30例新型冠状病毒核酸复阳返院患者的病例特点
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谭行华

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R181.3+2;R563.1

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广东省中医药管理局项目(2020ZYYJ01)


Characteristics of 30 re-hospitalized patients with re-positive of 2019-nCoV nucleic acid
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    摘要:

    目的 分析新型冠状病毒肺炎复阳患者的临床特点,为疫情防控提供指导。方法 收集30例因新型冠状病毒核酸复阳而再次入院患者的临床资料,比较患者复阳前后临床资料的差异。结果 患者复阳返院时临床症状少,复阳后无一例出现发热;发热、咳嗽、咽干咽痛临床症状,患者复阳前后首诊主要临床症状比较,差异均有统计学意义(均P<0.05)。复阳患者再次入院后的实验室指标大多正常,乳酸脱氢酶(LDH)、肌酸激酶(CK)、D-二聚体、白细胞(WBC)、淋巴细胞(LYM)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、乳酸(LAC)患者复阳前后比较,差异均有统计学意义(均P<0.05)。复阳后胸部CT正常者无变化,有肺炎者均较前吸收、改善。复阳后再次住院时间短于首次住院时间[(6.93±3.84)d VS(17.73±7.22)d],差异有统计学意义(P<0.05)。结论 新型冠状病毒核酸复阳者病情继续改善,复阳并不等于再次发病,未见人传人现象,未引起严重公共危害,但复阳原因有待进一步研究。

    Abstract:

    Objective To analyze clinical characteristics of patients with re-positive of coronavirus disease 2019 (COVID-19), and provide guidance for epidemic prevention and control. Methods Clinical data of 30 patients who were re-admitted to the hospital due to re-positive of 2019-nCoV nucleic acid were collected, clinical data before and after re-positive was compared. Results Clinical symptoms were less when patients was re-positive of 2019-nCoV nucleic acid and re-admitted to the hospital, no fever occurred after re-positive,there were significant difference in fever, cough, throat-drying, sore throat, and main initial clinical symptoms before and after re-positive (all P<0.05). Most laboratory indicators of patients after re-positive and re-admission were normal, there were significant difference in lactate dehydrogenase (LDH), creatine kinase (CK), D-dimer, white blood cell (WBC), lymphocyte (LYM), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and lactic acid (LAC) before and after re-positive of 2019-nCoV nucleic acid (all P<0.05). There was no change in chest CT after re-positive in patients who had normal CT findings before re-positive, and the absorption was improved in patients who had pneumonia before re-positive. Length of re-hospitalization was shorter than that of first hospitalization ([6.93±3.84] days vs[17.73±7.22] days), difference was significant (P<0.05). Conclusion Condition of patients with re-positive of 2019-nCoV nucleic acid continues to improve, re-positive does not mean relapsing, there is no human- to-human transmission, and no serious public hazard has been caused, but the cause of re-positive of 2019-nCoV nucleic acid still needs further research.

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艾香英, 傅晓霞, 林路平,等.30例新型冠状病毒核酸复阳返院患者的病例特点[J]. 中国感染控制杂志,2020,19(7):591-596. DOI:10.12138/j. issn.1671-9638.20206748.
AI Xiang-ying, FU Xiao-xia, LIN Lu-ping, et al. Characteristics of 30 re-hospitalized patients with re-positive of 2019-nCoV nucleic acid[J]. Chin J Infect Control, 2020,19(7):591-596. DOI:10.12138/j. issn.1671-9638.20206748.

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  • 收稿日期:2020-03-28
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  • 在线发布日期: 2020-07-28
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