ID 原文 译文
967 五. COVID-19诊断与临床分型 V. Diagnosis and Clinical Classification of COVID-19
968 临床上应做到早诊断、早治疗、早隔离。 Early diagnosis, treatment and isolation should be carried out whenever possible.
969 动态观察肺部影像、氧合指数、细胞因子水平，早期发现有重症、危重症倾向的患者。 Dynamic monitoring of lung imaging, oxygenation index and cytokine levels are helpful for early identification of patients who may develop into severe and critical cases.
970 SARS-CoV-2核酸阳性是COVID-19确诊的金标准，但核酸检测存在假阴性现象，因此对于肺部CT高度疑似COVID-19者，即使核酸检测阴性，可先按临床诊断病例处理，进行隔离治疗并连续进行标本联合送检。 A positive result of the nucleic acid of SARS-CoV-2 is the gold standard for the diagnosis of COVID-19. However, considering the possibility of false negatives in nucleic acid detection, suspected cases characteristic manifestations in CT scans can be treated as confirmed cases even if the nucleic acid test is negative. Isolation and continuous tests of multiple specimens should be carried out in such cases.
971 COVID-19诊断标准遵循我国新冠病毒肺炎诊疗方案，综合流行病学史（包括聚集性发病）、临床症状（发热和呼吸道症状）、肺部影像、SARS-CoV-2核酸检测、血清特异性抗体等因素来明确诊断。 The diagnostic criteria follow Protocol s for the Diagnosis and Treatment of COVID-2019. A confirmed case is based on epidemiological history (including cluster transmission), clinical manifestations (fever and Respiratory symptoms), lung imaging, and result s of SARS-CoV-2 nucleic acid detection and serum-specific antibodies.
972 临床上分为： Clinical Classifications:
973 轻型，临床症状轻微，影像学未见肺炎表现; Mild Cases The clinical symptoms are mild and no pneumonia manifestations can be found in imaging.
974 普通型，具有发热、呼吸道等症状，影像学可见肺炎表现; Moderate Cases Patients have symptoms such as fever and Respiratory tract symptoms, etc. and pneumonia manifestations can be seen in imaging.
975 重型，成人符合下述任何一条者：呼吸频率≥30次/min；或静息状态下指氧饱和度≤ Severe Cases Adult s who meet any of the following criteria: Respiratory rate ≥ 30 breaths/min;
976 93%；或者动脉血氧分压（PaO2）/吸氧浓度（FiO2）≤300mmHg；肺部影像学显示24-48小时内病灶明显进展＞50%者按重型管理; oxygen saturation ≤ 93% at a rest state; arterial partial pressure of oxygen (PaO2)/oxygen concentration (FiO2) ≤ 300 mmHg. Patients with > 50% lesions progression within 24 to 48 hours in lung imaging should be treated as severe cases.