区域内首发新型冠状病毒肺炎的病例报道

First COVID-19 case report in the region

笔者报道了1例以乏力、发热为首发症状,流行病学史不明确、实验室检查倾向于细菌性感染,发病第8天经胸部CT影像学检查结果考虑为新型冠状病毒肺炎(COVID-19)的疑似病例,并最终经核酸检测结果而确诊。该病是一种新型冠状病毒所致的呼吸道传染病,传播性强,部分患者累及多个脏器,病情进展迅速。该病例为区域内聚集性发病的首例,笔者意在提示,在COVID-19防控临床工作中,对于从事高危职业但无明确流行病学史的患者应予以足够重视,应尽早行胸部CT影像学检查,综合判断,并反复多次行核酸检测,避免漏诊。

The study reported a COVID-19 case performed with asthenia,fever as the first symptom,unclear history of epidemiology,laboratory examination implied bacterial infection.Chest CT imaging examination on the 8th day after onset indicated suspected case and finally confirmed by nucleic acid detection.The disease is a respiratory infectious disease caused by a novel corona virus.It is highly communicable.Some patients had multiple visceral involvement,and the disease progressed rapidly.This case is the first case of regional aggregation.The authors are trying to imply that patients with high-risk occupation but without a clear history of epidemiology should pay enough attention to the clinical work of COVID-19 and control.Early chest CT imaging examination and repeated nucleic acid tests for suspected cases are helpful to reduce ignored diagnosis.