大流行期间在孟加拉国一家二级医院就诊的 COVID-19 患者的临床病理特征和治疗结果

Syed Mohammad Shaifuddin, Md Abdul Wahab, F. Zafreen, Jaida Jalal Sarker
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摘要

背景:冠状病毒病2019(COVID-19)是一种急性呼吸道疾病,可出现多种临床和病理表现。COVID-19患者如果合并其他疾病,可能会危及生命:描述孟加拉国兰布尔联合军事医院(CMH)收治的COVID-19患者的临床病理特征和预后:这项横断面研究于 2021 年 5 月 1 日至 2021 年 8 月 30 日在孟加拉国兰布尔联合军事医院(CMH Rangpur)进行,研究对象是有目的性地选择的 416 例 COVID-19 阳性患者。数据通过结构化病例报告表从入院患者的病历中收集。研究结果31-50岁年龄段的受访者人数最多(49.03%),男性占多数(72.28%)。约 89% 的受访者为穆斯林,54.81% 的受访者受过高中以上教育。发热(90.86%)是常见的症状,其次是咳嗽(73.55%)和咽喉痛(30.28%)。分别约有 24.51%、23.07% 和 11.05% 的人患有高血压、糖尿病和呼吸系统合并症。大多数病例出现淋巴细胞减少(75.24%)和 C 反应蛋白升高(54.08%)。只有 8.17% 的患者病情危重,需要入住重症监护室。大多数患者(91.82%)完全康复,1.92%的患者死亡。结论在所有 COVID-19 阳性患者中,最常见的症状是发热(90.86%)。大多数患者(62.25%)属于轻度病例。总死亡率为 1.92%。在大多数病例中,临床表现为呼吸道感染,症状严重程度从轻微的类似流感的疾病到严重的呼吸道感染。三角洲医学杂志》,2021 年 1 月;9(1):3-8
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Clinicopathologic Features and Outcome of COVID-19 Patients Attended at a Secondary Hospital in Bangladesh during the Pandemic
Background: Coronavirus Disease 2019 (COVID-19) is an acute respiratory diseasethat can present varieties of clinical and pathologic manifestation. Sometimes it presentwith severe manifestation which ultimately lead to respiratory failure and death.COVID-19 patients with other comorbidities may develop a life-threatening situation.Objective: To describe the clinicopathologic features and outcome of COVID-19patients admitted in Combined Military Hospital (CMH) Rangpur, Bangladesh.Materials and method: This cross-sectional study was conducted at CMH Rangpur,Bangladesh, from 1 May 2021 to 30 August 2021 among purposively selected 416 casesof COVID-19 positive patients. Data were collected from the medical records of thehospital admitted patients in a structured case report form. Results: Highest numbers ofthe respondents were in the age group of 31-50 years (49.03%) with male predominance(72.28%). About 89% were Muslim and 54.81% were educated up to higher secondarylevel. Fever (90.86%) was the common presenting symptoms followed by cough(73.55%), sore throat (30.28%). About 24.51%, 23.07%, 11.05% had hypertension,diabetes mellitus and respiratory comorbidities respectively. Lymphopenia (75.24%)and elevated C-Reactive Protein (54.08%) were observed in most of the cases. Only8.17% patients had critical illness that needed intensive care unit admission. Majority(91.82%) fully recovered from the illness while 1.92% expired. Conclusions: The mostcommonly reported symptom was fever (90.86%) among all the COVID-19 positivepatients. Majority (62.25%) of the patients belonged to mild cases. Overall mortalitywas 1.92%. In most cases the clinical presentation is that of a respiratory infection withsymptom severity ranging from a mild influenza like illness. Delta Med Col J. Jan 2021;9(1):3-8
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