新疆医科大学学报

目的分析新疆维吾尔自治区3例确诊新型冠状病毒感染患者的临床及流行病学特点。方法描述2020年1月21日-2月28日新疆医科大学第一附属医院确诊新型冠状病毒感染的3例患者流行病学、临床特征、实验室检查、肺部高分辨CT等临床资料和预后情况,采用现况调查的方法分析新疆地区新型冠状病毒感染的流行病学和临床特点。结果 3例确诊的新型冠状病毒感染患者为中青年,有武汉及内地居住或旅居史,有家庭内聚集发病现象,以"发热、咳嗽、咳痰、恶心、腹泻"为主要症状,发热多为中、低热,肺部CT表现为双肺斑片状淡薄渗出影,部分可实变,3名患者均在确定疑似新冠肺炎病例的24 h内完善咽拭子的核酸检测,明确诊断。其中1例为新冠肺炎重型,经治疗后好转,1例已治愈,预后较好。结论新疆地区的新型冠状病毒感染以"发热、咳嗽、咳痰"为主要表现,多为输入性病例,需警惕家庭聚集性发病,总体来说新冠肺炎一般预后较好。

Objective To analyze the clinical and epidemiological characteristics of 3 confirmed cases of 2019 novel coronavirus infection in Xinjiang. Methods Described were the epidemiological, clinical characteristics, laboratory examination, lung high-resolution CT and other clinical data and prognosis of 3 patients diagnosed with 2019 novel coronavirus infection in the First Affiliated Hospital of Xinjiang Medical University from January 21, 2020 to February 28, 2020. Analyzed were the epidemiological and clinical characteristics of the new coronavirus infection in Xinjiang by way of inventory survey. Results The three confirmed cases of 2019 novel coronavirus infection were young and middle-aged patients, with a history of residence or sojourning in Wuhan, they were confirmed to be imported cases, and have family clustering diseases. The main symptoms were cough, cough phlegm, Moderate or mild fever, nausea and diarrhea. Lung CT showed patchy and thin exudation of both lungs, some of those become partial consolidation. All 3 patients were subjected to the nucleic acid test of pharynx swabs within 24 hours of the determination of suspected new cases of novel coronavirus pneumonia. Among them, 1 case was diagnosed with severe novel coronavirus pneumonia, whose condition has been stable after treatment; 1 case was in remission and cured thoroughly. Conclusion The 2019 novel coronavirus infection in Xinjiang was mainly characterized by "fever, cough and phlegm", Most were imported cases. Family aggregation disease was needed to be alert. Anyway, the prognosis of novel coronavirus pneumonia was shown to be better.