From: Emergency trauma care during the outbreak of corona virus disease 2019 (COVID-19) in China
Classification of the patients | Suspected cases | Clinical confirmed cases (Hubei only) | Pathogenic confirmed cases |
---|---|---|---|
Diagnostic basis | Outside Hubei Province: two of the clinical manifestations with at least one of the epidemiological histories, three of the clinical manifestations without epidemiological history | Suspected patient in Hubei Province with CT findings of pneumonia | Suspected or clinically confirmed patients with at least one pathogenic evidence |
Epidemiological investigation | 1. Travel to or residence in Wuhan in the 14 days prior to symptom onset; 2. Close contactb with SARS-CoV-2 infection (rRT-PCR positive) within 14 days before onset; 3. Exposed to patients from Wuhan and surrounding areas, or from a community with patients who reported fever or respiratory symptoms14 d before onset; 4. Clustering outbreak. | - | - |
Clinical manifestations and CT scan | 1. Fever and/or respiratory symptoms; 2. Imaging characteristics of COVID-19(CT: multiple small plaque shadows and interstitial changes in early stage, which are obvious in the peripheral lung, and then develop into multiple ground-glass shadows and infiltration shadows in both lungs, and lung consolidation may occur in severe cases); 3. The total number of white blood cells in the early stage is normal or decreased, and the lymphocyte count is decreased | - | - |
Pathogenic evidence | NULL | NULL | 1. Detection of SARS-CoV-2 in respiratory specimens and sera by rRT-PCR assays; 2. By virus DNA sequencing, respiratory or blood samples DNA sequence highly homologous with SARS-CoV-2. |