新型冠状病毒肺炎疫情期间上海市某三级甲等医院发热门诊患者临床资料分析

Analysis on the clinical data of patients who visited the fever outpatient of a certain tertiary grade A hospital in Shanghai during the COVID-19 outbreak

目的分析新型冠状病毒肺炎(简称新冠肺炎)疫情期间,上海市某三级甲等综合医院发热门诊就诊患者的临床资料,为疫情防控提供参考。方法对上海市某三级甲等综合医院2020年1月27日至3月22日发热门诊就诊患者的病历资料进行描述性统计分析,包括一般人口学资料、就诊时间、病程、体温、伴随症状等疾病相关资料,以及流行病学调查情况。结果该时间段内发热门诊共有2602例就诊患者,男性1397例,女性1205例,其中31~40岁组患者人数最多,占27.98%。发热门诊患者就诊人数在多个时段和日期出现高峰,就诊患者主要症状为发热、咳嗽、咽部不适。1月27日后确诊的6例新型冠状病毒核酸检测阳性患者主要症状为发热、乏力、咳嗽,血常规检查结果主要为白细胞正常、淋巴细胞正常或减少,影像学检查主要提示双肺多发炎症、多发磨玻璃结节伴实变等。结论新冠肺炎疫情期间发热门诊就诊患者的疾病情况及就诊规律呈现一定特点。作为疫情防控重要哨点,发热门诊应优化工作流程,合理进行人员配置;同时加强对就诊患者的心理疏导及健康教育。

Objective To analyze the clinical data of the patients during the COVID-19 outbreak,so as to provide reference for the prevention and control of future epidemic diseases.Methods Descriptive statistical analyses were made concerning the clinical data of the patients who visited the fever outpatient of a certain tertiary grade A general hospital in Shanghai from January 27,to March 22,2020.The clinical medical data included general demographic information,visiting time,course of disease,body temperature,signs and symptoms,as well as the collected epidemiological survey information.Results During this period,there were a total of 2602 patients who visited the fever outpatient,including 1397 male patients and 1205 female patients,with the patients at an age range of 31 to 40 years old constituting the majority,accounting for 27.98%.The number of patient who visited the fever outpatient reached peak at certain time spans during the day and certain days of the month.The main signs and symptoms of the patients were fever,cough and sore throat.The main symptoms of the 6 patients who were reported with positive novel coronavirus nucleic acid testing after January 27 were fever,fatigue and cough.Blood routine detection results showed that white blood cell counts were normal,and lymphocyte counts were either normal or decreased.Radiographic imaging indicated that there were multiple inflammation and multiple ground glass nodules with consolidation in both lungs.Conclusion The disease status and the pattern of clinical visits during the COVID-19 outbreak displayed certain features.Being an important outpost for epidemic prevention and control,the fever outpatient should optimize treatment procedures as well as proper allocation of medical personnel.At the same time,psychological counseling and health education should also be enhanced among patients.