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钟南山领衔新论文:不排除“超级传播者”,个别潜伏期超三周

发布时间:2020-02-10 来源:澎湃新闻

2YUE9RI,YOUGUOJIAWEIJIANWEIGAOJIBIEZHUANJIAZUZUZHANG、ZHONGGUOGONGCHENGYUANYUANSHIZHONGNANSHANLINGXIANDE“ZHONGGUO2019NIANXINXINGGUANZHUANGBINGDUGANRANDELINCHUANGTEZHENG”YANJIU,ZAIYUYINBENWANGZHANmedRxivSHANGFABIAO。(ZHU:medRxivDELUNWENJUNWEIJINGTONGXINGPINGSHEN)ZHONGNANSHANDENGRENDUI1099LI(JIEZHI1YUE29RI)XINGUANFEIYANQUEZHENHUANZHEDELINCHUANGTEZHENGJINXINGLEHUIGUXINGYANJIU。YANJIUFAXIAN,XINGUANFEIYANDEZHONGWEIQIANFUQIWEI3.0TIAN,ZUIZHANGKEDA24TIAN。TONGSHI,JINYOU1%ZUOYOUDEHUANZHEYUYESHENGDONGWUYOUGUOZHIJIEJIECHU,ERCHAOGUO3/4DEHUANZHEWEIWUHANBENDIJUMIN,HUOCENGYULAIZIWUHANDERENYUANJIECHUGUO。ZHEIWEIXINGUANFEIYANRENCHUANRENTIGONGLEJINYIBUZHENGJU。CHULEFEIMOCHUANBOHEZHIJIEJIECHULIANGZHONGTUJING,YANJIURENYUANHAIZAIYIXIEHUANZHEDEFENBIANYANGBEN,YIJIWEICHANGDAO、TUOYEHUONIAOYE、SHIDAOQINSHICHUXUEBUWEIZHONGJIANCEDAOXINGUANBINGDU,YINCIWEISHENGBAOHUYINGKAOLVDAOTONGGUOWEICHANGDAOFENMIWUDECHUANBO。ZUIXINLUNWENYOUZHONGNANSHANXIESHOULAIZIQUANGUOKANGYIYIXIANDE37WEIZUOZHEGONGTONGWANCHENG。ZUOZHEDANWEIBAOKUOGUANGZHOUSHIHUXIWEISHENGYANJIUSUO、WUHANSHIJINYINTANYIYUAN、HUANGGANGSHIZHONGXINYIYUANDENG。ZHONGGUOGONGCHENGYUANYUANSHILILANJUANSUOZAIDEZHEJIANGDAXUEYIXUEYUANFUSHUDIYIYIYUANYEZAIQIZHONG。ZHONGNANSHANWEIZHEIPIANLUNWENDETONGXUNZUOZHE。

LUNWENTICHU,JINGUANXINGUANFEIYANRENGZAIQUANQIUFANWEINEIXUNSUMANYAN,DANGUANYUXINGUANBINGDUYINFADEJIXINGHUXIXITONGJIBING(ARD)DELINCHUANGTEZHENGRENGBUQINGCHU。

WEICI,ZHONGNANSHANDENGRENDUIZHONGGUOYIQUEZHENDE1099LIXINGUANFEIYANHUANZHEDELINCHUANGTEZHENGJINXINGLEHUIGUXINGYANJIU。ZHEIXIEBINGLILAIZIQUANGUO31GESHENG/SHIDE552JIAYIYUAN。

ZHEIXIEHUANZHEJUNTONGGUOGAOTONGLIANGCEXU,HUOSHISHINIZHUANLUMEIJUHEMEILIANFANYING(RT-PCR)DUIBISHIZIHEYANSHIZIYANGBENDEJIANCEDEDAOQUEZHEN。

3D跨度走势图ZUIXINYANJIUDECHUYIXIAJIELUN:

1.患者接触史

3D跨度走势图ZAI1099MINGXINGUANFEIYANHUANZHEZHONG,483REN(43.95%)WEIWUHANDANGDIJUMIN。ZAIWUHANYIWAIDIQU,26.0%DEHUANZHEWEIZAIJINQIQIANWANGWUHAN,HUOZHEWEIYULAIZIWUHANDERENYOUGUOJIECHUSHI。

TONGSHI,JIN1.18%DEHUANZHEYUYESHENGDONGWUYOUGUOZHIJIEJIECHU,31.30%DEHUANZHEQUGUOWUHAN,71.80%DEHUANZHEYULAIZIWUHANDERENYUANJIECHUGUO。

ZHEIXIEJIEGUOYINZHENGLEZUIJINDEYIXIEBAODAO,RUJIAZUJUJIXINGFABING、WUZHENGZHUANGGANRANZHECHUANBO、3JIEDUANBAOFAMOSHIDENG。TONGSHI,BUPAICHU“CHAOJICHUANBOZHE”DECUNZAI。2.HUANZHENIANLING

HUANZHEZHONGWEINIANLINGWEI47.0SUI,NVXINGZHAN41.90%。XINGUANFEIYANKEFASHENGZAIZHENGGENIANLINGDUAN,QIZHONG0.9%DEHUANZHEZAI15SUIYIXIA。

3.症状和潜伏期

FARE(87.9%)HEKESOU(67.7%)SHIZUICHANGJIANDEZHENGZHUANG,DANJIUZHENSHIYOUFAREZHENGZHUANGDEHUANZHEBUZUYIBAN(43.8%)。FUXIE(3.7%)HEOUTU(5.0%)SHAOJIAN。

25.2%DEHUANZHEZHISHAOYOUYIZHONGJICHUXINGJIBING(RUGAOXUEYA、MANXINGZUSAIXINGFEIJIBING)。

XINGUANFEIYANDEZHONGWEIQIANFUQIWEI3.0TIAN(FANWEICONG0ZHI24TIAN),ZUIZHANGKEDA24TIAN。

4. 临床特征

3D跨度走势图RUYUANSHIJIESHOUFEIBUCTJIANCHADE840MINGHUANZHEZHONG,YOU76.4%BIAOXIANWEIFEIYAN。DIANXINGTEZHENGSHIMAOBOLIYANGYINYING(ZHAN50.00%)HEHESHUANGCEBANPIANZHUANGYINYING(46.0%)。

3D跨度走势图TONGSHI,82.1%DEHUANZHECHUXIANLINBAXIBAOJIANSHAO,36.2%DEHUANZHEXUEXIAOBANJIANSHAO。ZONGTIERYAN,ZAI33.7%DEHUANZHEZHONGGUANCHADAOBAIXIBAOJIANSHAOZHENG。

YANZHONGBINGLIHUIYOUTUCHUSHIYANSHIYICHANG,JIBAIXIBAOJIANSHAOZHENG、LINBAXIBAOJIANSHAOZHENG、XUEXIAOBANJIANSHAOZHENG、CFANYINGXINGSHENGGAODANBAISHUIPING。

5. 治疗

3D跨度走势图ZONGTIERYAN,JIESHOUYANGQILIAOFA、JIXIETONGQI、JINGMAINEIKANGSHENGSUHEAOSITAWEILIAOFADEHUANZHEFENBIEZHAN38.0%、6.1%、57.5%HE35.8%。

CIWAI,YOU5LIYANZHONGBINGLICAIYONGLETIWAIMOYANGHEECMO。

6. 住院期间并发症

ZHUYUANQIJIAN,ZUICHANGJIANDEBINGFAZHENGSHIFEIYAN(79.1%),QICISHIJIXINGHUXIXITONGJIBING(3.37%)HEXIUKE(1.00%)。

7. 临床预后:

JINRUICU、XUYAOYOUCHUANGTONGQIHESIWANGDEHUANZHEBAIFENBIFENBIEWEI5.00%、2.185HE1.365。

3D跨度走势图ZHONGNANSHANDENGRENZAILUNWENZHONGBIAOSHI,HEZHIQIANZAI《LIUYEDAO》SHANGFABIAODELIANGXIANGYANJIUXIANGBI,JIYUGENGDADEYANGBENLIANGHEZAIQUANGUOGEDIZHAOMUDEBINGLI,ZUIXINYANJIUDECHUDEXINGUANFEIYANBINGSILVMINGXIANBIANDI(1.4%)。DANGJIRUGUANGDONGSHENGDESHIDIANSHUJUSHI,BINGSILVGENGDI(0.88%)。

3D跨度走势图ZHEISHIYINWEIGUANGDONGCAIQULEYOUXIAODEYUFANGCUOSHI,ZAOGELI、ZAOZHENDUANHEZAOZHILIAOKENENGGONGTONGCUJINLEGUANGDONGSHENGXINGUANFEIYANBINGSILVDEXIANZHUXIAJIANG。

JUNANFANGRIBAOBAODAO,CONG2YUE1RIKAISHI,GUANGDONGXINGUANFEIYANDELEIJIZHIYUSHUXIANZHUSHANGSHENG,MUQIANGONGZHIYU128LI(JIEZHI2YUE9RISHUJU)。CIWAI,QUEZHENBINGLIDEZENGJIALVQUHUAN。 

ZHONGNANSHANBIAOSHI,GENJUMUQIANGUANCHADEQINGKUANG,XINGUANFEIYANDEBINGSILVYUEWEI2.7%,QIEHUANZHEDADUOWEIZHONGLAONIANREN,BINGSILVSUIRANBIPUTONGLIUGANQIANG,DANYUANBISARSGUANZHUANGBINGDU、AIBOLABINGDUHUOH7N9LIUGANBINGDUDI。 

“ZUIGUANJIANDESHISHENME?SHIKANWOMENJIBINGDEZENGJIALV。”ZHONGNANSHANBIAOSHI,XINZENGDEBINGLIRUOSHIZAIYOUXIAJIANG,NEIJIUBIAOMINGYIQINGXINGSHIYOUHAOZHUAN。

3D跨度走势图(YUANBIAOTI:ZHONGNANSHANLINGXIANXINFALUNWEN:BUPAICHU“CHAOJICHUANBOZHE”,GEBIEQIANFUQICHAOSANZHOU)

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