Clinical analysis of 23 cases of 2019 novel coronavirus infection in Xinyang City, Henan Province
10.3760/cma.j.issn.2095-4352.2020.0010
- VernacularTitle: 河南省信阳市23例2019新型冠状病毒感染患者的临床分析
- Author:
Ming XU
1
;
Mengdie LI
1
;
Weiqiang ZHAN
1
;
Tao HAN
1
;
Litao LIU
1
;
Guosheng ZHANG
2
;
Yibin LU
1
Author Information
1. Department of Critical Care Medicine, Xinyang Central Hospital, Xinyang 464000, Henan, China
2. Department of Infection, the Fifth People's Hospital of Xinyang City, Xinyang 464000, Henan, China
- Publication Type:Journal Article
- Keywords:
2019 Novel coronavirus;
Pneumonia;
Acute respiratory distress syndrome
- From:
Chinese Critical Care Medicine
2020;32(2):E010-E010
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the epidemiological characteristics and clinical features of the patients with 2019-nCoV infection, so as to provide basis for clinical diagnosis.
Methods:The epidemiology, clinical symptoms, laboratory and radiologic data of 23 patients with 2019-nCoV infection admitted to the Fifth People's Hospital of Xinyang City from January 22,2020 to January 29, 2020 were retrospectively analyzed.
Results:The 23 patients with 2019 nCov infection consisted of 15 men and 8 women, and the median age was 46.0 (40.5, 52.0) years (27-80 years); 9 of them had basic disease (39%), including hypertension (17%), cardiovascular diseases (17%), diabetes (9%), hypothyroidism (4%) and old tuberculosis (4%). All the 23 patients had contact history in Wuhan area or with confirmed infections. Clinical symptoms included: fever (100%), cough (70%), expectoration (43%), myalgia (26%), headache (17%) and dyspnea (17%), and the less common symptoms were diarrhea (4.3%). Blood routine test: white blood cells (WBC) < 4×109/L in 11 cases (48%), (4-10)×109/L in 10 cases (43%), >10 × 109/L in 2 cases (9%); lymphocytopenia in 13 cases (56%). All 23 patients had different degrees of infective lesions in chest CT examination, with 9 cases (39%) on one side and 14 cases (61%) on both sides. Classification: 19 mild cases, 4 severe cases, no critical or death case. Complications included acute respiratory distress syndrome [4 (17%)]. No case was reported with the damage of liver or kidney function and with secondary infection.
Conclusions:Epidemic history of contact, fever, pneumonia signs of chest CT, normal or decreased count of WBC and lymphocytopenia are the clinical basis for diagnosis of the disease. However, at present, the treatment of patients has not been completed, the effective treatment strategy and final prognosis are not clear.
