COVID-19 in Hemodialysis Patients: A Report of 5 Cases
COVID-19 in Hemodialysis Patients: A Report of 5 Cases
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DOI：
10.1053/j.ajkd.2020.03.009
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发表时间：
2020-07-01
影响因子：
13.2
通讯作者：
Shui, Hua
中科院分区：
文献类型：
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作者：
Wang, Rui;Liao, Cong;Shui, Hua
2019年12月，由严重急性呼吸道综合征冠状病毒2型（SARS-CoV-2）引起的2019冠状病毒病（COVID-19）在中国爆发，并迅速蔓延至全球。目前尚不清楚血液透析患者是否代表了一个具有某些特征的独特患者群体，这些特征可能使他们容易感染或患上严重疾病。在本病例报告中，我们描述了武汉大学中南医院201例维持性血液透析患者中COVID-19感染的临床和流行病学特征，其中包括5例感染COVID-19的维持性血液透析患者。在5名COVID-19感染患者中，1名患者有明确的感染者接触史。患者的年龄范围为47至67岁。腹泻（80%）、发热（60%）和疲劳（60%）是最常见的症状。所有患者均出现淋巴细胞减少。胸部电脑断层扫描显示所有患者的肺部毛玻璃样阴影。截至2020年2月13日，所有患者均未发生严重并发症（急性呼吸窘迫综合征、休克或多器官功能障碍）或死亡。
In December 2019, an outbreak of coronavirus disease 2019 (COVID-19) due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began in China and spread rapidly worldwide. It is unknown whether hemodialysis patients represent a distinct group of patients with certain characteristics that may make them susceptible to infection or severe disease. In this case report, we describe the clinical and epidemiologic features of COVID-19 infection in 201 maintenance hemodialysis patients in Zhongnan Hospital of Wuhan University, including 5 maintenance hemodialysis patients who contracted COVID-19 infection. Of the 5 patients with COVID-19 infection, one had a definite history of contact with an infected person. The age range of the patients was 47 to 67 years. Diarrhea (80%), fever (60%), and fatigue (60%) were the most common symptoms. Lymphopenia occurred in all patients. Computed tomography of the chest showed ground glass opacity in the lungs of all patients. Up to February 13, 2020, none of the patients had developed severe complications (acute respiratory distress syndrome, shock, or multiple organ dysfunction) or died.