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CLC number: R511

On-line Access: 2020-05-19

Received: 2020-02-21

Revision Accepted: 2020-02-28

Crosschecked: 2020-03-16

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Journal of Zhejiang University SCIENCE B

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Clinical value of the emergency department in screening and diagnosis of COVID-19 in China


Author(s):  Qin Zhang, Jian Pan, Min-Xing Zhao, Yuan-Qiang Lu

Affiliation(s):  Department of Emergency Medicine, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; more

Corresponding email(s):  luyuanqiang@zju.edu.cn

Key Words:  Coronavirus disease 2019 (COVID-19); SARS-CoV-2; Emergency department


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Qin Zhang, Jian Pan, Min-Xing Zhao, Yuan-Qiang Lu. Clinical value of the emergency department in screening and diagnosis of COVID-19 in China[J]. Journal of Zhejiang University Science B, 2020, 21(5): 388-393.

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author="Qin Zhang, Jian Pan, Min-Xing Zhao, Yuan-Qiang Lu",
journal="Journal of Zhejiang University Science B",
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pages="388-393",
year="2020",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2010011"
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T1 - Clinical value of the emergency department in screening and diagnosis of COVID-19 in China
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Abstract: 
Since the global outbreak of severe acute respiratory syndrome (SARS) in 2003, China has gradually built a robust prevention and control system for sudden infectious diseases. All large hospitals have a fever clinic that isolates patients with all kinds of acute communicable diseases as the first line of medical defense. The emergency department, as the second line of medical defense in hospitals, is constantly shouldering the heavy responsibility of screening communicable diseases while also treating all kinds of other non-communicable acute and critical diseases (Zhang et al., 2012; Zhu et al., 2015; Wang et al., 2017; Feng et al., 2018; Lu, 2018; Xu and Lu, 2019). An outbreak of pneumonia of unknown etiology that began in Wuhan city (China) has spread rapidly in China since December 2019 (Huang et al., 2020; WHO, 2020; Zhu et al., 2020). In February 2020, the National Health Commission of China named the disease a novel coronavirus pneumonia (NCP); then, it was formally named the coronavirus disease 2019 (COVID-19) by the World Health Organization (WHO) on Feb. 11, 2020. The Coronavirus Study Group of the International Committee on Taxonomy of Viruses designated this causative virus as SARS coronavirus 2 (SARS-CoV-2). SARS-CoV-2 belongs to the β coronavirus genus, and its pathogenic mechanism has not been clarified, which requires further study. To better understand the clinical characteristics of COVID-19 and more effectively prevent and control this disease, we retrospectively analyzed four representative cases of COVID-19 that had recently been screened and diagnosed in our emergency department.

中国急诊科在新型冠状病毒肺炎筛查和诊断中的临床价值

目的:通过对浙江大学医学院附属第一医院急诊科筛查出的4例新型冠状病毒肺炎(新冠肺炎)病例进行分析,探讨急诊科在新冠肺炎精准筛查和诊断中的作用.
创新点:分析新型冠状病毒肺炎的致病机制、传播方式和临床特征;总结急诊科医护人员的自身防护和诊断策略.
方法:回顾性分析我院急诊科筛查出的4例新型冠状病毒肺炎病例,总结急诊科的临床价值.
结论:在新冠肺炎的筛查和诊断体系中,中国急诊科发挥了不可替代的作用.急诊科医护人员应充分做好自身防护,对患者进行细致、耐心、谨慎地病史采集和全面的体格检查,并关注患者的心理状态,有效应用肺部计算机断层扫描(CT)、核酸检测等检测方法,做好新冠肺炎筛查工作.

关键词组:新型冠状病毒肺炎;SARS-CoV-2;急诊科

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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