某三甲医院12例新型冠状病毒肺炎患者疾病特征分析

目的通过综合分析某三甲医院12例新型冠状病毒肺炎患者住院病例资料的疾病特征,为其防护措施的制定和实施提供依据。方法从电子病历系统导出2020年1月23日-2020年3月23日12例新型冠状病毒肺炎患者住院病例资料,搜集患者一般资料情况、疾病相关情况、流行病学特点、实验室检查数据及胸部CT等信息并进行统计分析。结果 12例新型冠状病毒肺炎患者中轻型/普通型7例,重型/危重型5例,入院前症状平均持续时间分别4.29天、8.20天,平均住院费用23 564.24元、62 932.64元。12例患者首发症状以发热、干咳、咳嗽、乏力为主。4例患者白细胞计数降低,8例淋巴细胞计数下降,与轻型/普通型患者相比,重型/危重型患者白细胞计数、乳酸脱氢酶和C反应蛋白均显著上升(P<0.05),胸部CT显示的病灶范围更广,且胸部CT全部表现为多发片状和高密度影。结论新型冠状病毒肺炎以50岁~60岁年龄段患者居多,重型/危重型患者住院费用、症状持续时间高于轻型/普通型患者,且两者实验室检查数据和影像学均呈不同程度特点,应尽早发现,及时隔离,阻断疫情传播。

Analysis on the Disease Characteristics of 12 Cases of COVID-19 Patients in a Three A and Tertiary Hospital

Objective To provide for the prevention and treatment of COVID-19 by analyzing the disease characteristics of 12 cases of new coronavirus pneumonia(COVID-19) in a Three A and Tertiary Hospital. Methods From January 23 th, 2020 to March 23 th, 2020, the inpatient medical records of COVID-19 patients were derived from the electronic medical record system. The basic information and disease-related information and epidemiological characteristics and laboratory examination data and chest CT and other information were collected and analyzed. Results Among the 12 novel coronavirus pneumonia patients, 7 cases were light/general type, 5 cases were severe/severe. The average duration of symptoms before hospitalization was 4.29 days and 8.20 days respectively, and the average hospitalization expenses were 23564.24 yuan and 62932.64 yuan. The first symptoms of 12 patients were fever, dry cough, cough and fatigue and the white blood cell count of 4 patients decreased and the lymphocyte count of 8 patients decreased. Compared with the mild/common type patients, the white blood cell count, lactate dehydrogenase and C-reactive protein in the severe/critical severe patients were significantly increased(P<0.05). The chest CT showed a wider range of lesions.All of them showed multiple flaky and high density shadows. Conclusions COVID-19 population was generally susceptible. And the hospitalization cost and symptom duration of severe/critical patients were higher than that of light/common patients. The laboratory examination data and imaging showed different characteristics, so it was necessary to find it as early as possible and isolate it in time and block the spread of the epidemic.