星云棋牌官网下载

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                          新冠病论文(研究文献8篇)

                          时间:2019-02-28 来源:学术堂 作者:学术堂 本文字数:11965字

                            XINXINGGUANZHUANGBINGDUGANRANDEFEIYANQIANFUQIYIBANWEI3~7d,DUOSHUBUCHAOGUO14d,DANMUQIANFAXIANZUIZHANGKEDA24TIANHUOXUGENGZHANG。YIFARE、FALI、GANKEWEIZHUYAOBIAOXIAN,SHAOSHUHUANZHEBANYOUBISAI、LIUTI、FUXIEDENGZHENGZHUANG。BENPIANWENZHANGZHENGLIGUANYUXINGUANBINGLUNWEN8PIANGONGDAJIACANKAO!

                          新冠病论文第一篇:新型冠状病毒肺炎临床CT图像特点

                          内蒙古医科大学附属医院影像诊断科 内蒙古自治区第四医院影像科

                            摘要:星云棋牌官网下载自2019年底武汉市发现至波及全国的新型冠状病毒肺炎传染性强、波及范围广。但恰至冬末春初,多数的细菌及病毒性肺炎也恰是高发病率时期,早期CT表现存在相似性。故如何尽早提高临床诊断速度及准确度,并指导尽快筛查接触者有无感染及高度疑似、确诊者的快速隔离已成当务之急。本文将在新型冠状病毒感染肺炎早期诊断作出分析,旨在提高新型冠状病毒感染的肺炎的认识,为早期诊断、及时隔离与治疗提供参考依据。

                            关键词:新型冠状病毒; 肺炎; 早期; CT; 鉴别诊断;

                            作者简介: 赵鹏飞(1988-),男,内蒙古医科大学附属医院影像诊断科主治医师; 乔鹏飞,主任医师,E-mail:,内蒙古医科大学附属医院影像诊断科,010050;

                          DISCUSSION THE DIFFERENTIAL DIAGNOSE OF NOVEL CORONAVIRUS PNEUMONIA

                          Pengfei Zhao Yuzhen Bai Guangming Niu Aishi Liu Yang Gao Pengfei Qiao

                          Department of Imaging, the Affiliated Hospital of Inner Mongolia Medical UniversityMedical University Department of Imaging, the Fourth Hospital of Inner Mongolia

                            Abstract:星云棋牌官网下载Since the end of 2019, new coronavirus pneumonia was found in Wuhan and spread to the whole country. But just to the end of winter and early spring, most of the bacteria and viral pneumonia were also in the period of high incidence, and the early CT findings were similar. Therefore, how to improve the speed and accuracy of clinical diagnosis as soon as possible, and guide the rapid isolation of highly suspected and diagnosed contacts as soon as possible has become an urgent task. The novel coronavirus novel coronavirus infection early diagnosis will be analyzed in order to improve the understanding of pneumonia caused by new coronavirus infection, and provide reference for early diagnosis, timely isolation and treatment.

                            Keyword:星云棋牌官网下载novel coronavirus; pneumonia; early stage; CT; differential diagnosis;

                            1、前言

                          星云棋牌官网下载   CICIZIWUHANSHIBUMINGYUANYINFEIYANHUANZHEXIAHUXIDAOFENLICHUDEGUANZHUANGBINGDUBEIDINGYIWEI2019XINXINGGUANZHUANGBINGDU,JIANCHENG2019-nCoV,QIZHONG2019DAIBIAOZUIZAOCHUXIANDENIANFEN,nDAIBIAONovel(XINDE),CovDAIBIAOCoronavirus(GUANZHUANGBINGDU),WEIβSHUXINXINGGUANZHUANGBINGDU,DANGUZHENGLIANRNABINGDU。WUHANFAXIANDEXINXINGGUANZHUANGBINGDU(2019-nCoV)XIEDAIZHEWEIYESHENGDONGWU,RENGANRANHOUYINQIBINGDUXINGFEIYAN,2020NIAN2YUE7RI,GUOJIAWEIJIANWEIJIANG“XINXINGGUANZHUANGBINGDUGANRANDEFEIYAN”ZANMINGMINGWEI“XINXINGGUANZHUANGBINGDUFEIYAN”,JIANCHENG“XINGUANFEIYAN”,YINGWENMINGCHENGWEI“Novel Coronavirus Pneumonia”,YINGWENSUOXIEWEINCP,GAIBINGKEJINGHUXIDAOFEIMOCHUANBO,YIKETONGGUOMIQIEJIECHUCHUANBO,QIECUNZAIFEN-KOUCHUANBO、QIRONGJIAOCHUANBOFENGXIAN,FABINGLVGAO,CHUANRANXUNSU。RENQUNPUBIANYIGAN,LAONIANRENJIYOUJICHUJIBINGZHEGANRANHOUBINGQINGJIAOZHONG,ERTONGJIYINGYOUERYEYOUFABING。XINXINGGUANZHUANGBINGDUBUJINKEYITONGGUODONGWUCHUANRANJIREN,YEKEYITONGGUORENCHUANRANREN。XIANYIJIANGGAIBINGNARU《ZHONGHUARENMINGONGHEGUOCHUANRANBINGFANGZHIFA》GUIDINGDEYILEICHUANRANBING,BINGCAIQUJIALEICHUANRANBINGDEYUFANG、KONGZHICUOSHI。NEIMENGGUZIZHIQUJIEZHI2020NIAN2YUE19RI9SHIQUEZHEN75LI,YISI17LI。

                            DONGJIJICHUCHUNSHIHUXIDAOGANRANXINGJIBINGDEGAOFAJIJIE,JISHIMEIYOUXINXINGGUANZHUANGBINGDUGANRANDEFEIYAN,HAIHUIYOUQITADECHANGJIANFEIYAN,RUXIJUNXINGFEIYAN、ZHIYUANTIFEIYAN,YIJICHANGJIANBINGDUXINGFEIYAN。CHANGJIANBINGDUYOULIUGANBINGDU、FULIUGANBINGDU、BIBINGDU、XIANBINGDU、RENPIANFEIBINGDUJIHUXIDAOHEBAOBINGDUDENG。YINCI,BUNENGYOUZHEIYANGDEGAINIAN,XIANZAIDEDEFEIYANJIUSHIXINXINGGUANZHUANGBINGDUFEIYAN,ZHEIJIUXUYAOJINLIANGZUOHAOFEIYANDEJIANBIEZHENDUAN,TEBIESHIZAIDANGQIANYIQINGYANZHONGDEQINGKUANGXIA。

                            2、新型冠状病毒肺炎临床特点

                            2.1 临床表现

                            XINXINGGUANZHUANGBINGDUGANRANDEFEIYANQIANFUQIYIBANWEI3~7d,DUOSHUBUCHAOGUO14d,DANMUQIANFAXIANZUIZHANGKEDA24TIANHUOXUGENGZHANG。YIFARE、FALI、GANKEWEIZHUYAOBIAOXIAN,SHAOSHUHUANZHEBANYOUBISAI、LIUTI、FUXIEDENGZHENGZHUANG。ZHONGXINGBINGLIDUOZAIYIZHOUHOUCHUXIANHUXIKUNNAN,YANZHONGZHEKUAISUJINZHANWEIJIXINGHUXIJIONGPOZONGHEZHENG、NONGDUZHENGXIUKE、NANYIJIUZHENGDEDAIXIEXINGSUANZHONGDUHECHUNINGXUEGONGNENGZHANGAI。

                            2.2 实验室检查

                            FABINGZAOQIWAIZHOUXUEBAIXIBAOZONGSHUZHENGCHANGHUOJIANDI,LINBAXIBAOJISHUJIANSHAO,BUFENHUANZHECHUXIANGANMEI、JIMEIHEJIHONGDANBAIZENGGAO。DUOSHUHUANZHECFANYINGDANBAI(CRP)HEXUECHENSHENGGAO,JIANGGAISUYUANZHENGCHANG。YANZHONGZHED-ERJUTISHENGGAO、WAIZHOUXUELINBAXIBAOJINXINGXINGJIANSHAO。ZAIYANSHIZI、TAN、XIAHUXIDAOFENMIWU、XUEYEDENGBIAOBENZHONGKEJIANCECHUXINXINGGUANZHUANGBINGDUHESUAN,DANCUNZAIJIAYINXING,XUDUOCIJIANCE(≥2CI)。

                            2.3 CT表现

                          星云棋牌官网下载   2.3.1 ZAOQI

                          星云棋牌官网下载   DANFEIHUOSHUANGFEIJUZAOXINGDANFAHUODUOFABINGZAO,YIDUOFAWEIZHU,DUOWEIYUWAIZHOUHUOXIONGMOXIA,XIAFEIDUOJIAN。BINGZAOMIDUBUJUNYUN,CHENGXIAOBANPIAN、DAPIANMOBOLIYING、QINEIKEJIANZENGCUXUEGUANJIZHIQIGUANCHUANXING,BANYOUHUOBUBANYOUJUBUXIAOYEJIANGEWANGGEZHUANGZENGHOU;SHIBIANFANWEIXIAOQIEJUXIAN,QINEIKEJIANKONGQIZHIQIGUANZHENG;MOBOLIYING、SHIBIAN、JIEJIE、XIAOJIEJIEYUKONGQIZHULIUBINGCUNKEYINQI“MASAIKE”ZHENG;BINGZAOYIBUGUIZEXING、SHANXINGDUOJIAN,YEKEJIANPIANZHUANGHUOLEIYUANXINGBINGZAO,BINGZAOYIBANBULEIJIZHENGGEFEIDUAN;SHAOJIANZONGGEHEFEIMENLINBAJIEZHONGDA,SHAOJIANXIONGMOZENGHOUHEXIONGQIANGJIYE(JIANTU1)。

                          图1

                          图1 患者发热、咳嗽,武汉疫区接触史。右肺上叶胸膜下片状磨玻璃密度影。核酸检测前两次阴性,第三次阳性。

                            2.3.2 JINZHANQI

                            SHUANGFEIDUOFAMOBOLIYINGHUOSHIBIAN,FENBUQUYUZENGDUO,XIONGMOXIAFENBUWEIZHU,KELEIJIDUOGEFEIYE;BUFENBINGZAORONGHEKUODA,MIDUZENGGAO,CHENGBUGUIZEZHUANG、XIEXINGHUOSHANXING,BIANJIEBUQING,SANZAIDUOZAOXING、BANPIANZHUANGSHENZHISHIMIMANXING,KEDUOZAORONGHECHENGDAPIAN,CHENGSHUANGCEFEIDUICHENGXING;ZHIQIGUANXUEGUANSHUZENGCUHUOXIONGMOXIADUOZAOXINGFEISHIBIANRUANZUZHIMIDUYING,BINGZAOJINZHANJIBIANHUAXUNSU,DUANQINEIFUCHAXINGTAIBIANHUADA,KEYIHEBINGZUZHIHUAISIXINGCHENGXIAOKONGDONG,KEJIANCHONGQIZHIQIGUANZHENG;BUFENBINGLIWEIMOBOLIYINGHUOMOBOLIJIEJIE,JIEJIEZHOUWEIBINGBIANYOU“YUNZHENG”,SHAOJIANXIONGQIANGJIYE,JISHAOSHUHUOBANZONGGEJIFEIMENLINBAJIEZENGDA(JIANTU2)。

                          图2

                          图2 患者发热、咳嗽,武汉疫区接触史。左肺上叶胸膜下片状实变影伴边缘磨玻璃密度影,右肺上叶结节样磨玻璃密度影。核酸检测阳性。

                          星云棋牌官网下载   2.3.3ZHONGZHENGQI

                          星云棋牌官网下载   SHUANGFEIMIMANXINGBINGBIAN,SHAOSHUHAIKEBIAOXIANWEI“BAIFEI”.48hBINGZAOFANWEIZENGJIA50%,BINGZAOYISHIBIANWEIZHU,BINGJIANDUOFASUOTIAOYING(JIANTU3)。

                          图3

                          图3 患者发热、咳嗽、呼吸困难,武汉疫区接触史。双肺片状高密度影,实变明显,并见索条影。核酸检测阳性。

                            3、其他病原体引起的肺炎

                            3.1 甲型 H1N1 型病毒肺炎

                            QIANFUQIDUOWEI1~3d.LINCHUANGZHENGZHUANGBAOKUOFARE、LIUTI、YANTONG、TOUTONGHE/HUOFUXIEDENG,TIZHENGYOUBIANTAOTIZHONGDAHEYANBUCHONGXUE。HUAYANSHIBAIXIBAOJILINBAXIBAOJISHUBUZENGGAOSHENZHIJIANGDI。CTBIAOXIAN:BINGBIANYIFEIWAIZHOUKAOJINXIONGMOXIAJIFEIXIAYEJIAODUO;SHENCHUCHONGXUEQIFEINEIDUOFABANPIANZHUANGMIDUYING,BIANJIEMOHU,BINGBIANZHONGXINQUYUMIDUJIAOGAO,JIANXUEGUANWENLITONGGUO;SHIBIANQIDUOFADAPIANZHUANGGAOMIDUYING,YOUXIEHUANZHEKEJIAN“KONGQIZHIQIGUANZHENG”;SHAOJIANXIONGQIANGJIYE。

                            3.2呼吸道合胞病毒肺炎

                            DUOFASHENGYUYINGYOUER,QIANFUQI4~5d,ZAOQIDUOJIANKESOU、BISAI。DUOSHUHUANZHEYOUGAORE,FEICHIXUXING,DUOSHUWEI1~4d.QINGZHENGHUANZHEHUXIKUNNAN、SHENJINGZHENGZHUANGBUMINGXIAN,ZHONG、ZHONGZHENGHUANZHEYOUJIAOMINGXIANDEHUXIKUNNAN、CHUANBIE、KOUCHUNQINGZIJISANAOZHENG,SHAOSHUZHONGZHENGHUANZHEYEKEBINGFAXINLISHUAIJIE。CTBIAOXIAN:BINGBIANYANZHIQIGUANXUEGUANSHUFENBUDEDUOGESHUYAZHENGHEBANPIANZHUANGSHIBIANYING,YIJIQINGDUDEZHIQIGUANBIZENGHOU。

                            3.3 副流感病毒肺炎

                            DUOFASHENGYURUOXIAOYINGYOUER,JIZHONGYU0.5~2SUIDENIANLINGDUAN,QUANNIANJUNKEFABING,LIUXINGDUOJIANYUDONGCHUNHANLENGJIJIE。ZAOQIYOUGANMAOZHENGZHUANG,LIUTI、DIRE、KESOU,ERHOUCHUXIANKESOUJIAZHONG,YOUTAN,HUXIJIAKUAI,FEINEIWENJIGANSHILUOYINJIXIAOMINGYIN,HEBINGXIJUNGANRANTIWENMINGXIANSHENGGAO,ZHONGDUZHENGZHUANGZHONG,CHUANBIEMINGXIAN。HUAYANSHIBAIXIBAOJISHUJIANGDI,CHAOMINCFANYINGDANBAIZHENGCHANG。CTBIAOXIAN:SHUANGFEIXIAOYEXINGBINGBIAN,SHAOJIANXIONGQIANGJIYEBIAOXIAN。

                            3.4 腺病毒肺炎

                          星云棋牌官网下载   DUOFASHENGYU0.5~2SUIDEYINGYOUER。QIANFUQI3~8d.YIBANJIZHOUFARE,DUOJIANZIFABINGDI1~2dQI 39℃YISHANGDEGAORE,ZHIDI3~4dDUOCHENGJILIUHUOBUGUIZEDEGAORE。DADUOSHUHUANERZIQIBINGJIYOUKESOU,DUOBIAOXIANWEIPINKEHUOQINGDUZHENKE,KEJIANYANBUCHONGXUE。HUXIKUNNANJIFAGANDUOSHUFASHENGYUDI3~6d;ZHONGZHENGBINGLICHUXIANBIYISHANDONG、SANAOZHENG、CHUANBIEJIKOUCHUNZHIJIAQINGZI。CTBIAOXIAN:BINGBIANYIFEIXIAYEJIAODUO,ZHUYAOFENBUTEDIANWEIDAYEXING、FEIDUANHUOYADUANXING,ZAOQIWEIWEIBANPIANZHUANG、XIAOJIEJIEYANGMOBOLIMIDUYING,JIERFAZHANWEISHIBIANYING,ZHIQIGUANBIZENGHOU,KEJIANWANGZHUANGHUOTIAOSUOZHUANGYING。ZHONGZHENGBINGERKEYOUXIONGMOFANYINGHUOXIONGQIANGJIYE。

                          星云棋牌官网下载   XIONGBUGAOFENBIANCTJIANCHAHUIYOU“TONGYINGYIBING”DENGJIAYANGXINGDEKENENG,HESUANJIANCETIAOJIANYOUXIAN、QUCAIWENTIJIQITATIAOJIANDEBUYUNXUDAOZHIHESUANJIANCECUNZAIJIAYINXINGKENENG,QIESHIJIDESHENGCHANDUIYUXIANZAIDEBINGLIXINZENGSHUSHAOYOU“GONGXIAOYUQIU”DEQUSHIYIJIDALIANGYISIBINGLIWUFAQUEZHENDESHIJIQINGKUANG。BUTONGDEBINGDUGANRANYINQIDEFEIYANZAOQIWULUNSHIJINJINYIKAOLINCHUANGBIAOXIAN、XUECHANGGUIJIANCHAHAISHIDANDUYIKAOCTHUOSHIHESUANJIANCE,DUIYUDANGQIANDEYIQINGLAISHUO,“ZAOFAXIAN、ZAOZHENDUAN、ZAOGELI、ZAOZHILIAO”SHIBIYOUYIDINGDENANDU。

                            DANXIANGBIYUXUECHANGGUI、HESUANJIANCE,FEICTDUIYUQIANZHELAISHUOTEYIXINGJIAOQIANG,DUIYUHOUZHELAISHUOJIANDANYIXING,QIEJUBAODAOHOUZHECUNZAIDUOCIJIANCHAYINXINGKENENG。DUIYUXIANZAIYIQINGJUSHI,FEICT(TEZHIHRCT)KEWEISHIJIANSHAOSHAICHALIUCHENGHESHIJIAN,NENGGOUCHALOUBUQUE、FANGWEIDUJIAN,JINKUAIZHAODAOGENGDUOYISIBINGLI。ZAIZHE,GUOJIAWEIJIANWEIYU2019NIAN2YUE5RIFABUDE《XINXINGGUANZHUANGBINGDUGANRANDEFEIYANDEZHENLIAOFANGAN(SHIXINGDIWUBAN)》ZHONG,ZAI“YISIBINGLI”HE“QUEZHENBINGLI”ZHIWAIXINZENGYIGE“LINCHUANGZHENDUANBINGLI”,BINGJIANG“YISIBINGLIJUBEIFEIYANYINGXIANGXUETEZHENGZHE”ZUOWEIZHENDUANBIAOZHUN(ZHIXIANYUHUBEISHENGZHINEI)。2020NIAN2YUE18RIFABUDE《XINXINGGUANZHUANGBINGDUGANRANDEFEIYANDEZHENLIAOFANGAN(SHIXINGDILIUBAN)》ZHONG,SUISHANCHUZHENDUANBIAOZHUNZHIYIDEHUBEISHENGNEI“LINCHUANGZHENDUANBINGLI”YITIAO,DANZHONGXINGZHENDUANZENGJIALE“FEIBUYINGXIANGXUEXIANSHI24~48hNEIBINGZAOMINGXIANJINZHAN>50%ZHEANZHONGXINGGUANLI。”BIZHERENWEI,QUEZHENNCPBUKE“DANDADUDOU”,YAODUOXUEKEXIANGHUPEIHE,DUIYUFEICHANGSHIQI,YEYAOJIDADEFAHUIYINGXIANGXUEDEYOUSHI,FEIHRCTKEZHIGUAN、DONGTAIJIANCEHUANZHEZHILIAOXIAOGUOHEBINGBIANZHUANGUIQINGKUANG。

                            致谢

                          星云棋牌官网下载   BENYANJIUSUOYOUYINGXIANGZILIAOJUNYOUXINGUANFEIYANYIQINGFANGZHIDINGDIANYIYUAN-NEIMENGGUZIZHIQUDISIYIYUANYINGXIANGKETIGONG,JINDUIZAIJINZHANGFANMANGDEKANGYIYIXIANHAICONGBAIMANGZHIZHONGCHOUCHUSHIJIANJILEILINCHUANGYANJIUZILIAODETONGRENMENBIAOSHIZUICHONGGAODEJINGYI!

                            CANKAOWENXIAN

                            [1] 《新型冠状病毒感染的肺炎诊疗方案(试行第五版)的通知》
                            [2] 《新型冠状病毒感染的肺炎诊疗方案(试行第六版)的通知》
                            [3] 史河水,韩小雨,等。2019-nCoV肺炎影像学表现初探。微信公众号,2020,01,23发布
                          星云棋牌官网下载   [4] 金晨望,郭佑民,等。 2019-nCoV患者影像学病例分享第一期。微信公众号,2020,01,27发布

                            文献来源:赵鹏飞,白宇珍,牛广明,刘挨师,高阳,乔鹏飞.甄别疑似新冠肺炎的CT表现分析[J/OL].内蒙古医科大学学报:1-7[2019-02-28].
                           

                          新冠病论文第二篇:新冠病毒核酸检测方法与各环节要点

                          四川大学华西医院实验医学科

                            摘要:2019年12月以来,新型冠状病毒感染引起的肺炎病例数快速攀升。因患者体内病毒核酸的存在是目前唯一的确诊依据,而目前临床上普遍反映核酸检测阳性率不满意,故对病毒核酸检测的实验室条件、检验人员要求及检测过程中各个环节都有较高要求。本文着重阐述新型冠状病毒核酸检测各个环节中的检测要点、最新的行业规范及共识内容,同时探讨临床检测中的疑难问题,以期为新型冠状病毒所致疾病的准确诊断提供理论依据。

                            关键词:星云棋牌官网下载新型冠状病毒; 新型冠状病毒肺炎; 核酸检测; 诊断;

                            作者简介: 钟慧钰,女,技师,主要从事疾病的分子诊断研究研究; 应斌武,博士后,教授,博士研究生导师。四川大学华西医院实验医学科主任/四川大学华西临床医学院医学检验系主任。中华医学会检验专委会第十届委员会委员/临床免疫学组委员,中国医师协会第四届检验医师分会常委委员,中国中西医结合学会第一届检验医学专委会常委。第十二批四川省学术和技术带头人,四川省高级职称评审委员会专家。担任《中华检验医学杂志》《国际检验医学杂志》《临床化学(中文版)》等编委,第三届国之名医(青年新锐)获得者。主要从事于疾病的分子诊断学研究。负责3项国家自然科学基金、2项科技部重大专项子课题、3项四川省科技厅重点研发计划及科技支撑项目。已发表论文200余篇,其中SCI收录第一作者/通讯作者76篇。获国家发明专利6项。获四川省医学会医学科技(青年奖)一等奖1项,成都市科技进步二等奖1项。参编人卫社教材、专着多部,E-mail:;

                            基金: 四川省科技厅重点研发项目新冠专项(JH20200019);

                          Clinical points and experience in nucleic acid testing of SARS-CoV-2

                          ZHONG Huiyu ZHAO Zhenzhen SONG Xingbo LU Xiaojun WANG Minjin ZHOU Yi SONG Jiajia LIU Tangyuheng WU Lijuan ZHOU Wenjing YE Yuanxin SI Yanjun ZHOU Yanhong TAO Xintong WANG Nian YING binwu

                          Department of Laboratory Medicine, West China Hospital, Sichuan University

                            Abstract:The number of pneumonia cases caused by 2019-nCoV(now called severe acute respiratory syndrome coronavirus 2,SARS-CoV-2)infections has risen rapidly since December 2019. Because the presence of viral nucleic acid in patients is the only basis for the diagnosis, and the positive rate of nucleic acid detection is generally not satisfactory in clinical practice, so there are high requirements for the laboratory conditions, inspectors of viral nucleic acid detection and other aspects of the detection process.This paper focuses on the current situation, the latest industry standards and the consensus contents of the SARS-CoV-2 nucleic acid testing, and probes into the difficult problems in clinical testing, so as to provide theoretical basis for the accurate diagnosis of the 2019-nCoV pneumonia.

                            Keyword:severe acute respiratory syndrome coronavirus 2; 2019-nCoV pneumonia; nucleic acid detection; diagnosis;

                          星云棋牌官网下载   2019XINXINGGUANZHUANGBINGDU(2019-nCoV/SARS-CoV-2,YIXIAJIANCHENGXINGUANBINGDU)SHIYIZHONGXINXINGβSHUGUANZHUANGBINGDU,SHUYUDANLIANRNABINGDU,KEYINQIRENLEIHUXIDAOGANRAN,QIJIYINTEZHENGYUYANZHONGJIXINGHUXIZONGHEZHENG(SARS)XIANGGUANGUANZHUANGBINGDUHEZHONGDONGHUXIZONGHEZHENG(MERS)XIANGGUANGUANZHUANGBINGDUYOUMINGXIANQUBIE,JIYINZUXULIEYUEYOU29 kbGOUCHENG,YONGYOU10GEJIYIN,KEYOUXIAOBIANMA10GEDANBAI[1].GAIBINGDUGANRANRENLEIYINQIDEFEIYANZI2019NIAN12YUEZAIHUBEISHENGWUHANSHIFAXIANYILAI,JIEZHI2YUE22RI24SHI,JU31GESHENG(ZIZHIQU、ZHIXIASHI)JIXINJIANGSHENGCHANJIANSHEBINGTUANBAOGAO,XIANYOUQUEZHENBINGLI51 606LI(QIZHONGZHONGZHENGBINGLI10 968LI)[2].GUOJIBINGDUFENLEIWEIYUANHUIYU2020 NIAN2YUE12RIZHENGSHIJIANGQIMINGMINGWEIYANZHONGJIXINGHUXIZONGHEZHENGGUANZHUANGBINGDU2(SARS-CoV-2)。YOUYUYIQINGFAZHANXUNSU,JISHIDUIBUTONGCHENGDULINCHUANGZHENGZHUANGHUANZHEJIYISIHUANZHEJINXINGZHENDUANXUYAOKUAISUYOUXIAODEFANGFA,ERXINGUANBINGDUHESUANJIANCEKEWEIZHENDUANTIGONGZHIJIEZHENGJU,ZAIMUQIANZUIXINBANBENZHENLIAOFANGANZHONG,XINGUANBINGDUHESUANDEJIANCHURENGSHIWEIYIQUEZHENYIJU[3].YOUYUSHIXINFAJIBING,CONGXINGUANBINGDUSUOZHIGANRANBINGCHENGDAOXINGUANBINGDUHESUANJIANCEJISHUDENGGEGEFANGMIANJUNQUEFADALIANGKEXUESHUJUZHICHENG,ZAIKAIZHANHESUANJIANCEGUOCHENGZHONGDEGEGEHUANJIEZHONGCUNZAIJIAODUOWENTI。BENWENJIANGWEIRAOMUQIANXINGUANBINGDUHESUANJIANCEZHONGDEGUANJIANHUANJIEJIQIZHONGKENENGYINGXIANGHESUANJIANCEJIEGUOJISHIXING、ZHUNQUEXINGDEYINSUJINXINGPINGSHU。

                            1、新冠病毒核酸检测方法

                            ZAIYIQINGCHUQI,ZUIXIANJIANCHUXINDEBINGYUANTIDEFANGFASHIXIAYIDAICEXUJISHU/GAOTONGLIANGCEXUJISHU(NGS)JISHU,BINGHENKUAIQUEDINGLEXINGUANBINGDUDEHESUANXULIE。SUIZHEYIQINGFAZHAN,GUONEIXUNSUYANFACHUDUOZHONGYINGYONGYUXINGUANBINGDUHESUANJIANCEDESHIJIHE,JUEDADUOSHUDOUJIYUSHISHIYINGGUANGDINGLIANGPCR(RT-PCR)JISHU。CIWAIYEYOUFEICHANGDUODEKUAISUJIYINJIANCEJISHUTUICHU,RUXIANCHANGKUAISUJIANYAN(POCT)JISHU、KASHIYINGGUANGPCRJISHUDENG,ZHENGGEJIANCELIUCHENGSUODUANHENZHANGSHIJIAN,YOUBAODAOCHENGZUIKUAIKEYIJIEYUE3~4 h.HECHUANTONGDERT-PCRJISHUXIANGBI,YITIHUAXIANCHANGKUAISUJIANCEQUESHIBIANXIE、CAOZUOJIANDAN,DANSHIRUGUOGUOYUQIANGDIAOQI“KUAISU”DETEXING,QILINGMINDUKENENGSHOUYINGXIANG,ERXIANSHIDEWENTISHICHUANTONGPCRJISHUDOUSHOUDAO“JIAYINXING”JIEGUODETIAOZHAN,ZAIXIANYOUTIAOJIANXIA,SHIJIANDESUODUANKENENGHUIJINYIBUDAILAIYIDINGCHENGDUDELINGMINDUJIANGDI。CONGJISHUJIAODUKAN,ZAILINGMINDUHETEYIDUDEPINGHENGSHANG,XIANGJIAOYIXIEKUAISUJIANCEFANGFA,MUQIANPINGHENGXINGZUIHAODESHIRT-PCRJIANCEJISHU。CONGGUOWANGDEZHONGDAYIQINGLAIKAN,WULUNSHIXIFEIAIBOLABINGDU、JIALIUHAISHIMERS,RT-PCRRENGSHIGEGEBUMENZHUTUIDEJIANCESHOUDUAN,MUQIANGUOJIAYIPIZHUNSHANGSHIDESHIJIHEYEJUNYIRT-PCRJISHUWEIZHU。

                            MUQIANXINGUANBINGDUHESUANJIANCEZHENDUIDEWEIDIANZHUYAOBAOHANBINGDUJIYINZUZHONG3DUANBAOSHOUJIYINXULIE,JIYIKAIFANGDUMAKUANG1ab(ORF1ab)、 HE QIAO DAN BAI (N)JIYINYIJIBAOMODANBAI(E)JIYINZUOWEIJIANCEBABIAO,YEYOUSHAOSHUSHANGPINSHIJIHETONGSHIJIANCECITUTANGDANBAI(S)JIYIN。GENJUGUOJIAWEISHENGJIANKANGWEIYUANHUIFABUDEXINXINGGUANZHUANGBINGDUGANRANDEFEIYANSHIYANSHIJIANCEJISHUZHINAN(DIWUBAN),ZAISHIYANSHIYAOQUERENYIGEBINGLIWEIYANGXING,XUMANZUTONGYIFENBIAOBENZHONGXINGUANBINGDUDEORF1abJINJIYIN 2GEBABIAOTEYIXINGRT-PCRJIANCEJIEGUOJUNWEIYANGXING,HUODANBABIAOYANGXINGHUANZHEZHONGXINCAIYANG/LINGYILEIXINGYANGBENJIANCERENGWEIDANBABIAOYANGXING[4],GUSHIYANSHIZHENDUIXINGUANBINGDUDEHESUANJIANCEYINGZHISHAOBAOHANZUIWEIBAOSHOUJITEYIDEORF1abQUYUYIJINJIYIN。

                          核酸检测

                          配图 核酸检测

                            2、新冠病毒核酸检测样本类型及病毒核酸检出情况

                            2.1 不同样本类型中新冠病毒的核酸检测

                            ZAIZUIXINBANZHENLIAOFANGANZHONG,QIQUEZHENSUOTIDAODEHESUANJIANCEYANGBENLEIXINGBUJINBAOHANHUXIDAOYANGBENJIXUEYEYANGBEN,TONGSHIZAISHIYANSHIJIANCHAZHONGZENGJIA“FENBIANYANGBENZHONGKEJIANCEXINXINGGUANZHUANGBINGDUHESUAN”[3].XINBANSHIYANSHIJIANCEJISHUZHINANZHONG,YOUJIANGYANGBENLEIXINGXIFEN,HUXIDAOYANGBENBAOHANBIYANSHIZI、YANSHIZI、BIYANCHOUQUWUHUOHUXIDAOCHOUQUWU、SHENKETANYE、ZHIQIGUANGUANXIYE、FEIPAOGUANXIYE,XIAOHUADAOYANGBENBAOHANFENBIANJIGANGSHIZI,XUEYEYANGBENBAOHANQUANXUEJIXUEQINGBIAOBEN,BINGFENBIEYOUXIANGYINGDECAIJIJIBAOCUNYAOQIU[4].YOUYUXINGUANBINGDUZAOCHENGDEFEIYANWEIXIAHUXIDAOGANRAN,DUIYUYIYOUZHENGZHUANGJIFEIBUCTGAIBIANDEHUANZHELAISHUO,XIAHUXIDAOYANGBEN(RUSHENKETANYE、GUANXIYEDENG)WEIHESUANJIANCESHOUXUAN,ERZAIXINGUANFEIYANBUTONGDEBINGCHENGZHONGQUSHANGHUXIDAOYANGBEN(RUBIYANSHIZI)YENENGJIANCHUBINGDUHESUAN。LINCHUANGSHANGYOUYUDUOSHUHUANZHEKETANKUNNAN,QUXIAHUXIDAOGUANXIYEYANGBENCAOZUODESHENGWUANQUANFENGXIANJIDA,GUHUXIDAOYANGBENYIBIYANSHIZIJIYANSHIZIWEIZHU,ERSHIZIYANGBENCAIYONGMUQIANDERT-PCRSHIJIHE,JUGUJIZHIYOU30%~50%DEYANGXINGJIANCHULV,DALIANGDEJIAYINXINGJIEGUOWUFABIMIAN,BIXUJINXINGDUOCIQUYANGJIANCEHUOJIEHEQITALEIXINGYANGBENJIANCHAJIEGUOJINXINGQUEZHEN。BIZHESUOZAIYANJIUTUANDUIDUILINCHUANGSHANGDEXINGUANBINGDUYISIBINGLIFENBIECAIJIBUTONGLEIXINGHUXIDAOYANGBENJINXINGHESUANJIANCE,JIEGUOCHUBUTISHIZAIXINGUANBINGDUGANRANZHEZHONG,QUYANSHIZIYANGBENJISHENBUTANYANGBENDEBINGDUHESUANJIANCHULVZHIJIANYOUMINGXIANCHAYI,YANSHIZIYANGBENZHONGXINGUANBINGDUYANGXINGJIANCHULVDIYUSHENBUKETAN。

                          星云棋牌官网下载   SUIZHEDUIXINGUANBINGDUHESUANJIANCEDEKEJIGONGGUAN,MUQIANYIYOUJIAODUOBAODAOTICHUZAIHUANZHEDEFENBIANYANGBENZHONGKEJIANCHUBINGDUHESUAN,FENBIANYANGBENJIANGCHENGWEILINCHUANGHUANZHESHAICHADEZHONGYAOYANGBENLEIXING[5,6].MUQIANBIZHESUOZAIYANJIUTUANDUIDUIHUXIDAOYANGBENHESUANJIANCEQUEZHENDEHUANZHEJINXINGZHILIAOGUOCHENGZHONGJICHUYUANQIANDEFENBIANYANGBENJINXINGHESUANJIANCE,JIEGUOXIANSHIFENBIANYANGBENSHIHUANZHEZHENLIAOGUOCHENGZHONGYIZHONGFEICHANGHAODEYANGBENLEIXING,QIHESUANJIANCHUDECHIXUSHIJIANPUBIANJIAOHUXIDAOYANGBENGENGZHANG,TONGSHIFENBIANZHONGXINGUANBINGDUHESUANYANGXINGYUHUANZHEDEJIBINGJINCHENGFAZHANJUYOUZHONGYAODEXIANGGUANXING,KENENGZUOWEIYIZHONGZHILIAOLIAOXIAOPINGGUHECHUYUANBIAOZHUNDEZHONGYAOJIANCEZHIBIAO。

                            2.2不同呼吸道样本取样材料对新冠病毒核酸检测结果的影响

                            MUQIANXIANGGUANDEZHENLIAOFANGANJISHIYANSHIJIANCEZHINANBINGWEITIJIYONGYUCAIJIBIYANSHIZIJIYANSHIZIDESHIZIZHONGLEI,DANDUIYUHUXIDAOYANGBENDEBINGDUHESUANJIANCELAISHUO,BUTONGDESHIZIJIBAOCUNGUANHENDAKENENGJIANGYINGXIANGHESUANJIANCEJIEGUO,DANXIANGGUANYINGXIANGYINSUSHANGWEIJIANBAODAO。BIZHESUOZAIYANJIUTUANDUICHUBUZAIQUEZHENHUANZHEZHONGDUIBILEDAIBINGDUBAOCUNYEDEZHIRONGSHIZIYANGBENJIWUBINGDUBAOCUNYEDEPUTONGMIANQIANSHIZIYANGBENDEXINGUANBINGDUHESUANJIANCEJIEGUO,FAXIANPUTONGMIANQIANSHIZIDEHESUANJIANCHULVMINGXIANDIYUDAIBINGDUBAOCUNYEDEZHIRONGSHIZI(P<0.05),PUTONGMIANQIANSHIZIJIBIANJIANCHU,QIYANGXINGCTZHIYEMINGXIANDAYUZHIRONGSHIZI。

                            3、新冠病毒核酸检测样本核酸提取方法及病毒核酸检出情况

                            XINBANXINGUANBINGDUSHIYANSHIJIANCEJISHUZHINANDENGWENJIANZHONG,BINGWEIMINGQUETIJIHUOTUIJIANXINGUANBINGDUYANGBENDEHESUANTIQUFANGFA,DANYOUYUMUQIANLINCHUANGCHANGJIANBIYANSHIZIYANGBENCUNZAIHESUANJIANCHULVJIAODIDEWENTI,DUITIQUFANGFAJITIQULIUCHENGJINXINGYOUSHIYANSHUJUYIJUDEXUANZEJIYOUHUASHIYOUBIYAODE,TIQULIUCHENGDEYOUHUAKEYOUGESHIYANSHIGENJUZISHENQINGKUANGJIBIDUISHIYANJIEGUOLAIJINXING。

                            XINGUANBINGDUHESUANJIANCESUOCAIYONGDERT-PCRSHILINCHUANGFENZIJIANCEZHONGCHANGYONGDEJIANCEFANGFA,ZAIYIWANGCAIYONGRT-PCRDUIBINGDUHESUANJINXINGDEJIANCEZHONG,CIZHUFASHIJIAOWEICHANGYONGDEHESUANTIQUFANGFA,PUBIANRENWEIQIDUIBINGYUANTIDEHESUANTIQUJUYOUJIANBIAN、GAOXIAO、TIQUNONGDUJICHUNDUJIAOGAODENGYOUSHI[7,8].CIWAIYINGESHIYANSHITIAOJIANBUTONGJIGEJIANCESHIJIHEYAOQIU,LIXINZHUFA、ZHUFEILIEJIEFA、YIBULIEJIESHIFANGFADENGYEZAILINCHUANGDALIANGYINGYONG。BUTONGDEBINGDUHESUANTIQUFANGFAYINQITIQUCHANWUNONGDU、CHUNDUDECHABIEJIDUIRNADEBAOHUCHENGDUBUTONG,JIANGZAIYIDINGCHENGDUSHANGYINGXIANGBINGDUHESUANYOUQISHILINJIEYANGXINGYANGBENDEHESUANJIANCHU。BIZHESUOZAIYANJIUTUANDUICHUBUDUI58LIYIQUEZHENHUANZHEYUANSHIYANGBEN(JUNWEIDAIBINGDUBAOCUNYEDEYANSHIZIYANGBEN)TONGSHICAIYONGBUTONGTIQUFANGFAHOUDEHESUANJIANCEJIEGUOXIANSHI,FENBIECAIYONGLIXINZHUFAJICIZHUFATIQUHOU,PCRJIANCEDECTZHIWUXIANZHECHAYI(P>0.05)。

                            4、新冠病毒核酸检测实验室生物安全要求

                            4.1实验室及检验人员生物安全

                            ZIXINGUANFEIYANYIQINGBAOFAYILAI,GEYIYUANJIANYANKEMIANDUIXINGUANBINGDUJIANCELIANGZENGJIA、QUEZHEN/YISIBINGLIHEPUTONGHUANZHEDEBIAOBENBUYIQUFEN、SHIYANSHIKONGJIANXIANZHI、SHENGWUANQUANFANGHUWUZIBUZUDENGGELEIWENTI,LINCHUANGSHIYANSHITEBIESHIJINXINGXINGUANBINGDUHESUANJIANYANDEKESHIDESHENGWUANQUANFANGHUCUOSHIYOUWEIGUANJIAN。MUQIANGUOJIAWEISHENGJIANKANGWEIYUANHUIDUIXINGUANBINGDUZANANZHAOBINGYUANWEISHENGWUWEIHAICHENGDUFENLEIZHONGDIERLEIBINGYUANWEISHENGWUJINXINGGUANLI,GENJUZUIXINBANDEXINGUANBINGDUSHIYANSHIJIANCEZHINANJISHIYANSHISHENGWUANQUANZHINAN,RUWUFADUIYUANSHIYANGBENJINXINGKEKAODEMIEHUO,ZEDUIQIJINXINGDEHESUANJIANCEYINGDANGZAISHENGWUANQUANERJISHIYANSHIJINXING,TONGSHICAIYONGSHENGWUANQUANSANJISHIYANSHIDEGERENFANGHU(JIANYIZHISHAOCHUANDAIGONGZUOFU、YICIXINGGONGZUOMAO、SHUANGCENGSHOUTAO、YIYONGYICIXINGFANGHUFU、YIYONGFANGHUKOUZHAOHUODONGLISONGFENGGUOLVSHIHUXIQI、FANGHUMIANPINGHUOHUMUJING、GONGZUOXIEHUOJIAOXUE、FANGSHUIXUETAO),GESHIYANSHIHAIKEGENJUZISHENQINGKUANGZENGJIAJINYIBUDEFANGHU[9];TONGSHIBIAOZHUNYUFANG、BUDINGQITONGFENGHESHOUWEISHENGDENGZHONGYAODEFANGHUCUOSHIBIBUKESHAO。

                            ZAIWUZIKUIFAJISHIYANSHITIAOJIANBUZUDENGXIANZHIXIA,SHIYANSHIKEGENJUWUZIDUANQUEDEQINGKUANG,DUIJIANYANBIAOBENJIJIANYANGANGWEIDENGQIDONGFENJIFENCENGDESHENGWUANQUANFANGHUYUAN,GENJUNIDINGDEBUTONGFANGHUJIBIE,ZUIDACHENGDUMANZUSHENGWUANQUANFANGHUYAOQIU。RUZHENDUIBUTONGDEJIANYANGANGWEI,JIANYIZHISHAOYINGBAOZHENGDUIQUEZHENHUANZHE、YISIHUANZHEBIAOBENJINXINGHUXIDAOBIAOBENBINGDUHESUANTIQUHEKANGYUANJIANCEDEXIANGGUANRENYUANDEHEXINFANGHU,JISANJISHENGWUANQUANFANGHU、ERJISHENGWUANQUANJU,YOUTIAOJIANSHIYINGPEIDAIZHENGYAFANGHUTOUTAOJIZAIFUYASHIYANSHIZHONGCAOZUO,QITASHIYANSHIJIANCERENYUANZHUOQINGCAIQUZHONGDIANFANGHUHUOBIAOZHUNFANGHU[10].TONGSHIYINGJIAQIANGSUOYOUSHIYANSHIRENYUANDEANQUANYISHI,ZAIRICHANGJINXINGXINGUANBINGDUHESUANJIANCEDESHIYANSHINEI,SUOYOUSHIYANRENYUANJUNYINGYANGEZUNXUNXINGUANBINGDUSHIYANSHISHENGWUANQUANZHINANZHONGDEXIANGYINGYAOQIU,JIESHUHESUANJIANCEGONGZUOHOU,DUIJINXINGXINGUANBINGDUHESUANJIANCECAOZUODEANQUANJU、TAIMIANJISHIYANSHIHUANJINGJISHIJINXINGYOUXIAODEXIAODU;TONGSHIYINGYANGEANZHAOXIANGGUANWENJIANYAOQIUJINXINGFANGHUZHUANGBEIDETUOXIE,ZHUYIJINLIANGSHAODICHUPENGDAOWURANMIAN,QIETUOXIEDEMEIYIBUHOUJUNYINGYOUSHOUXIAODU,FANGHUFU、YIYONGMAOJIYIYONGKOUZHAODENGYICIXINGWUPINJINLIANGBUZHONGFUSHIYONG,ZAIQUANBUTUOXIEWANCHENGHOU,ZAIJINXINGXIANGYINGDESHOUWEISHENGJIXIAODU。DUIYUYANGEFENQUDESHIYANSHI,ZAIXIANGYINGQUYUWANCHENGFANGHUZHUANGBEITUOXIEJISHOUWEISHENGJIKEJINRUQINGJIEQU,WEIYANGEFENQUDESHIYANSHIZHONGJIANYANRENYUANZAIWANCHENGFANGHUZHUANGBEITUOXIEJISHOUWEISHENGHOU,HAIKEZENGJIAQITAYOUXIAODEXIAODUCUOSHI[11].

                            4.2原始样本的灭活及对核酸检测的影响

                            XINGUANBINGDUSHIYANSHIJIANCEZHINANZHONGWEIDUIYUANSHIYANGBENDEYOUXIAOMIEHUOTIAOJIANJINXINGGUIDINGHUOJIANYI,ZAIMUQIANZUIXINDEXINGUANBINGDUHESUANJIANCEZHUANJIAGONGSHIZHONG,JIANYICAIYONG56 ℃SHUIYU45 min,BINGKEGENJUTIQUSHIJIZAIBIAOBENLIEJIESHISUOCAIYONGDEWENDUDIAOZHENGMIEHUOWENDU,DANBUDIYU56 ℃,CITIAOJIANSHIYIJUYIWANGDUIMERSDENGBINGDUMIEHUOTIAOJIANDEYANJIU。TONGSHIZHUANJIAGONGSHIYEJIANYIGESHIYANSHIDUIYUANSHIYANGBENDEMIEHUOTIAOJIANYOUYUSHIYANJIEGUODEZHICHI[12].YOUYUMUQIANCHANGJIANYANGBENLEIXINGDEXINGUANBINGDUHESUANYANGXINGJIANCHULVRENGBUGAO,GURENHEKENENGJIANGDIBINGDUHESUANTIQUXIAOGUOJIJIANCHULVDEYINSU,RUYANGBENMIEHUOTIAOJIANJIMIEHUOSHIJIANDENGJUNYINGYINQIZHONGSHI。CIQIAN,HUAZHONGKEJIDAXUEFUSHUTONGJIYIYUANJIANYANKEDEZHUANJIAXUEZHEDUIPCRJIANCEBINGDUHESUAN(YIYIXINGLIUGANBINGDUWEILI)JINXINGLEXIANGYINGDEXIAOYANGBENLIANGBIDUI,JIEGUOFAXIANWEIMIEHUOCHULI、56,℃SHUIYU30,minJI50,℃GANYU1 hDETONGYIYANGBENQIPCRJIANCEYANGXINGJIEGUODEKUOZENGQUXIANCTZHIWUMINGXIANBIANHUA,KEZUOWEIXINGUANBINGDUYANGBENMIEHUODECANKAO。GENJUBIZHESUOZAIYANJIUTUANDUIDUI20LIXINGUANBINGDUGANRANZHEDETONGYIYANGXINGYANGBENFENBIEJINXING56 ℃GANYU30 minJI65 ℃GANYU30 minHOU,QIPCRJIANCEDEYANGXINGCTZHIWUMINGXIANCHAYI(P>0.05),GAIYANJIUJIEGUOSHANGWEIFABIAO。

                            5、新冠病毒核酸检测结果判读

                            GENJUMUQIANZUIXINBANXINGUANBINGDUZHENLIAOZHINAN、FANGKONGFANGANJISHIYANSHIJIANCEZHUANJIAGONGSHI,DUIXINGUANBINGDUDEHESUANJIANCEJUNYINGZHISHAOJIANCEORF1abJINJIYIN(HUOEJIYIN),JIANCEDETONGDAOTONGSHIYANGXINGSHIKEPANDINGWEIYANGXING,BINGJUNTIDAOYINXINGJIEGUOBUNENGPAICHUXINGUANBINGDUGANRAN,YINGKAOLVGEHUANJIEZHONGDAOZHIJIAYINXINGDEYUANYIN。TONGSHIZAIDIWUBANSHIYANSHIJIANCEJISHUZHINANZHONG,DUIYUDANTONGDAOYANGXINGJIEGUO,BUJINYAOQIUZHONGXINCAIYANGJIJIANCE,DUIJIEGUOPANDINGYEZENGJIALEXINDEYAOQIU,JIZHONGXINJIANCEJIEGUORENGWEIDANTONGDAOYANGXINGSHI,PANDINGHESUANJIANCEJIEGUOWEIYANGXING;TONGSHIZENGJIALE2ZHONGLEIXINGYANGBENJUNJIANCEDEDAODANBABIAOYANGXINGJIEGUOSHI,YINGPANDINGHESUANJIANCEJIEGUOWEIYANGXING[4].

                            DUIYULINCHUANGXINGUANBINGDUHESUANJIANCEZHONGJINGCHANGCHUXIANDEDANBABIAOYANGXINGJIEGUO,KEYOURUXIAJIDIANKAOLV。SHOUXIAN,BUTONGCHANGJIASHUANGWEIDIANRT-PCRSHIJIHEDUIYUXINGUANBINGDUNDANBAIJIYINDEKUOZENGLINGMINDUKENENGGAOYUORF1abJIANCE,JIANGKENENGDAOZHIBUFENBINGDUHANLIANGJIAODIDEYANGBENJIANCEJIEGUOWEIDANTONGDAOYANGXING。CIWAI,ZHUANYANSARSBINGDUDEZHUANJIAXUEZHERENWEI,LILUNSHANGJIANGXINGUANBINGDUDEmRNAZHUANLUMOSHIYUSARSLEISI,ZAIXIBAOZHONGXINGUANBINGDUDEmRNASHUBEIYUBINGDUDEJIYINZURNA,QIEJIANGZHUANLUCHUBUTONGZHANGDUDEmRNA,ZHEIXIEmRNADOUDAIYOUNJIYIN,ERZHIYOUSHAOSHUDAIYOUORFab1;MUQIANDESHIJIHESHIJIJIANCEDUOWEIXIBAONEIDEBINGDUmRNA,YINHUANZHEYANGBENZHONGNJIYINmRNADEKAOBEISHUYUANGAOYUORFab1JIYIN,GUZAIXINGUANBINGDUKAOBEISHUJIAODIDEQINGKUANGXIA,NJIYINJIANCEDANTONGDAOYANGXINGDEBILIJIAOGAO。ZAICI,NJIYINZAIXINGUANBINGDUDEHESUANXULIEZHONGBAOSHOUCHENGDUBUJIORF1ab,GUHAIKENENGCUNZAISHAOSHUYANGBENYOUYUQITAGUANZHUANGBINGDUDENGDEHESUANXULIEYUQIYOUJIAOCHA,DAOZHINJIYINKUOZENGYANGXINGERORF1abYINXING。

                            6、结论

                            ZONGSHANGSUOSHU,MUQIANXINGUANBINGDUSUOZHIJIBINGQIBINGLIGUOCHENGJILINCHUANGBINGCHENGHAIWEIWANQUANCHANMING,SHIYANSHIJIANCELUJINGWEIBIAOZHUNHUA,JIASHANGQIHESUANJIANCESHIJIHEYANFASHIJIANJINPO,MEIYOUZUGOUDEPINGGUJIDAYANGBENDELINCHUANGYANZHENG,JIANCEXIAOGUOLIANGYOUBUQI,GUDUIYULINCHUANGSHANGXINGUANBINGDUHESUANJIANCEJIEGUOWEIYINXINGHUODANTONGDAOYANGXINGDEYANGBENJUNXUYAOJINSHENDUIDAI,KAOLVDAOGEHUANJIEZHONGKENENGZAOCHENGJIEGUOBUZHUNQUEDEYINGXIANGYINSU。GELINCHUANGSHIYANSHIYINGZAIXIANYOUYANJIUBAODAOJIWENJIANHEZHINANDEJICHUSHANG,GENJUZISHENTIAOJIANDUIXINGUANBINGDUHESUANJIANCEQUANGUOCHENGJINXINGYANGEDEZHILIANGKONGZHIJIHELIDEYOUHUA。TONGSHI,MUQIANSHIYANSHIYIKAISHIJIANCEXINGUANBINGDUIgMJIIgGKANGTI,GENGLINGMINDEHESUANJIANCEFANGFARUSHUZIPCRYEKAISHIYINGYONGYUXINGUANBINGDUDEHESUANJIANCE,BUFENYANJIUTUANDUIZHELIYUTANSUOGENGJIAGAOXIAODEXINGUANBINGDUSHIYANSHIZHENDUANMOXING,YOUWANGZAIXINGUANBINGDUDESHIYANSHIJIANCEFANGMIANDADAJIANGDIJIAYINXINGLV,BINGWEIGENGHAOGENGKUAIDIQUEZHENXINGUANBINGDUGANRANZHETIGONGSHISHIYIJU。

                            CANKAOWENXIAN

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                            [5] 李萍,赵四林,陈煜枫,等。2例新型冠状病毒肺炎粪便SARS-CoV-2核酸阳性临床启示[J/OL].国际检验医学杂志:1-7[2019-02-13]. http://211.85.197.33:80/rwt/02/http/NNYHGLUDN3WXTLUPMW4A/kcms/detail/50.1176.R.20200213.1516.002.html.
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                            文献来源:钟慧钰,赵珍珍,宋兴勃,陆小军,王旻晋,周易,宋佳佳,刘堂喻亨,巫丽娟,周汶静,叶远馨,斯艳君,周燕虹,陶昕彤,王念,应斌武.新型冠状病毒核酸临床检测要点及经验[J/OL].国际检验医学杂志:1-8[2019-02-28].

                          新冠病论文(研究文献8篇)
                          第一篇:新型冠状病毒肺炎临床CT图像特点 第二篇:新冠病毒核酸检测方法与各环节要点
                          第三篇:新冠病毒感染发热门诊管理方案探析 第四篇:新冠肺炎患者实施呼吸康复的若干问题
                          第五篇:应对新冠病毒感染疫情初期的措施及效果 第六篇:新冠肺炎患者重症患者的识别与救治措施
                          第七篇:β属新型冠病中洛匹那韦/利托那韦的运用 第八篇:瑞德西韦抗冠状病毒的实验室与临床研究
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