危重型新型冠状病毒感染的1例肺炎病例报告

A case report of critical care pneumonia that infected by novel coronavirus

2020年2月1日收治新型冠状病毒(2019-nCoV)感染的肺炎患者1例,根据《新型冠状病毒感染的肺炎诊疗方案(试行第五版)》诊断为“新型冠状病毒感染的肺炎(普通型)”。经过3 d规范化治疗,患者病情迅速进展,2月4日晨复查血气分析氧合指数196 mmHg,诊断为“新型冠状病毒感染的肺炎(重型)”。2月8日,出现呼吸衰竭,诊断更正为“新型冠状病毒感染的肺炎(危重型)”。经密切观察患者病情变化,及时调整治疗方案,患者逐渐转危为安。对该名患者的成功诊治,为永州市新冠肺炎危重症救治工作提供了经验。

One patient with pneumonia that infected with novel coronavirus(2019-nCoV)was admitted on February 1st,2020,according to"New Coronavirus Infection Pneumonia Diagnosis and Treatment Program(Trial Fifth Edition)",the patients was confirmed as"COVID-19(common type)".After three days of standardized treatment,the patient's condition progressed rapidly.On the morning of February 4th,reexamination of blood gas analysis showed that the oxygenation index was 196 mmHg,disease progressed to"COVID-19(heavy type)".On February 8th,respiratory failure occurred and the diagnosis was corrected to"COVID-19(critical and severe)",after closely observed the changes in the patient's condition and adjusted the treatment plan in time,the patient gradually turned to safety.The successful diagnosis and treatment of this patient provided experience for the treatment of critically ill patients with COVID-19 in Yongzhou city.