis and prognosis.实验室检查在 COVID-19 诊断和预后中的作用。
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