COVID-19 中耳鼻喉科的临床表现

Firas Mowaffak Hassan Alkhamaisi
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摘要

背景:2019 年底,一种名为 SARS-CoV-2 的新型冠状病毒出现,引发了一种名为 COVID-19 的急性呼吸道疾病。疫情起源于中国,并迅速引起全球关注。COVID-19可引起各种上呼吸道症状,如咽喉痛、鼻塞、嗅觉功能丧失等。患者和方法:这是一项横断面描述性研究,在 COVID-19 大流行期间(2020 年 6 月 1 日至 2020 年 8 月 31 日)进行。研究在巴格达和纳杰夫市的一些隔离医院进行。收集的数据来自实验室确诊的 COVID-19 阳性患者,采用的是预先设计的调查问卷,其中包括年龄、性别、职业和居住地等人口统计学信息。所有参与者都被特别询问了与耳鼻喉(ENT)系统有关的症状。结果本次研究共纳入 408 例确诊的 Covid-19 病例。参与者的年龄从 12 岁到 86 岁不等,平均年龄为 51.42 岁。研究显示,咽喉痛是 COVID-19 病例的主要耳鼻喉症状,而耳部症状并不常见。在 COVID-19 患者中,最常见的鼻部表现是无嗅/嗅觉减退和鼻塞。讨论:本研究显示了 COVID-19 患者不同的耳鼻喉表现。这些表现涉及下呼吸道和上呼吸道症状。关注这些不同的表现有助于COVID-19病例的早期诊断和治疗。
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Clinical Manifestations Of Otolaryngology In COVID-19
Background: In late 2019, a new coronavirus known as SARS-CoV-2 emerged, causing an acute respiratory disease called COVID-19. The outbreak originated in China and quickly gained a global attention. COVID-19 can cause various upper respiratory tract symptoms such as sore throat, nasal obstruction, and loss of smell function. Patients and Methods: this is a cross-sectional descriptive study done during the COVID-19 pandemic from June 1st, 2020 to August 31st, 2020. The study was carried out in some isolation hospitals located in Baghdad and Najaf cities. The collected data are from laboratory-confirmed COVID-19 positive patients by using a pre-designed questionnaire which included demographic information such as age, gender, occupation, and place of residence. All participants were specifically asked about their symptoms related to the ear, nose, and throat (ENT) system. Results: A Total number of 408 confirmed Covid-19 cases had been included in the current study. Age range of participants was from 12 to 86 years with average of 51.42 years. The study has  revealed that sore throat is the predominant ENT symptom in COVID-19 cases, while ear symptoms are uncommon. The most common nasal manifestations observed in COVID-19 patients were anosmia/ hyposmia and nasal obstruction. Discussion: This study demonstrated the different ENT manifestations occurred  COVID-19 patients. These manifestations involved both lower and upper respiratory tract symptoms. Looking to these different manifestations with more interest can help in the early diagnosis and treatment of COVID-19 cases.
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