天津医药

天津医药 ›› 2020, Vol. 48 ›› Issue (7): 603-605.doi: 10.11958/20200361

• 新冠专题 • 上一篇    下一篇

早期仅症状体征阳性的新型冠状病毒肺炎一例

袁连方1 ，柳丽丽2 ，冯毅3   

  1. 1天津医科大学国家卫生健康委员会激素与发育重点实验室、天津市代谢性疾病重点实验室、天津医科大学朱宪彝纪念医院& 天津市内分泌研究所呼吸内科（邮编300134）；2天津市第三中心医院、天津市重症疾病体外生命支持重点实验室、天津市人工细胞工程技术 研究中心、天津市肝胆研究所药剂科；3天津市第五中心医院、北京大学滨海医院泌尿外科
  • 收稿日期:2020-03-04 修回日期:2020-04-09 出版日期:2020-07-15 发布日期:2020-07-16
  • 作者简介:袁连方（1980），男，硕士，主治医师，主要从事呼吸系统疾病临床诊治方面研究

Coronavirus disease 2019 with only positive symptoms and signs in the early stage: a case report

YUAN Lian-fang1 , LIU Li-li2 , FENG Yi3   

  1. 1 NHC Key Laboratory of Hormones and Development (Tianjin Medical University), Tianjin Key Laboratory of Metabolic Diseases, Respiratory Department of Tianjin Medical University Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin 300134, China; 2 Department of Pharmacy of the Third Central Hospital of Tianjin, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease; 3 Department of Urology of Tianjin Fifth Central Hospital
  • Received:2020-03-04 Revised:2020-04-09 Published:2020-07-15 Online:2020-07-16

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摘要： 摘要：临床发现部分新型冠状病毒肺炎（COVID-19）患者早期症状不典型，并且血常规、胸部CT及病毒核酸检测 结果呈阴性，因有可疑密切接触史，在对其后期跟踪发现影像学或实验室检查转呈阳性，最终确诊为COVID-19。在 这一过程中，此类患者可能存在传染他人的风险，应引起临床重视。现对1例初查血常规、胸部CT及病毒核酸检测 结果均正常，但后期确诊为COVID-19病例的诊疗经验进行总结。

关键词: 冠状病毒属；肺炎, 病毒性；新型冠状病毒肺炎；胸部CT；病毒核酸检测；诊断与治疗

Abstract: Abstract: The coronavirus disease 2019 (COVID-19) is highly infectious and easy to be misdiagnosed and missed in the early stage, leading to the spread of the epidemic. Clinical data including blood routine test, chest computed tomography (CT) and viral nucleic acid detection were negative in some patients, they were finally diagnosed as COVID-19 because of their suspicious history of close contact, and in the subsequent tracking some of the patients showed positive images or laboratory test results. In this process, such patients may have the risk of infecting others, which should be given clinical attention. Here we report one case with normal initial blood routine examination, chest CT and viral nucleic acid detection, but diagnosed as COVID-19 in the later stage. This paper summarizes the experience of diagnosis and treatment of the case is summarized.

Key words: coronavirus, pneumonia,viral, coronavirus disease 2019, chest computerized tomography (CT), viral nucleic acid detection, diagnosis and treatment