郭亚收, 赵文轩, 徐晓峰, 郑宏波, 张瑞娟, 苏海生, 任联盟, 孙娜. 陕西省咸阳市新型冠状病毒肺炎病例流行病学特征分析[J]. 上海预防医学, 2021, 33(1): 33-36. DOI: 10.19428/j.cnki.sjpm.2021.20346
引用本文: 郭亚收, 赵文轩, 徐晓峰, 郑宏波, 张瑞娟, 苏海生, 任联盟, 孙娜. 陕西省咸阳市新型冠状病毒肺炎病例流行病学特征分析[J]. 上海预防医学, 2021, 33(1): 33-36. DOI: 10.19428/j.cnki.sjpm.2021.20346
GUO Ya-shou, ZHAO Wen-xuan, XU Xiao-feng, ZHENG Hong-bo, ZHANG Rui-juan, SU Hai-sheng, REN Lian-meng, SUN Na. Epidemiological characteristics of COVID-19 cases in Xianyang, Shaanxi[J]. Shanghai Journal of Preventive Medicine, 2021, 33(1): 33-36. DOI: 10.19428/j.cnki.sjpm.2021.20346
Citation: GUO Ya-shou, ZHAO Wen-xuan, XU Xiao-feng, ZHENG Hong-bo, ZHANG Rui-juan, SU Hai-sheng, REN Lian-meng, SUN Na. Epidemiological characteristics of COVID-19 cases in Xianyang, Shaanxi[J]. Shanghai Journal of Preventive Medicine, 2021, 33(1): 33-36. DOI: 10.19428/j.cnki.sjpm.2021.20346

陕西省咸阳市新型冠状病毒肺炎病例流行病学特征分析

Epidemiological characteristics of COVID-19 cases in Xianyang, Shaanxi

  • 摘要:
    目的分析咸阳市2020年1月—2月报告的新型冠状病毒肺炎(COVID-19)病例流行病学特征。
    方法以咸阳市中心医院收治的17例COVID-19确诊病例为研究对象,收集流行病学调查资料和临床资料,对病例的基本情况、临床特征及流行病学特征进行描述性分析。
    结果17例COVID-19确诊病例中男性10例,女性7例;平均年龄(39.59±17.31)岁;发病至确诊时间间隔最短1 d,最长10 d,中位数4 d;病程最短3 d,最长23 d,中位数16 d。17例确诊病例中轻症病例6例,普通肺炎10例,重症肺炎1例;首发症状表现为发热15例,部分患者伴有乏力、咽痛、咳痰、呕吐、肌肉酸痛,首发非发热症状者2例;所有病例均无并发症;患者白细胞、淋巴细胞计数水平偏低;胸部CT检查均可见不同程度的弥漫性玻璃样阴影。11例有武汉地区旅居史,4例有接触过武汉旅居史的人,2例未发现有明确接触史;17例确诊病例中4例为家庭聚集性发病。
    结论COVID-19人群普遍易感,大多具有明确的流行病学接触史,患者白细胞、淋巴细胞计数及CT检查有明显改变。

     

    Abstract:
    ObjectiveTo analyze the epidemiological characteristics of COVID-19 cases reported in Xianyang City from January to February 2020.
    MethodsWe retrospectively studied 17 COVID-19 patients diagnosed in Xianyang Central Hospital. The patients were characterized clinically and epidemiologically.
    ResultsThe 17 patients included 10 male and 7 female, with an average age of(39.59±17.31)years. The median interval of time between onset and diagnosis was four days(1-10 days), whereas the median duration of COVID-19 was 16 days(3-23 days). Of the patients, six were mild, 10 were pneumonia, and one was severe. A total of 15 patients had fever as the onset, accompanied by fatigue, sore throat, sputum, vomit, muscle soreness; the other two patients were asymptomatic. There were no complications documented in all the patients. Patients had low levels of white blood cells and lymphocytes. Chest CT scan showed diverse diffuse ground-glass shadow. Eleven patients had travel history in Wuhan before the onset, four patients had contact with people who had travel history or residence history in Wuhan, and the other two patients did not report epidemiological exposure history. In addition, four of the 17 patients were clustered cases.
    ConclusionGeneral population is susceptible to COVID-19. The majority of the confirmed cases have epidemiological exposure history. Routine examination, including white blood cell, lymphocyte count and CT scan may facilitate early diagnosis.

     

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