著者
Keiji Nakamura Satoshi Ide Sho Saito Noriko Kinoshita Satoshi Kutsuna Yuki Moriyama Tetsuya Suzuki Masayuki Ota Hidetoshi Nomoto Tetsuya Mizoue Masayuki Hojo Jin Takasaki Yusuke Asai Mari Terada Yutaro Akiyama Yusuke Miyazato Takato Nakamoto Yuji Wakimoto Mugen Ujiie Kei Yamamoto Masahiro Ishikane Shinichiro Morioka Kayoko Hayakawa Haruhito Sugiyama Norio Ohmagari
出版者
National Center for Global Health and Medicine
雑誌
Global Health & Medicine (ISSN:24349186)
巻号頁・発行日
vol.2, no.3, pp.174-177, 2020-06-30 (Released:2020-07-04)
参考文献数
8

Since the initial report of coronavirus disease (COVID-19) from the City of Wuhan, China in December 2019, there have been multiple cases globally. Reported here are 11 cases of COVID-19 at this hospital; all of the patients in question presented with relative bradycardia. The severity of the disease was classified into four grades. Of the patients studied, 3 with mild COVID-19 and 3 with moderate COVID-19 improved spontaneously. Lopinavir/ritonavir was administered to 3 patients with severe COVID-19 and 2 with critical COVID-19. Both patients with critical COVID-19 required mechanical ventilation and extracorporeal membrane oxygenation. Both patients with critical COVID-19 had a higher fever that persisted for longer than patients with milder COVID-19. The respiratory status of patients with critical COVID-19 worsened rapidly 7 days after the onset of symptoms. Relative bradycardia may be useful in distinguishing between COVID-19 and bacterial community-acquired pneumonia. In patients who have had a fever for > 7 days, the condition might worsen suddenly.

言及状況

外部データベース (DOI)

Twitter (6 users, 6 posts, 12 favorites)

これもNCGMからです COVID-19患者は比較的徐脈を呈し、発熱が7日続く場合に急激な悪化を起こしやすい COVID-19 can suddenly become severe: a case series from Tokyo, Japan https://t.co/GLSKwKGs0Z https://t.co/qG1xkijSC1 https://t.co/rh9oWrypo2
COVID-19 can suddenly become severe https://t.co/NCTtgcSARC COVID-19の11例すべて相対的徐脈。軽度COVID-19は3例、中等度のCOVID- 19は3例が自然に改善。重症COVID-19患者3例と重篤COVID-19患者2例にロピナビル/リトナビルを投与。重篤COVID-19患者は2例とも機械換気と体外膜酸素療法を必要とした

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