后疫情期间新型冠状病毒感染诊断策略的探讨

Diagnostic strategy of novel coronavirus infection in post-epidemic period

本文通过分析1例新型冠状病毒感染诊断的曲折经历,提出由于目前国内极低的发病概率,新型冠状病毒感染性肺炎(COVID-19)患者已很稀缺,基于贝叶斯定理的诊断原理,临床上不要轻易做出CDVID-19的诊断.在后疫情期间,多数情况下要首先考虑是否为一些无症状新型冠状病毒感染者或隐性感染者,同时合并其他肺部疾病;通常在做出最后诊断前,应进行详尽的鉴别诊断.后疫情期间COVID-19的发病率已经很低,肺部阴影的识别和与其他疾病的鉴别已上升为新型冠状病毒感染临床诊断的重要策略.

This paper analyzes the tortuous diagnosis experience of a case with novel coronavirus infection.It is suggested that due to the extremely low incidence in China,the novel coronavirus pneumonia patients are scarce,making a diagnosis of the novel coronavirus pneumonia should be careful based on the diagnostic principle of Bayes theorem.In the post-epidemic period,we should first consider whether it is asymptomatic novel coronavirus infection or recessive infection,at the same time with other lung problems for the most cases;and take a detailed differential diagnosis before making the final diagnosis usually.The incidence rate of novel coronavirus pneumonia has been very low since the outbreak of this disease.The distinguish of lung shadows and the identification with other diseases are important strategies for clinical diagnosis of novel coronavirus infection.