腹泻是COVID-19的症状吗?新的研究表明，消化问题可能是冠状病毒的常见问题
呼吸道症状仍然是最主要的症状，但现在不要忽视腹泻的病例。
你可能听说过COVID-19的最常见症状到现在为止:干咳、发热、呼吸急促（气促）．但现在，研究人员警告说，另一种不太常见的症状可能比医生曾经认为的更突出:腹泻。
一项新的研究发表在周三美国胃肠病学杂志该研究称，腹泻、呕吐和腹痛等消化问题在COVID-19患者中可能比之前认为的更常见，在该研究中确诊的患者中，有多达一半的人抱怨这些问题。同样重要的是:与没有胃肠道疾病的研究患者相比，那些有胃肠道疾病的患者有更高的死亡风险。
该研究是由武汉COVID-19医疗专家组的研究人员在中国进行的一项横断面多中心研究，调查了204例早期病例新型冠状病毒在中国武汉的三家医院患者平均年龄54.9岁，其中男性107例，女性97例。
该研究的作者指出，虽然呼吸问题仍然是新型冠状病毒最常见的症状，但许多患者(204名患者中有99名，即48.5%)的主要主诉是消化系统症状，这些症状通常会随着时间的推移而恶化。有些患者根本没有呼吸道症状。作者写道:“临床医生必须牢记，消化症状，如腹泻，可能是COVID-19的一个表现特征，在这些病例中，可能需要更早地提高怀疑指数，而不是等待呼吸道症状出现。”
那些有消化症状的患者——包括厌食症或食欲不振(83.8%)、腹泻(29.3%)、呕吐(0.8%)和腹痛(0.4%)——“与没有消化症状的患者相比，临床结果更糟，死亡率更高，”Brennan M.R. Spiegel，医学博士，MSHS, FACG，联合主编美国胃肠病学杂志在一份新闻稿中解释道。由于无消化症状的患者比有消化症状的患者更容易治愈出院(无消化症状的患者出院率为60%，有消化症状的患者出院率仅为34.3%)，斯皮格尔博士强调，“在疾病发展到呼吸道症状之前的早期阶段，将腹泻等症状纳入怀疑COVID-19的重要性。”他说，这本身可能导致更早诊断COVID-19，“这可能导致更早治疗和更迅速的隔离，以最大限度地减少传播。”
还应该注意的是，有消化系统症状的人需要更长的时间就医。无消化道症状者从出现症状到住院平均时间为7.3天，有消化道症状者从出现症状到住院平均时间为9天。研究人员认为，这可能表明那些有消化系统症状的人后来寻求治疗，因为他们还没有怀疑自己感染了病毒，因为他们没有出现最常被讨论的呼吸道症状，如咳嗽或呼吸急促。
马里兰州Niket Sonpal他没有参与这项研究，他向记者解释道健康这是一个“重大”的发现，因为“在中国、伊朗和后来的意大利爆发疫情的早期阶段，我们主要看到的是下呼吸道症状——干咳、疲劳，伴有发烧。”他解释说，在一些病例中出现了腹泻，“但在报告的病例中，不像我们看到的干咳和发烧那样大量出现。”这里的意义”更多的与测试和住院,来自中国的报道,许多病人,首先,有消化系统症状是等待更长的时间,直到他们有呼吸道问题之前可以检测或接受医疗照顾,“Sonpal博士说。根据这项研究，这些人也应该优先考虑。
You might have wild dreams when you're ill—fever can do that. But bizarre or emotionally intense fever dreams are not recognized as a symptom of COVID-19.
" }, { "answer_choices": [ { "answer_title": "Wear a mask", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 6803, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "Wash your hands", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 42231, "lastModified": "2021-07-26T03:50:07.000Z" } }, { "answer_title": "Maintain social distance from others", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 6252, "lastModified": "2021-07-26T13:46:06.000Z" } }, { "answer_title": "Wipe down groceries packaged in cardboard or plastic wrap with bleach", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 52487, "lastModified": "2021-07-26T14:45:46.000Z" } } ], "answer_type": "text", "question_title": "To slow the spread of COVID-19, don't do this:", "question_id": "Q3", "answer_description": "CDC specifically warns against using disinfecting products on food or food packaging. You don't want to accidentally taint your food. Plus, the risk of COVID-19 from handling or consuming food is thought to be low. Use disinfectants like bleach to wipe down tables, countertops, and faucets
" }, { "answer_choices": [ { "answer_title": "A multi-layer medical procedure mask (aka a surgical mask or disposable face mask)", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8606, "lastModified": "2021-07-26T12:46:56.000Z" } }, { "answer_title": "A mask with a vent or valve", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 77495, "lastModified": "2021-07-26T14:45:46.000Z" } }, { "answer_title": "A cloth mask made of two or more breathable, washable layers", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 16770, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "A cloth mask over a surgical mask", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 4901, "lastModified": "2021-07-26T14:21:56.000Z" } } ], "answer_type": "text", "question_title": "Which masking option is least effective for stopping the spread of COVID-19?", "question_id": "Q4", "answer_description": "If your mask has a vent or valve, respiratory particles may escape and reach other people. Opt instead for a well-fitting mask with multiple layers, or wear a cloth mask over a disposable mask to secure the underlying mask to your face.
" }, { "answer_choices": [ { "answer_title": "Anal swab testing", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 91738, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "Nasal swab testing", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 11119, "lastModified": "2021-07-26T14:29:36.000Z" } }, { "answer_title": "Saliva testing", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 2939, "lastModified": "2021-07-26T03:09:07.000Z" } }, { "answer_title": "Throat swab testing", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 1976, "lastModified": "2021-07-26T03:11:32.000Z" } } ], "answer_type": "text", "question_title": "Which COVID-19 screening method is not routinely in use in the US?", "question_id": "Q5", "answer_description": "Most diagnostic tests rely on mucus collected from your nose or throat, and some use saliva that you spit into a test tube. While China is using anal swab testing, that method hasn't caught on in the US.
" }, { "answer_choices": [ { "answer_title": "2 to 12 hours", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 4805, "lastModified": "2021-07-26T14:45:46.000Z" } }, { "answer_title": "3 days", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 22869, "lastModified": "2021-07-26T13:45:53.000Z" } }, { "answer_title": "14 days", "correct_answer": true, "answer_id": "A3", "answer_value": 1, "$vf_selected_count": { "value": 79319, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "30 days", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 780, "lastModified": "2021-07-26T04:06:40.000Z" } } ], "answer_type": "text", "question_title": "How long is the incubation period—the amount time from when you are infected with the novel coronavirus to when you exhibit symptoms?", "question_id": "Q6", "answer_description": "The incubation is thought to be 14 days, with a median of 4 to 5 days. (But keep in mind that some people never develop symptoms).
" }, { "answer_choices": [ { "answer_title": "A variant", "correct_answer": true, "answer_id": "A1", "answer_value": 1, "$vf_selected_count": { "value": 69694, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "A high viral load", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 9409, "lastModified": "2021-07-26T08:04:47.000Z" } }, { "answer_title": "A vaccine", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 11288, "lastModified": "2021-07-26T01:53:57.000Z" } }, { "answer_title": "Another virus, like influenza", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 17382, "lastModified": "2021-07-26T03:50:07.000Z" } } ], "answer_type": "text", "question_title": "A mutated version of the virus that causes COVID-19 is called:", "question_id": "Q7", "answer_description": "Variants of the virus that causes COVID-19 have been identified in the US and around the world. Scientists are studying these variants to learn how they spread and whether current vaccines will protect against them.
" }, { "answer_choices": [ { "answer_title": "Researchers have coined the term \"coronaphobia\" to describe the fear of contracting COVID-19", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 8308, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "The virus that causes COVID-19 can sometimes spread through tiny airborne particles", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 14242, "lastModified": "2021-07-26T09:50:09.000Z" } }, { "answer_title": "The term \"long-haulers\" refers to people who experience long-term coronavirus symptoms", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 5661, "lastModified": "2021-07-26T01:01:10.000Z" } }, { "answer_title": "COVID-19 is just like having the seasonal flu", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 79563, "lastModified": "2021-07-26T14:45:46.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements is false?", "question_id": "Q8", "answer_description": "Early on, some people speculated that the novel coronavirus would behave like the seasonal flu. Now we know COVID-19 is much more contagious and spreads more rapidly than influenza.
" }, { "answer_choices": [ { "answer_title": "Women who want to become pregnant some day", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 10797, "lastModified": "2021-07-26T09:50:09.000Z" } }, { "answer_title": "Anyone who has had a severe allergic reaction (anaphylaxis) to any vaccine ingredient", "correct_answer": true, "answer_id": "A2", "answer_value": 1, "$vf_selected_count": { "value": 56408, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "People who have recovered from COVID-19", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 9580, "lastModified": "2021-07-26T01:53:57.000Z" } }, { "answer_title": "People with underlying medical conditions", "correct_answer": false, "answer_id": "A4", "answer_value": 0, "$vf_selected_count": { "value": 30988, "lastModified": "2021-07-26T14:21:56.000Z" } } ], "answer_type": "text", "question_title": "Who should not get a COVID-19 vaccine?", "question_id": "Q9", "answer_description": "CDC does not recommend COVID vaccination if you've had a severe allergic reaction to any COVID vaccine ingredient. Contact your doctor if you have questions about whether it's safe for you to be vaccinated.
" }, { "answer_choices": [ { "answer_title": "You can't get COVID-19 from a COVID-19 shot", "correct_answer": false, "answer_id": "A1", "answer_value": 0, "$vf_selected_count": { "value": 16261, "lastModified": "2021-07-26T14:53:11.000Z" } }, { "answer_title": "Side effects are generally mild and short-lived", "correct_answer": false, "answer_id": "A2", "answer_value": 0, "$vf_selected_count": { "value": 6460, "lastModified": "2021-07-26T06:24:56.000Z" } }, { "answer_title": "It can take a few weeks after getting vaccinated for your body to build immunity to the virus", "correct_answer": false, "answer_id": "A3", "answer_value": 0, "$vf_selected_count": { "value": 3917, "lastModified": "2021-07-26T02:23:27.000Z" } }, { "answer_title": "None of the above", "correct_answer": true, "answer_id": "A4", "answer_value": 1, "$vf_selected_count": { "value": 81135, "lastModified": "2021-07-26T14:31:56.000Z" } } ], "answer_type": "text", "question_title": "Which of the following statements about COVID-19 are false?", "question_id": "Q10", "answer_description": "Vaccination is safe, effective, and an important tool for beating the pandemic.
" } ], "description": "News about the novel coronavirus is breaking nearly 24-7, which makes it challenging at best to keep up with the latest scientific evidence, especially when you're bombarded by false or misleading claims on social media. So how much do you really know about COVID-19? Take our quiz to gauge how knowledgeable you are.
", "gate": "none", "intro_page": true, "uuid": "c5d20a0c-6b54-4691-ac5b-7362b5c9e58c", "brand": "health", "headline": "Quiz: How Much Do You Know About Coronavirus?", "results": [ { "result_starting_range": 0, "button": { "_type": "button", "title": "Start Learning More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 3, "result_description": "Time to bone up on the basic facts about COVID-19. Check out our COVID-19 condition center and subscribe to our daily Healthy Living newsletter and never miss an update.
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", "result_title": "Not Much." }, { "result_starting_range": 4, "button": { "_type": "button", "title": "Learn Some More", "src": "https://x.specialoffers.meredith.com/ats/show.aspx?cr=588&fm=201®source=20571" }, "result_ending_range": 6, "result_description": "Not bad, but there’s much more to know about this illness. Subscribe to our daily Healthy Living newsletter and never miss an update.
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\nLiving Through a Pandemic: A Guide to Surviving the New Normal
\nCoronavirus 101: Symptoms, Transmission, Severity and More
\nWhile Health is trying to keep our content as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.
", "result_title": "You're a Know-it-All! " } ], "pqt_id": "cms/onecms_posts_health_7836984", "content_cms_id": "7743687", "registration_source": 20566, "amp_headline": "Quiz: How Much Do You Know About Coronavirus?", "type": "node-interactive-content", "meta": { "pinterest:media": "//www.dhljerseys.com/img/misc/og-generic.png", "og:image": "//www.dhljerseys.com/img/misc/og-generic.png", "og:image:width": null, "og:image:height": null, "twitter:image": "//www.dhljerseys.com/img/misc/og-generic.png", "description": "Quiz: How Much Do You Know About Coronavirus?" }, "social_headline": "Quiz: How Much Do You Know About Coronavirus?", "seo_headline": "Quiz: How Much Do You Know About Coronavirus?" }" data-cms-id="7836984" id="c5d20a0c-6b54-4691-ac5b-7362b5c9e58c">Sonpal博士说，在社区层面，这些发现应该被用来促进社会距离和隔离，以使曲线变平。他说:“关于这种病毒，我们还有很多不了解的地方。在我们尽快采取行动的同时，社区应该留在家里控制传播。”他还敦促，如果你在冠状病毒大流行期间确实腹泻，你应该格外小心，保护你周围的人。
他解释说:“对于许多病毒，粪便物质需要考虑在内。”“这就是为什么在可能的情况下，病人应该使用与家里其他人不同的卫生间的部分原因。如果这是不可能的，尽管这可能是乏味的，疾病控制与预防中心表示，为了每个人的最大利益，病人在使用卫生间后对其进行消毒，以避免其他家庭成员通过体液感染。”当然，这与美国疾病控制与预防中心提供的其他预防建议是相结合的，这些建议包括经常洗手，避免大规模人群或10人以上的人群，与患者保持安全距离，对经常接触的表面进行消毒。
截至发稿时，这篇报道中的信息是准确的。然而，随着围绕COVID-19的形势继续发展，一些数据可能自发布以来发生了变化。在《健康》杂志努力使我们的故事尽可能最新的同时，我们也鼓励读者通过使用疾病预防控制中心，谁以及当地的公共卫生部门作为资源。
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