Insights on diagnosis and treatment of coronavirus disease 2019_West China Medical Journal

Authors：

WANG Ye ¹ , XU Liang ² , YIN Wanhong ³ , LIU Yanbin ⁴ , LIU Tao ⁵ , WANG Bo ¹ , LIU Dan ¹ , WEI Qi ⁶ , FAN Zhongjie ⁷ , ZHANG Li ⁷ , LI Duo ⁸ , FU Siyun ⁹ , LIU Ruoyang ¹⁰ , ZENG Jia ¹¹ , FU Ziqiao ¹¹ ,  LUO Fengming ¹

1. Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Critical Care, Wuhan Wuchang Hospital, Wuhan, Hubei 430000, P. R. China;
3. Department of Critical Care, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Infectious Diseases Research Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
5. Department of Cardiology, Wuhan Red Cross Hospital, Wuhan, Hubei 430000, P. R. China;
6. Department of Endocrinology, Wuhan Red Cross Hospital, Wuhan, Hubei 430000, P. R. China;
7. Department of Respiratory, Wuhan Red Cross Hospital, Wuhan, Hubei 430000, P. R. China;
8. Department of Respiratory and Critical Care Medicine, Southwest Medical University, Luzhou, Sichuan 646000, P. R. China;
9. Department of Respiratory and Critical Diseases, Sichuan Provincal Fourth People’s Hospital, Chengdu, Sichuan 610011, P. R. China;
10. Department of Respiratory, Sichuan Second Hospital of TCM, Chengdu, Sichuan 610031, P. R. China;
11. Department of Respiratory and Critical Disease Medicine, Guangyuan Central Hospital, Guangyuan, Sichuan 628000, P. R. China;

Corresponding author：

LUO Fengming, Email: luofengming@hotmail.com

Keywords：

Severe acute respiratory syndrome coronavirus 2; Coronavirus disease 2019; Nucleic acid test

DOI：

10.7507/1002-0179.202002251

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The diagnosis of coronavirus disease 2019 should not only depend on nucleic acid test, but also be based on clinical information such as medical history and radiographic findings. It’s critical to identify patients with high risk of rapid progression. Treatment of coronavirus disease 2019 should be individualized according to the underlying diseases and progression manner. For severely ill patients, oxygen and nutrition supplementation need to be strengthened, and for some highly selected cases, administration of glucocorticoids might be beneficial.

Citation： WANG Ye, XU Liang, YIN Wanhong, LIU Yanbin, LIU Tao, WANG Bo, LIU Dan, WEI Qi, FAN Zhongjie, ZHANG Li, LI Duo, FU Siyun, LIU Ruoyang, ZENG Jia, FU Ziqiao, LUO Fengming. Insights on diagnosis and treatment of coronavirus disease 2019. West China Medical Journal, 2020, 35(3): 261-263. doi: 10.7507/1002-0179.202002251 Copy

1.	白浪, 王铭, 唐小琼, 等. 对新型冠状病毒肺炎诊疗中的热点问题的思考. 华西医学, 2020, 35(2): 125-131.
2.	伏籽桥, 刘焱斌, 尹万红, 等. 关于呼吸道新型冠状病毒感染疾病名称及临床诊断的思考. 中国呼吸与危重监护杂志. (2020-02-12)[2020-02-20]. http://kns.cnki.net/kcms/detail/51.1631.R.20200210.2248.004.html.
3.	施绍瑞, 聂滨, 郭渝, 等. 新型冠状病毒肺炎病例多种生物样本的病毒核酸检测结果. 华西医学, 2020, 35(2): 132-136.
4.	国家卫生健康委办公厅. 新型冠状病毒感染的肺炎诊疗方案(试行第五版). (2020-02-04)[2020-02-20]. http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440/files/7260301a393845fc87fcf6dd52965ecb.pdf.
5.	李进, 李文全, 聂滨, 等. 输入型难辨性新型冠状病毒肺炎一例及传播模式分析. 华西医学, 2020, 35(2): 137-140.
6.	新型冠状病毒肺炎患者经鼻高流量氧疗使用管理专家共识. 中国呼吸与危重监护杂志. (2020-02-20)[2020-02-20]. http://kns.cnki.net/kcms/detail/51.1631.r.20200218.1536.002.html.

1. 白浪, 王铭, 唐小琼, 等. 对新型冠状病毒肺炎诊疗中的热点问题的思考. 华西医学, 2020, 35(2): 125-131.
2. 伏籽桥, 刘焱斌, 尹万红, 等. 关于呼吸道新型冠状病毒感染疾病名称及临床诊断的思考. 中国呼吸与危重监护杂志. (2020-02-12)[2020-02-20]. http://kns.cnki.net/kcms/detail/51.1631.R.20200210.2248.004.html.
3. 施绍瑞, 聂滨, 郭渝, 等. 新型冠状病毒肺炎病例多种生物样本的病毒核酸检测结果. 华西医学, 2020, 35(2): 132-136.
4. 国家卫生健康委办公厅. 新型冠状病毒感染的肺炎诊疗方案(试行第五版). (2020-02-04)[2020-02-20]. http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440/files/7260301a393845fc87fcf6dd52965ecb.pdf.
5. 李进, 李文全, 聂滨, 等. 输入型难辨性新型冠状病毒肺炎一例及传播模式分析. 华西医学, 2020, 35(2): 137-140.
6. 新型冠状病毒肺炎患者经鼻高流量氧疗使用管理专家共识. 中国呼吸与危重监护杂志. (2020-02-20)[2020-02-20]. http://kns.cnki.net/kcms/detail/51.1631.r.20200218.1536.002.html.

West China Medical Journal

Insights on diagnosis and treatment of coronavirus disease 2019

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