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| Clinical Analysis on 205 Cases of COVID-19 |
| Zhengfeng Lin, Yanfeng Shao |
| The Third Affiliated People's Hospital of Fujian University of Traditional Medicine, Fuzhou, Fujian 350108 |
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Abstract Objective To understand basic features of the epidemic of novel coronavirus (COVID-19), and to provide a scientific basis for its prevention and to formulate reasonable measures for its prevention and control.Methods The history of epidemiology, clinical features, laboratory results, and imaging results of 205 cases of COVID-19 that were admitted and confirmed in the Third People's Hospital of Yichang city from January to March 2020 were collected, and a database was set up and a retrospective analysis was conducted.Result The mean age of the 205 confirmed cases was 56.0±16.2 years old. Most confirmed cases at the early phase had the contact history with Wuhan epidemic region; most confirmed cases at the later phase were from the local with unclear contact history; and most of these cases were of the general type and minor ailment. Using statistical analysis, the age, gender, occupation, and contact history all had no statistically significant correlation with the severity of the disease (P>0.05). There was a statistical significant correlation between the underlying diseases and the severity of the disease (χ2=31, P<0.05).Conclusion Major clinical symptoms of the disease are fever and cough; critically ill patients were related to their underlying diseases; and procalcitonin had no reference value to the disease. Features of the disease include pneumonia, pleural thickening and adhesion, and increased lactic acid. So far, the epidemic at Yichang city has been under control, but the special emphasis on prevention and control still has to be made in the future.
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[1] LU R, ZHAO X, LI J, et al.Genomic characterisation and epidemiology of 2019 novel coronavirus:implications for virus origins and receptor binding[J].Lancet, 2020, 6736(20):30251-30258.
[2] Expert group on novel coronavirus pneumonia prevention and control of China Preventive Medicine Association. The latest understanding of the epidemiological characteristics of new type of coronary pneumonia[J]. Chinese Journal of Epidemiology, 2020, 41(2):139-144.
[3] General Office of the State Health Commission, General Office of the State Administration of Traditional Chinese Medicine. Notification of novel coronavirus pneumonia diagnosis and treatment plan (Trial Seventh Edition)[EB/OL].(2020-03-03).
[4] WHO.Clinical management of severe acute respiratory infection when novel coronavirus(nCov)infection is suspected[EB/OL].(2020-01-28)[2020-02-18].
[5] GOODMAN JC, VALADKA AB, GOPINATH SP, et al.Extracellular lactate and glucose alterations in the brian after head injury measured by microdialysis[J].Crit Care Med, 1999, 27(9):2063-2064. |
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