Source:
http://www.kaixian.tv/gd/2020/0124/263113.html
Fever cough is not the only first symptom of pneumonia due to a new coronavirus infection
2020-01-24 19:45:50 Source: Xinhua News Agency
研究 Expert research by Wuhan University People's Hospital found that after infection with new type of coronavirus pneumonia, patients do not necessarily show symptoms of fever and respiratory system first, and there are also symptoms of digestive system, nervous system, cardiovascular system, ophthalmology and so on.
Wuhan University People's Hospital released on January 24th "The first symptoms of non-respiratory system are highly valued-identification and protection of patients with new type of coronavirus pneumonia (2019-nCOV)", reminding medical staff and the public to be highly vigilant about non-respiratory symptoms The first symptom of new pneumonia.
The "Notice on the Issuance of a New Coronary Virus Pneumonia Diagnosis and Treatment Plan (Trial Implementation)" issued by the authoritative department recently pointed out that the clinical manifestations of new coronavirus pneumonia are mainly manifested by fever, fatigue, and dry cough. In the multidisciplinary department of Respiratory and Critical Care Medicine, Gastroenterology, People's Hospital of Wuhan University, many cases of "atypical" cases have been discovered during the diagnosis and treatment of new pneumonia.
于 Professor Yu Honggang, director of Department of Gastroenterology, People's Hospital of Wuhan University, introduced an "atypical" case. A 45-year-old man went to the outpatient department of gastroenterology for 3 days due to diarrhea. The doctor repeatedly asked the medical history to confirm that he had a history of exposure to the new coronavirus pneumonia, but no obvious fever and related respiratory symptoms. Thorough CT was performed after the consultation between the doctor and the patient. The results showed multiple sheet-like ground glass-like shadows in both lungs, and a new coronavirus nucleic acid test in the throat swab was positive, and the diagnosis was finally confirmed.
Professor Chen Guozhong, one of the study moderators and director of the Department of Respiratory and Critical I, Wuhan University People's Hospital, introduced that in many clinical cases, the patient did not have typical respiratory symptoms such as fever and cough at the time of consultation, and only the first symptoms of digestive system symptoms: Such as mild appetite, fatigue, poor mentality, nausea, vomiting, diarrhea, etc .; first manifestations of neurological symptoms such as headache; first manifestations of cardiovascular system symptoms such as palpitation, chest tightness, etc .; first manifestations of ophthalmic symptoms such as conjunctivitis ; Only mild sore limbs or lower back muscles.
Experts reminded that the above-mentioned patients with non-respiratory system as the first performance are easy to go to relevant departments for treatment, especially in gastroenterology. The lack of obvious specific clinical manifestations increases the difficulty of diagnosis, easily leads to missed diagnosis or misdiagnosis, and increases the chance of infection. Medical staff must be alert to patients with poor appetite, fatigue, muscle soreness (including mild soreness), and mental disorders, and make timely investigations. Such "atypical" patients need to strengthen self-isolation, and medical staff should also strengthen self-protection.
