The new coronavirus or 2019-nCoV virus, which originated in Wuhan City, Hubei Province, has infected more than 10,000 people, with more than 200 deaths, and the number of patients is still increasing rapidly. Nowadays, many people have a lot of psychological pressure on this disease, and they feel that everyone around them has this disease. Today, we introduce the paper published by the international authoritative medical media "The Lancet", which introduces the clinical of this disease. symptom. welcome everyone to click on the upper right corner to follow us, welcome to comment, if you have diabetes and other health problems, private messages reply to diabetes communication
The latest report on the new coronavirus
in the "Lancet" magazine published a new report of infection, scientists revealed The largest clinical and treatment data of patients with the new coronavirus strain, and its common clinical characteristics are pointed out. In this study, the research team described the new coronavirus outbreak as a mysterious pneumonia-like disease that began in Wuhan, China. The researchers reported the epidemiology , clinical, laboratory and radiological characteristics, treatment and clinical outcomes of 99 laboratory-confirmed 2019-nCoV patients.
These patients came from multiple hospitals in Wuhan and were transferred to Jinyintan Hospital, an infectious disease hospital responsible for receiving the first case of novel coronavirus. These patients were admitted between January 1 and 20, 2020. The epidemiological data and medical history of
patients
1, mainly middle-aged and elderly
Researchers use the patient's clinical records, imaging examination results and laboratory examination results to determine common findings among patients. About half of the patients had been to the South China Seafood Market, where the virus first appeared, and most of the patients were middle-aged, with an average age of 55.
2, mainly males
In addition, most of the patients (67 patients) are male, and 46 patients are serving as suppliers or managers in the market.
3, half of them have chronic diseases
Among these 99 cases, 50 have underlying chronic diseases, such as cardiovascular disease, hypertension and diabetes . After admission, all patients showed pneumonia-like diseases, many of them had inflammation and lung infections. The characteristics of this study published on January 24 included 41 of 99 patients.
The most common symptoms
z1, the main manifestations of fever, cough and fatigue
The most common symptoms reported by patients include fever, cough and fatigue , including headache, diarrhea, sputum, and less common diarrhea. Shortness of breath or difficulty breathing.
There are about 82 patients with fever, of which 81 have cough, one-third of the patients have difficulty breathing and shortness of breath, and five severely ill patients have fungal and bacterial infections.
2, lymphopenia
Most patients also have lymphopenia, which is a disease with abnormally low lymphocyte levels, which is important for immune response. Lymphopenia is related to persistent infection and immunodeficiency, orThe immune system does not have the ability to fight serious infections.
3, lung infection
Most patients showed pneumonia, chest CT scan found abnormal, and the common complications of patients include acute respiratory distress syndrome (ARDS), acute heart injury and secondary infection. Of these patients, 17 developed ARDS (Acute Respiratory Distress Syndrome), and 11 of them died of multiple organ failure.
treatment methods
treatment includes antiviral drugs, antibiotics and oxygen therapy . As of January 25, about half of these patients are still in the hospital and one-third have been discharged.
follow-up study
2019-nCoV infection causes severe respiratory disease, similar to severe acute respiratory syndrome coronavirus, and is related to ICU admission and high mortality. In our understanding of the origin of the disease, epidemiology, the duration of human transmission, and the clinical scope of the disease, the main gaps need to be realized through future research.
Although the study involves a large number of patients, more data is still needed to determine accurate data on the disease process, performance and health outcomes of people infected with the deadly virus.
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