重症新型冠状病毒肺炎1例并文献复习

doi:10.6040/j.issn.1671-7554.0.2020.214

山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (3): 58-61.doi: 10.6040/j.issn.1671-7554.0.2020.214

重症新型冠状病毒肺炎1例并文献复习

温鹏¹,董亮²,王欣³,魏敏¹,刘岩¹,徐玉荣¹,孙文青¹,周明香¹

1.山东大学附属山东省胸科医院呼吸与危重症医学科, 山东济南 250013; 2.山东大学齐鲁医院呼吸与危重症医学科, 山东济南 250012; 3.山东第一医科大学附属中心医院呼吸与危重症医学科, 山东济南 250013

出版日期:2020-03-10 发布日期:2022-09-27
通讯作者: 董亮. E-mail:dl5506@126.com

Severe novel coronavirus pneumonia: a case report and literature review

WEN Peng¹, DONG Liang², WANG Xin³, WEI Min¹, LIU Yan¹, XU Yurong¹, SUN Wenqing¹, ZHOU Mingxiang¹

1. Department of Respiratory Medicine, Shandong Provincial Chest Hospital Affiliated to Shandong University, Jinan 250013, Shandong, China;
2. Department of Respiratory Medicine, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
3. Department of Respiratory Medicine, Jinan Central Hospital Affiliated to Shandong First Medical University, Jinan 250013, Shandong, China

Online:2020-03-10 Published:2022-09-27

摘要/Abstract

摘要： 目的描述1例重症新型冠状病毒肺炎患者的诊治过程,帮助临床医生更好地认识和管理新型冠状病毒肺炎。方法回顾性分析1例重症新型冠状病毒肺炎患者的发病、发展、治疗及结局,并复习相关文献。结果患者病初表现为发热、干咳,后病情进展,出现呼吸困难,胸部CT示双肺渗出影。根据专家组意见,患者接受洛匹那韦/利托那韦、干扰素α-2b和人血丙种球蛋白等治疗,2周后病愈出院。结论恰当的管理策略可以达到对新型冠状病毒肺炎有效诊疗的目的。

关键词: 2019新型冠状病毒, 重症肺炎, 干扰素α-2b, 洛匹那韦/利托那韦, 人血丙种球蛋白

Abstract: Objective To describe the diagnosis and treatment of a patient with severe novel coronavirus pneumonia, and to improve the understanding and management of clinicians on novel coronavirus pneumonia. Methods The onset, development, treatment and outcome of a patient with severe 2019 novel coronavirus pneumonia were retrospectively analyzed and relevant literatures were reviewed. Results At the beginning of the disease, the patient presented fever and dry cough, and later the disease progressed to dyspnea. Chest CT showed bilateral exudation of the lung. Lopinavir/ritonavir, IFN-α and immunoglobulin were given to the patient according to the expert groups opinion. The pneumonia was cured and the patient was discharged two weeks later. Conclusion Appropriate management strategies are effective on diagnosis and treatment of new coronavirus pneumonia.

Key words: 2019 novel coronavirus, Severe pneumonia, Interferon α-2b, Lopinavir/ritonavir, Immunoglobulin

中图分类号:

R563.1

温鹏,董亮,王欣,魏敏,刘岩,徐玉荣,孙文青,周明香. 重症新型冠状病毒肺炎1例并文献复习[J]. 山东大学学报 (医学版), 2020, 58(3): 58-61.

WEN Peng, DONG Liang, WANG Xin, WEI Min, LIU Yan, XU Yurong, SUN Wenqing, ZHOU Mingxiang. Severe novel coronavirus pneumonia: a case report and literature review[J]. Journal of Shandong University (Health Sciences), 2020, 58(3): 58-61.

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重症新型冠状病毒肺炎1例并文献复习

Severe novel coronavirus pneumonia: a case report and literature review

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