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789
病毒的超强隐匿性,为新冠肺炎确诊带来新挑战。
中国媒体报道,北京市中日医院近日出现一名3次新型冠状病毒核酸检测均为阴性,最后透过肺泡灌洗检测才确诊罹患新冠肺炎的患者。
病毒的超强隐匿性已为新冠肺炎确诊带来新挑战。
据报道,一名武汉来北京的发热肺炎患者于2月5日,在中日医院呼吸四部确诊为新型冠状病毒感染肺炎,目前正等待转往定点医院。
该名患者入院前经过3次咽拭子新冠病毒核酸检测均为阴性,甲流(A型流感)核酸检测阳性,因此于1月30日以“重症甲流”收院治疗,入院后插管上呼吸机,透过肺泡灌洗检测才发现新冠病毒核酸阳性。
北京一名三甲医院呼吸科医生透露,医院内部已经将此案例通知给员工,应当属实。
另一名医生表示,常规对疑似患者进行两次咽拭子核酸检测,如果出现一次阳性则确诊,如出现两次阴性,则基本可排除感染。3次咽拭子新冠病毒核酸检测均为阴性,说明病毒隐匿性很强。
北京世纪坛医院呼吸内科主任医生丁新民说,病变发生在肺部,即下呼吸道,有时上呼吸道咽喉部找不到病原,也因此会出现该病例透过肺泡灌洗检测才确诊阳性的情况;而现在很难做到对每一例疑似患者都进行下呼吸道标本采样,这为新冠肺炎确诊带来一定挑战。
但他强调,目前只是个例,一般民众无需恐慌。
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