北京顺义地区新型冠状病毒肺炎的中医临床证候与CT表现

TCM Clinical Syndromes and CT Manifestations of COVID-19 in Shunyi District of Beijing

目的:通过分析北京市顺义区集中收治的3个家庭聚集性病例,初步探讨新型冠状病毒肺炎(Corona Virus Disease 2019,COVID-19)(简称新冠肺炎)的流行病学、中医临床证候及早期CT表现的特征。方法:回顾性分析2020年1月30日至2020年2月20日在北京中医医院顺义医院感染性疾病科定点收治的12例确诊为新冠肺炎的患者资料,包括流行病学、临床表现、中医证候和CT表现等。结果:本病起病隐匿,家族聚集性强。中医证候采集提示病机为"湿""寒""热""毒",舌暗,舌苔以白腻或黄腻为主,症状以发热、咳嗽等为主,CT表现较为典型。结论:临床诊疗时可根据流行病学、症状体征及CT诊断快速判断,中医药早期介入,控制疫情扩散。

Objective:To explore epidemiological features,TCM clinical syndrome and early CT manifesta-tions of COVID-19 initially by analyzing three family cluster cases from Shunyi district of Beijing.Methods:The data,including the epidemiology,clinical manifestation,TCM syndrome,CT performance and others,of 12 confirmed cases were retrospectively analyzed who were admitted into infectious disease department,Shunyi designated hospital from January 30,2020 to February 20,2020.Results:The onset of the disease was hidden,it showed strong family aggregation.The collection of TCM syndromes suggested that"damp","cold","heat"and"toxin"were basic pathogenesis,including dark tongue,white-greasy or yellow-greasy tongue coating mainly,fever,cough and others as the main symptoms,typical CT performance.Conclusion:The epidemiology,the symptoms,body signs and CT should be used in the clinical diagnosis and treatment,early intervention of TCM could contain the outbreak of COVID-19.