临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (12): 908-.doi: 10.3969/j.issn.1000-3606.2020.12.007

• 呼吸系统疾病专栏 • 上一篇    下一篇

一家族三代聚集性新型冠状病毒感染诊治的归纳与思考

傅晓燕 1, 桂明珠 1, 谢晓恬 2   

  1. 1 . 上海市宝山区罗店医院儿科(上海 201908); 2 . 上海市同济医院儿科(上海 200065)
  • 出版日期:2020-12-15 发布日期:2020-12-18
  • 通讯作者: 谢晓恬 电子信箱:xtxie@163.com

Summary and thoughts on diagnosis and treatment of a typical clustered novel coronavirus infection in a three-generation family

FU Xiaoyan1 , GUI Mingzhu1 , XIE Xiaotian2   

  1. 1 . Department of Pediatrics, Luodian Hospital, Baoshan District, Shanghai 201908, China;2 . Department of Pediatrics, Tongji Hospital, Shanghai 200065, China
  • Online:2020-12-15 Published:2020-12-18

摘要: 目的 归纳一起家庭聚集性新型冠状病毒(2019 -nCoV)感染的流行病学与表现特征。方法 追溯具有密 切亲缘关系的全家祖孙三代共9人参加游轮旅游后发生典型2019 -nCoV聚集性感染案例的出行轨迹,以探寻感染源。参 照2019-nCoV感染诊断和治疗原则,分析对比确诊病例的表现特征,及其与年龄的相关性。结果 全家共9人(6名成人, 3名儿童),从湖北省武汉市高风险疫区出发,参与游轮旅游后,年龄最大的祖父(71岁)首先发病。随后8例(88 . 9 %)确 诊2019 -nCoV感染,其中6例成人均确诊,3例儿童中2例确诊(66.7%)。所有确诊病例的潜伏期均明显超过14天,长达 18 ~ 24天。病情严重程度和淋巴细胞绝对计数(ALC)等临床特征存在年龄相关性。经积极治疗后,确诊病例均获得治愈。 结论 具有疫区生活或接触史,并存在聚集性感染特征,仍为2019 -nCoV感染的重要流行病学诊断依据。

关键词:  新型冠状病毒感染; 家庭聚集性; 肺炎; 核酸检测

Abstract: Objective To summarize and analyze the epidemiology and clinical manifestations of a typical family cluster novel coronavirus ( 2019 -nCoV) infection. Methods In order to explore the source of infection, the travel trajectory were tracked for nine members from three generations of a closely related family who got typical 2019 -nCoV cluster infection after they participated in the cruise tour. According to the principles of diagnosis and treatment of 2019 -nCoV infection, the characteristics of the confirmed cases and their correlation with age were analyzed and compared. Results The family consisted of 9 people ( 6 adults and 3 children). The whole family of 9 members ( 6 adults, 3 children) started the cruise in a highrisk epidemic area in Wuhan City, Hubei Province. After participating in cruise tourism, the oldest grandfather ( 71 -year-old) developed the disease first. Eight members ( 88. 9%) were subsequently diagnosed with 2019 -nCoV infection. All six adults and two in three children ( 66 . 7%) were diagnosed. The incubation period of all confirmed cases was significantly longer than 14 days, up to 18 - 24 days. The severity of the disease and the absolute lymphocyte count (ALC) were associated with age. After active treatment, all cases were cured. Conclusion Having a history of living or exposure in an epidemic area and the characteristics of cluster infection still important epidemiological diagnostic basis for 2019- nCoV infection.

Key words: 2019 -nCoV; family cluster; pneumonia; nucleic acid detection