Abstract:Objective To investigate the clinical characteristics of patients with coronavirus disease 2019 (COVID-19) in Bozhou city, Anhui province. Methods We collected clinical data concerning 108 confirmed COVID-19 patients in Bozhou city from January 21 to March 5 in 2020, and then analyzed retrospectively. Results There were 91 symptomatic patients (84.26%, 91/108) and 17 asymptomatic patients (15.74%, 17/ 108) among the 108 confirmed COVID-19 patients. 5 cases were severe and critical patients (4.63%, 5/108). The median ages of the confirmed patients and the asymptomatic patients were 42 and 33 years, respectively. There were fewer patients with underlying diseases (8.33%, 9/108). The lymphocyte count of the asymptomatic patients was not decreased. 63.74% (58/91) of the symptomatic patients and 17.64% (14/17) of the asymptomatic patients showed an increase in high-sensitivity C-reactive protein (hs-CRP). 72.53% (66/91) of the symptomatic patients and 29.41% (5/17) of the asymptomatic patients had a rapid increase in erythrocyte sedimentation rate (ESR). 43.96% (40/91) of the symptomatic patients and 5.88% (1/17) of the asymptomatic patients showed an increase in lactate dehydrogenase (LDH). The main changes of lung CT in the symptomatic patients were double pneumonia (86.81%, 79/91), whereas the main manifestations of lung CT in the asymptomatic patients were single pneumonia (52.94%, 9/17) or non-inflammation (41.18%, 7/17). Interferon α combined with traditional Chinese medicine was the main therapeutic regimen, and all the patients were cured. Conclusions The confirmed COVID-19 patients in Bozhou city were in a mild condition, and there were fewer asymptomatic patients in the early stage of the epidemic. There existed abnormal changes in ESR, hs-CRP and LDH of the symptomatic patients. Imaging abnormalities were also found in lung CT of the asymptomatic patients, and lung CT of some symptomatic patients showed no inflammatory changes.
韩若东, 马景贺, 艾辉, 杜文杰, 钱贝丽, 颜秀侠. 108例新型冠状病毒肺炎患者的临床特征分析[J]. 实用预防医学, 2020, 27(9): 1040-1043.
HAN Ruo-dong, MA Jing-he, AI Hui, DU Wen-jie, QIAN Be-li, YAN Xiu-xia. Clinical characteristics of 108 patients with COVID-19 infection. , 2020, 27(9): 1040-1043.
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