新型冠状病毒肺炎患者的临床特征及护理

Clinical characteristics of COVID-19 and related nursing care

  • 摘要:
      目的  总结新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者的临床特征及护理。
      方法  对2020年1月20日- 2020年2月29日我中心收治的61例COVID-19出院患者的临床特征、治疗及护理进行分析。
      结果  61例中男36例,女25例,年龄3 ~ 85(47±19)岁,其中10例为武汉当地居民,12例有武汉旅游史,其余39例为上述病例的密切接触者。主要临床症状为发热(42例,68.9%)、咳嗽咳痰(33例,54.1%)、乏力(18例,29.5%)、胸闷、憋气(13例,21.3%)、头晕(5例,8.2%)、头痛(4例,6.6%)、腹泻(12例,19.7%)、恶心呕吐(3例,4.9%)、咽痛或咽部不适(9例,14.8%)、肌肉酸痛(9例,14.8%)等。按病情分类,普通型42例(68.9%),重症16例(26.2%),危重症3例(4.9%)。通过严格执行消毒隔离和防护,对症支持、氧疗、抗病毒等治疗护理措施,43例患者治愈出院,16例仍在住院,死亡2例。
      结论  加强对COVID-19临床特征的观察,早期识别危重症患者,早期干预,有利于改善患者的症状及预后。

     

    Abstract:
      Objective  To summarize the clinical characteristics of novel coronavirus pneumonia and its nursing care.
      Methods  Clinical characteristics, treatment and nursing to 61 patients with COVID-19 admitted to the fifth medical center of Chinese PLA General Hospital from January 20, 2020 to February 29, 2020 were analyzed.
      Results  Of the 61 cases, 36 were male and 25 were female, aged 47±19 (3 to 85) years old. Ten cases were from Wuhan, 12 cases had travel history to Wuhan, and the other 39 cases were close contacts of the above cases. The main clinical symptoms were fever (42, 68.9%), cough and expectoration (33, 54.1%), fatigue (18, 29.5%), chest distress or suffocation (13, 21.3%), dizziness (5, 8.2%), headache (4, 6.6%), diarrhea (12, 19.7%), nausea and vomiting (3, 4.9%), sore throat or throat discomfort (9, 14.8%), muscle pain (9, 14.8%), etc. According to the disease severity, 42 (68.9%) cases were classified as mild, 16 (26.2%) cases were severe, and 3 (4.9%) cases were critically ill. After symptomatic support, oxygen therapy, antiviral treatment and nursing, strict disinfection, and isolation, 43 cases were cured and discharged, 16 cases were still hospitalized, 2 cases died.
      Conclusion  Strengthening the observation of the clinical characteristics of COVID-19 and identifying the critical patients in time is helpful to improve the symptoms and prognosis of the patients.

     

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