秘鲁利马jose Casimiro Ulloa急诊医院184例COVID-19病例的临床和流行病学特征

Q4 Immunology and Microbiology Boletin De Malariologia Y Salud Ambiental Pub Date : 2023-01-30 DOI:10.52808/bmsa.8e7.631.006
Walter Florencio Bryson Malca, Olguin Grandez Culqui, Yoni Magali Maita Cruz, Rosa Estrella Pillman Infanson
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摘要

COVID-19是一种传染病,在世界人口中造成了很高的发病率和死亡率,科学证据试图描述SARS-CoV-2的病理生理。秘鲁于2020年3月6日登记了首例病例。自那时以来,医务人员一直努力建立适当和有效的临床方法。在此背景下,旨在通过快速检测,对jos Casimiro Ulloa医院急诊室治疗的184例阳性病例进行流行病学和临床特征分析。进行了描述性、回顾性和分段调查。结果:男性占67.93%(125/184),平均年龄56岁;与女性相比,32.07%(59/184),中位年龄52岁。在症状方面,100%的病例报告发烧和干咳;其次是呼吸困难和吞咽困难,分别为46.74%。33.5%的人鼻塞,21.74%的人胸痛。临床旁检查显示血氧饱和度降低(100%),淋巴细胞减少(66.14%),CRP升高(66.14%)。在TEM中,100%的患者出现了提示COVID-19的改变。总之,在SARS-CoV-2感染中,男性占主导地位,在生命的第四五十年之间发病率较高。发热、干咳、呼吸困难是常见症状。TEM均显示肺部改变,对COVID-19的及时诊断具有很高的敏感性。
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Características clínicas y epidemiológicas de 184 casos de COVID-19 atendidos en un Hospital de Emergencias José Casimiro Ulloa, Lima, Perú
COVID-19 is an infectious disease that has caused significant rates of morbidity and mortality in the world population, scientific evidence has sought to describe the pathophysiology of SARS-CoV-2. In Peru, the first case was registered on March 6, 2020. Since then, medical personnel have made efforts to establish an adequate and effective clinical approach. In this context, it was intended to epidemiologically and clinically characterize COVID-19 from 184 positive cases, through a rapid test, treated in the emergency room of the José Casimiro Ulloa Hospital. A descriptive, retrospective and sectional investigation was carried out. As results, the male sex predominated 67.93% (125/184) with an average age of 56 years; compared to the female sex, 32.07% (59/184), with a median of 52 years. For the symptoms, in 100% of the cases fever and dry cough were reported; followed by 46.74% dyspnea and odynophagia, respectively. In turn, 33.5% showed nasal congestion and 21.74% chest pain. Paraclinical examinations showed decreased oxygen saturation (100%), lymphopenia (66.14%), and increased CRP (66.14%). In the TEM, 100% of the patients presented alterations suggestive of COVID-19. In conclusion, in SARS-CoV-2 infection, there is a predominance in males, with a higher incidence between the fourth and fifth decades of life. Fever, dry cough and dyspnea were frequent symptoms. TEM showed pulmonary alterations in all cases, demonstrating high sensitivity for the timely diagnosis of COVID-19.
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来源期刊
Boletin De Malariologia Y Salud Ambiental
Boletin De Malariologia Y Salud Ambiental INFECTIOUS DISEASES-PARASITOLOGY
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