目的分析重症新型冠状病毒肺炎(COVID-19)患者的临床特点,以找出重症预测指标。方法回顾性收集广州医科大学附属第八人民医院2020年1月22日至2月15日收治的272例COVID-19患者的一般情况及住院首次实验室及影像学检查资料,依据临床分型...目的分析重症新型冠状病毒肺炎(COVID-19)患者的临床特点,以找出重症预测指标。方法回顾性收集广州医科大学附属第八人民医院2020年1月22日至2月15日收治的272例COVID-19患者的一般情况及住院首次实验室及影像学检查资料,依据临床分型分为非重症组(n=236)和重症组(n=36)进行对照分析。结果重症组患者的平均年龄为(60.53±11.20)岁,明显大于非重症组的(46.84±15.73)岁,差异有统计学意义(P<0.05);两组患者的性别、发热、乏力、寒战、食欲不振纳差、头晕症状,合并高血压史比较差异均具有统计学意义(P<0.05);重症组和非重症组患者的血淋巴细胞(0.90×10^(9)/L vs 1.42×10^(9)/L),血小板(170.00×10^(9)/L vs 187.00×10^(9)/L),动脉血氧分压(73.50 mmHg vs 96.00 mmHg)的绝对值中位数比较,重症组明显低于非重症组,差异均有统计学意义(P<0.05);重症组和非重症组患者的肌酸激酶(123.00 U/L vs 68.00 U/L)、谷草转氨酶(32.10 U/L vs 20.10 U/L)、乳酸脱氢酶(305.50 U/L vs 179.00 U/L),C反应蛋白(37.02 mg/L vs 26.55 mg/L)、降钙素原(0.09 ng/mL vs 0.04 ng/mL)、D-二聚体(1700.00μg/L vs1090.00μg/L)绝对值中位数,FbG、APTT升高率、尿蛋白阳性率比较,重症组明显高于非重症组,差异均具有统计学意义(P<0.05)。结论COVID-19患者的部分临床特征、实验室检查可为患者是否出现重症提供有价值的预测。展开更多
BACKGROUND Synovial sarcoma (SS),a rare malignant soft tissue tumor whose histological origin is still unknown,often occurs in limbs in young people and is easily misdiagnosed.CASE SUMMARY We report a 24-year-old man ...BACKGROUND Synovial sarcoma (SS),a rare malignant soft tissue tumor whose histological origin is still unknown,often occurs in limbs in young people and is easily misdiagnosed.CASE SUMMARY We report a 24-year-old man who sought treatment for plantar pain thought to be caused by a foot injury that occurred 4 years prior.Currently,he had been seen at another hospital for a 1-wk history of unexplained pain in the left plantar region and was treated with acupuncture,a kind of therapy of Chinese medicine,which partly relieved the pain.Because of this,the final diagnosis of biphasic SS was made after two subsequent treatments by pathological evaluation after the last operation.SS is rarely seen in the plantar area,and his history of a left plantar injury confused the original diagnosis.CONCLUSION This study shows that pathological and imaging examinations may play a vital role in the early diagnosis and treatment of SS.展开更多
文摘目的分析重症新型冠状病毒肺炎(COVID-19)患者的临床特点,以找出重症预测指标。方法回顾性收集广州医科大学附属第八人民医院2020年1月22日至2月15日收治的272例COVID-19患者的一般情况及住院首次实验室及影像学检查资料,依据临床分型分为非重症组(n=236)和重症组(n=36)进行对照分析。结果重症组患者的平均年龄为(60.53±11.20)岁,明显大于非重症组的(46.84±15.73)岁,差异有统计学意义(P<0.05);两组患者的性别、发热、乏力、寒战、食欲不振纳差、头晕症状,合并高血压史比较差异均具有统计学意义(P<0.05);重症组和非重症组患者的血淋巴细胞(0.90×10^(9)/L vs 1.42×10^(9)/L),血小板(170.00×10^(9)/L vs 187.00×10^(9)/L),动脉血氧分压(73.50 mmHg vs 96.00 mmHg)的绝对值中位数比较,重症组明显低于非重症组,差异均有统计学意义(P<0.05);重症组和非重症组患者的肌酸激酶(123.00 U/L vs 68.00 U/L)、谷草转氨酶(32.10 U/L vs 20.10 U/L)、乳酸脱氢酶(305.50 U/L vs 179.00 U/L),C反应蛋白(37.02 mg/L vs 26.55 mg/L)、降钙素原(0.09 ng/mL vs 0.04 ng/mL)、D-二聚体(1700.00μg/L vs1090.00μg/L)绝对值中位数,FbG、APTT升高率、尿蛋白阳性率比较,重症组明显高于非重症组,差异均具有统计学意义(P<0.05)。结论COVID-19患者的部分临床特征、实验室检查可为患者是否出现重症提供有价值的预测。
文摘BACKGROUND Synovial sarcoma (SS),a rare malignant soft tissue tumor whose histological origin is still unknown,often occurs in limbs in young people and is easily misdiagnosed.CASE SUMMARY We report a 24-year-old man who sought treatment for plantar pain thought to be caused by a foot injury that occurred 4 years prior.Currently,he had been seen at another hospital for a 1-wk history of unexplained pain in the left plantar region and was treated with acupuncture,a kind of therapy of Chinese medicine,which partly relieved the pain.Because of this,the final diagnosis of biphasic SS was made after two subsequent treatments by pathological evaluation after the last operation.SS is rarely seen in the plantar area,and his history of a left plantar injury confused the original diagnosis.CONCLUSION This study shows that pathological and imaging examinations may play a vital role in the early diagnosis and treatment of SS.
