摘要
2019年12月以来,新型冠状病毒肺炎疫情快速影响全球。新型冠状病毒肺炎患者是最主要传染源,人际间传播性强,飞沫传播是最主要传播途径。潜伏期多数在7 d内。常见临床表现有发热、呼吸道症状、乏力,外周血淋巴细胞计数正常或减少,胸部影像学检查以两肺外周多发磨玻璃影常见。诊断依赖于流行病学史和临床表现,确诊病例需要呼吸道或血液样本新型冠状病毒核酸检测阳性。尽管有研究报道多种药物抗病毒有效,但仍缺少随机对照研究证实其有效性。中西医结合治疗可能是有效的中国特色治疗方法。
Since December 2019,coronavirus disease 2019(COVID-19)has rapidly affected the whole world.The patients with COVID-19 is the most important source of the novel coronavirus(named severe acute respiratory syndrome coronavirus 2,SARS-CoV-2),which predominantly transmits from person to person via droplets.The interpersonal transmission is strong.Most of the patients’incubation period is within 7 days.The common clinical manifestations include fever,respiratory symptoms,fatigue,normal or reduced peripheral blood lymphocyte count,and multiple bilateral patchy ground-glass opacity in the periphery of the two lungs in computed tomography(CT)findings.Diagnosis depends on epidemiological history and clinical manifestations,and a confirmed case requires a respiratory or blood sample that tests positive for novel coronavirus nucleic acid.Although the effects of several drugs on novel coronavirus have been reported,there is still a lack of randomized controlled clinical trials to confirm their effectiveness.Combination of Traditional Chinese Medicine and Western Medicine may be an effective treatment with Chinese characteristics.
作者
秦志强
马刚
钟晓刚
QIN Zhi-qiang;MA Gang;ZHONG Xiao-gang(Department of Pulmonary and Critical Care Medicine,Department of Infectious Diseases,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《中国临床新医学》
2020年第5期429-435,共7页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西科技厅重点研发计划项目(编号:桂AB16380218)
广西医疗卫生适宜技术研究与开发课题(编号:S201315-05)。
关键词
新型冠状病毒肺炎
发热
呼吸道症状
淋巴细胞
诊断
Coronavirus disease 2019(COVID-19)
Fever
Respiratory symptoms
Lymphocytes
Diagnosis