某大型综合医院发热门诊1 770例发热患者临床资料分析

Clinical data of 1 770 patients with fever in the fever clinic of a large general hospital

摘要:

目的 分析发热门诊患者新型冠状病毒感染的流行病学临床特征，及时了解发热门诊患者的发热原因及临床表现，为疾病的预防与治疗提供依据。方法 对某大型综合医院2020年1月17日—2月2日发热门诊就诊患者的病历资料进行分析，包括一般资料、流行病学史、新型冠状病毒核酸检测及其他实验室检查结果。结果 共有1 770例患者，男性888例，女性882例，其中21~40岁患者占61.24%。实验室检查结果显示：15例新型冠状病毒核酸检测阳性的患者，主要以白细胞计数正常或减少，淋巴细胞计数减少为主，分别占100.00%、40.00%。857份胸部CT普通扫描检查报告中，阳性822份，阳性率为95.92%。结论 发热门诊的设立有利于对发热患者进行快速、有效的筛检，就诊患者中以病毒感染最为常见，以中青年为主，新型冠状病毒核酸检测阳性的患者行胸部CT检查阳性率较高。

Abstract:

Objective To analyze epidemiological and clinical characteristics of novel coronavirus (2019-nCoV) infection in patients in fever clinic, understand the causes and clinical manifestations of fever, and povide basis for disease prevention and treatment. Methods Medical records of patients with fever in fever clinic of a large general hospital from January 17 to February 2, 2020 were analyzed, including general information, epidemiological history, 2019-nCoV nucleic acid test and other laboratory test results. Results There were 1 770 patients, 888 were males and 882 were females, 61.24% of whom were aged 21-40 years. Laboratory examination showed 2019-nCoV nucleic acid test was positive in 15 patients, mainly white blood cell count was normal or decreased, lymphocyte count decreased, accounted for 100.00% and 40.00% respectively. Of 857 chest CT scan reports, 822(95.92%) were positive. Conclusion Setting up fever clinic is conducive to the rapid and effective screening of fever patients, virus infection is most common among patients in fever clinic, mainly young and middle-aged people, positive of chest CT examination is high in patients with positive of 2019-nCoV nucleic acid test.