

{"id":35181,"date":"2020-04-10T00:26:11","date_gmt":"2020-04-09T16:26:11","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=35181"},"modified":"2020-04-13T12:08:12","modified_gmt":"2020-04-13T04:08:12","slug":"%e6%ad%a6%e6%bc%a2%e8%82%ba%e7%82%8e-covid-19-%e7%84%a1%e7%97%87%e7%8b%80%e6%84%9f%e6%9f%93%e8%80%85%e6%9c%83%e5%b8%b6%e4%be%86%e5%93%aa%e4%ba%9b%e9%9a%b1%e6%86%82%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=35181","title":{"rendered":"\u6b66\u6f22\u80ba\u708e (COVID-19) \u7121\u75c7\u72c0\u611f\u67d3\u8005\u6703\u5e36\u4f86\u54ea\u4e9b\u96b1\u6182\uff1f"},"content":{"rendered":"<p><span style=\"color: #333399;\"><strong>\u6b66\u6f22\u80ba\u708e (COVID-19) \u7684\u75ab\u60c5\u6301\u7e8c\u5728\u5168\u7403\u5ef6\u71d2\uff0c\u5c0d\u65bc\u6aa2\u6e2c\u5448\u967d\u6027\u3001\u6709\u75c7\u72c0\u7684\u611f\u67d3\u8005\uff0c\u61c9\u7d66\u4e88\u6cbb\u7642\u53ca\u9694\u96e2\uff0c\u4ee5\u907f\u514d\u65b0\u578b\u51a0\u72c0\u75c5\u6bd2 (2019-nCoV) \u6301\u7e8c\u50b3\u64ad\u3002\u7136\u800c\uff0c\u8d8a\u4f86\u8d8a\u591a\u7684\u8b49\u64da\u986f\u793a\uff0c\u4e0d\u5c11 COVID-19 \u7684\u60a3\u8005\u4e26\u7121\u75c7\u72c0\u6216\u8005\u662f\u75c7\u72c0\u8f15\u5fae\uff0c\u60a3\u8005\u81ea\u8eab\u4e5f\u96e3\u4ee5\u5bdf\u89ba\uff0c\u9019\u4e9b\u7121\u75c7\u72c0\u611f\u67d3\u8005\u662f\u5426\u6703\u6210\u70ba\u9632\u75ab\u6f0f\u6d1e\uff1f\u53c8\u6703\u5e36\u4f86\u54ea\u4e9b\u96b1\u6182\uff1f<\/strong><\/span><\/p>\n<figure id=\"attachment_35187\" aria-describedby=\"caption-attachment-35187\" style=\"width: 450px\" class=\"wp-caption alignleft\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-35187\" src=\"http:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2020\/04\/987464.jpg\" alt=\"\" width=\"450\" height=\"257\" srcset=\"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2020\/04\/987464.jpg 1173w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2020\/04\/987464-300x171.jpg 300w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2020\/04\/987464-768x439.jpg 768w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2020\/04\/987464-1024x585.jpg 1024w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-35187\" class=\"wp-caption-text\">\u5716\u7247\u51fa\u8655 @pixabay<\/figcaption><\/figure>\n<p><strong>\u6587\uff0f\u694a\u671d\u5091<\/strong><\/p>\n<p><span style=\"color: #008080;\"><strong>\u25cf\u6b66\u6f22\u80ba\u708e (COVID-19) <\/strong><strong>\u5373\u4f7f\u7121\u75c7\u72c0\uff0c\u4ecd\u4e0d\u53ef\u8f15\u5ffd\u5176\u50b3\u67d3\u5a01\u8105<\/strong><\/span><\/p>\n<p>\u767c\u8868\u5728\u570b\u969b\u671f\u520a <em>Nature<\/em> \u7684\u4e00\u7bc7\u6587\u7ae0\uff0c\u5c08\u5bb6\u8b66\u544a\u5728 COVID-19 \u611f\u67d3\u8005\u7684\u7fa4\u9ad4\u88e1\uff0c\u7d04\u6709 60% \u5c6c\u65bc\u7121\u75c7\u72c0\u6216\u75c7\u72c0\u8f15\u5fae\uff0c\u4f46\u662f\u96b1\u6027\u611f\u67d3\u8005\u50b3\u64ad\u75c5\u6bd2\u7684\u80fd\u529b\u53ef\u80fd\u4e0d\u4f4e\uff0c\u751a\u81f3\u6703\u6709\u518d\u6b21\u5f15\u767c\u75ab\u60c5\u7684\u98a8\u96aa [1]\u3002\u7406\u7531\u662f\u9019\u4e9b\u8f15\u75c7\u611f\u67d3\u8005\uff0c\u901a\u5e38\u4e0d\u6703\u5c0b\u6c42\u91ab\u7642\u6551\u52a9\uff0c\u4e5f\u53ef\u80fd\u9003\u904e\u9ad4\u6eab\u7be9\u6aa2\u7684\u95dc\u5361\uff0c\u9084\u6709\u7814\u7a76\u6307\u51fa\u4e00\u4e9b COVID-19 \u60a3\u8005\uff0c\u5373\u4f7f\u5728\u75be\u75c5\u521d\u671f\u75c7\u72c0\u8f15\u5fae\u6642\uff0c\u54bd\u5589\u62ed\u5b50\u4e2d\u7684\u75c5\u6bd2\u91cf\u5df2\u7d93\u5f88\u9ad8\uff0c\u9019\u4e9b\u539f\u56e0\u4f7f\u5f97\u75c5\u6bd2\u53ef\u4ee5\u6301\u7e8c\u96b1\u533f\u65bc\u4eba\u7fa4\u88e1\uff0c\u5f88\u96e3\u5b8c\u5168\u6839\u9664\u50b3\u67d3\u6e90 [1]\u3002<\/p>\n<p>\u96d6\u7136\u73fe\u6709\u6578\u64da\u5341\u5206\u6709\u9650\uff0c\u76ee\u524d COVID-19 \u7684\u7121\u75c7\u72c0\u50b3\u64ad\u9084\u6709\u8a31\u591a\u672a\u77e5\u6578\u3002\u4f46\u6839\u64da\u8fd1\u671f\u4e2d\u570b\u767c\u8868\u7684\u7814\u7a76\u53ef\u77e5\uff0c\u901a\u904e\u75c5\u6bd2\u6838\u9178\u6aa2\u6e2c\u8ffd\u8e64 24 \u4f8b COVID-19 \u7121\u75c7\u72c0\u611f\u67d3\u8005\uff0c\u767c\u73fe\u75c5\u6bd2\u5f9e\u967d\u6027\u8f49\u70ba\u9670\u6027\u7684\u6642\u9593\u6700\u4e45\u70ba 21 \u5929\uff0c\u9019\u610f\u5473\u8457\u7121\u75c7\u72c0\u8005\u7684\u50b3\u67d3\u671f\u53ef\u300c\u9577\u9054\u4e09\u9031\u300d[2]\u3002\u4f4d\u65bc\u75ab\u60c5\u9707\u592e\u7684\u7fa9\u5927\u5229\uff0c\u7576\u5730\u5b78\u8005\u4e5f\u6307\u51fa\uff0c\u300c\u8b58\u5225\u548c\u9694\u96e2\u7121\u75c7\u72c0\u8005\u300d\u6709\u52a9\u65bc\u6d88\u9664\u75c5\u6bd2\u50b3\u64ad\uff0c\u6210\u529f\u7684\u4f8b\u5b50\u5728\u7fa9\u5927\u5229\u5317\u90e8\u7d04\u4e09\u5343\u4eba\u7684\u6751\u838a\u300c\u6c83\u93ae (Vo'Euganeo)\u300d\uff0c\u9032\u884c\u4e86\u5168\u9762\u7684\u75c5\u6bd2\u7be9\u6aa2\uff0c\u4e26\u5c07\u6240\u6709\u6aa2\u6e2c\u967d\u6027\u8005\u90fd\u9694\u96e2\uff0c10 \u5929\u5167\u60a3\u75c5\u4eba\u6578\u660e\u986f\u53d7\u5230\u6709\u6548\u63a7\u5236 (\u4e0b\u964d 90% \u4ee5\u4e0a)\uff0c\u5b78\u8005\u4e5f\u767c\u73fe\u5728\u6aa2\u6e2c\u967d\u6027\u8005\u4e2d\uff0c\u7d04 50-75% \u6c92\u6709\u75c7\u72c0\uff0c\u4f46\u537b\u662f\u5f88\u5927\u7684\u6f5b\u5728\u50b3\u67d3\u6e90 [3]\u3002\u7136\u800c\uff0c\u9451\u65bc\u7121\u75c7\u72c0\u611f\u67d3\u8005\u5f88\u96e3\u5168\u9762\u638c\u63a7\uff0c\u5c08\u5bb6\u5efa\u8b70\u63a1\u53d6\u56b4\u683c\u7684\u793e\u6703\u9694\u96e2\u63aa\u65bd\uff0c\u662f\u963b\u6b62\u75c5\u6bd2\u50b3\u64ad\u7684\u552f\u4e00\u7b56\u7565 [1]\u3002<\/p>\n<p><span style=\"color: #008080;\"><strong>\u25cf\u78ba\u8a3a\u6a19\u6e96\u5dee\u7570\u3001\u75ca\u7652\u8005\u75c5\u6bd2\u5fa9\u967d\uff0c\u90fd\u662f\u6f5b\u85cf\u98a8\u96aa<\/strong><\/span><\/p>\n<p>\u5c31\u7b97\u5df2\u77e5\u7121\u75c7\u72c0\u611f\u67d3\u8005\u53ef\u80fd\u662f\u6f5b\u5728\u7684\u50b3\u67d3\u6e90\uff0c\u4f46\u5404\u570b\u5c0d\u65bc\u78ba\u8a3a\u75c5\u4f8b\u7684\u5b9a\u7fa9\u537b\u4e0d\u76e1\u76f8\u540c\uff0c\u4e16\u754c\u885b\u751f\u7d44\u7e54 (WHO) \u662f\u5c07\u6240\u6709\u75c5\u6bd2\u7be9\u6aa2\u5448\u967d\u6027\u8005\u5747\u5217\u70ba\u78ba\u8a3a\u75c5\u4f8b\uff0c\u7121\u8ad6\u662f\u5426\u51fa\u73fe\u75c7\u72c0 [4]\u3002\u7136\u800c\uff0c\u4e2d\u570b\u570b\u5bb6\u885b\u5065\u59d4\u537b\u65bc 2020 \u5e74 2 \u6708 7 \u65e5\uff0c\u66f4\u6539\u9632\u63a7\u65b9\u6848\u6307\u5f15\uff0c\u5c07\u7121\u75c7\u72c0\u500b\u6848\u6392\u9664\u5728\u78ba\u8a3a\u75c5\u4f8b\u4e4b\u5916\uff0c\u4e5f\u4e0d\u5fc5\u5c0d\u5916\u516c\u4f48 [5]\u3002\u5148\u4e0d\u8ad6\u4e2d\u570b\u662f\u5426\u56e0\u70ba\u653e\u5bec\u6a19\u6e96\uff0c\u800c\u9054\u6210\u672c\u571f\u78ba\u8a3a\u75c5\u4f8b\u9023\u65e5\u300c\u6e05\u96f6\u300d\uff0c\u4f46\u9019\u7a2e\u505a\u6cd5\u986f\u7136\u662f\u70ba\u75ab\u60c5\u57cb\u4e0b\u4e86\u8a31\u591a\u672a\u7206\u5f48\u3002<\/p>\n<p>\u9664\u4e86\u7121\u75c7\u72c0\u611f\u67d3\u8005\u7684\u554f\u984c\uff0c\u9084\u6709\u7814\u7a76\u89c0\u5bdf\u5230\u5c11\u6578\u75c5\u4f8b\u5728\u75ca\u7652\u5f8c\u75c5\u6bd2\u6aa2\u6e2c\u53c8\u51fa\u73fe\u967d\u6027\uff0c\u5373\u4f7f\u64c1\u6709\u6297\u9ad4\u4f46\u75c5\u6bd2\u4f9d\u820a\u5b58\u5728 [6]\u3002\u9019\u662f\u5426\u6697\u793a\u8457\uff0cCOVID-19 \u9084\u6709\u53ef\u80fd\u51fa\u73fe\u985e\u4f3c B \u578b\u809d\u708e\u75c5\u6bd2\u5e36\u539f\u8005\u7684\u72c0\u6cc1\uff0c\u75c5\u6bd2\u80fd\u9577\u671f\u8207\u4eba\u9ad4\u5171\u5b58\u800c\u4e0d\u767c\u75c5\uff0c\u9019\u4e9b\u6f5b\u85cf\u7684\u98a8\u96aa\u90fd\u503c\u5f97\u6211\u5011\u6301\u7e8c\u89c0\u5bdf\uff0c\u4e26\u9700\u8981\u672a\u4f86\u66f4\u591a\u8cc7\u6599\u4f86\u8b49\u5be6\u3002<\/p>\n<p><span style=\"color: #008080;\"><strong>\u25cf\u64f4\u5145\u6aa2\u9a57\u91cf\u80fd\u3001\u843d\u5be6\u81ea\u8eab\u9632\u8b77\uff0c\u4f5c\u597d\u9577\u671f\u6297\u6230\u7684\u6e96\u5099<\/strong><\/span><\/p>\n<p>\u9762\u5c0d\u7121\u75c7\u72c0\u611f\u67d3\u8005\uff0c\u53f0\u7063\u4e2d\u592e\u6d41\u884c\u75ab\u60c5\u6307\u63ee\u4e2d\u5fc3\u76ee\u524d\u63a1\u53d6\u7684\u65b9\u6848\u662f\u300c\u8b66\u89ba\u4f46\u7121\u9808\u6050\u614c\u300d\uff0c\u5176\u63d0\u51fa\u7684\u89e3\u91cb\u662f\u91ab\u5b78\u79d1\u5b78\u6709\u5176\u6975\u9650\uff0c\u6c92\u6709\u5fc5\u8981\u4e00\u76f4\u64d4\u5fc3\u6975\u9650\u4ee5\u5916\u7684\u4e8b\u60c5\uff0c\u9019\u53ea\u6703\u589e\u52a0\u6050\u614c [7]\u3002\u78ba\u5be6\u904e\u5ea6\u6050\u614c\u7121\u6fdf\u65bc\u4e8b\uff0c\u6211\u5011\u4e5f\u53ea\u80fd\u5728\u80fd\u529b\u7bc4\u570d\u5167\u505a\u597d\u6e96\u5099\uff0c\u75be\u75c5\u7ba1\u5236\u7f72\u4e5f\u5df2\u6301\u7e8c\u64f4\u5145\u6aa2\u9a57\u91cf\u80fd\uff0c\u76e1\u529b\u9632\u5835\u53ef\u80fd\u7684\u50b3\u67d3\u6e90 [8]\u3002\u5269\u4e0b\u7684\u9084\u9700\u9760\u843d\u5be6\u81ea\u8eab\u9632\u8b77\uff0c\u907f\u958b\u98a8\u96aa\u56e0\u5b50\uff0c\u50cf\u662f\u591a\u6d17\u624b\u3001\u6234\u53e3\u7f69\uff0c\u907f\u514d\u5230\u64c1\u64e0\u7684\u5730\u65b9\u7b49\u3002<\/p>\n<p>\u5047\u5982\u4eba\u7fa4\u4e2d\u6301\u7e8c\u5b58\u5728\u7121\u75c7\u72c0\u611f\u67d3\u8005\uff0c\u65b0\u578b\u51a0\u72c0\u75c5\u6bd2\u52e2\u5fc5\u96e3\u4ee5\u5b8c\u5168\u6839\u9664\uff0c\u75c5\u6bd2\u70ba\u4e86\u751f\u5b58\u4e5f\u6703\u6301\u7e8c\u8b8a\u7570\uff0c\u6240\u4ee5\u75ab\u60c5\u53ef\u80fd\u4e0d\u6703\u5728\u77ed\u671f\u4e4b\u5167\u7d50\u675f\u3002\u8ddd\u96e2\u75ab\u82d7\u7814\u767c\u6210\u529f\u4e4b\u65e5\uff0c\u6700\u5feb\u4e5f\u81f3\u5c11\u9084\u9700\u4e00\u5e74\u7684\u6642\u9593\uff0c\u6240\u4ee5\u6211\u5011\u8981\u6709\u4f5c\u597d\u9577\u671f\u6297\u6230\u7684\u6e96\u5099\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u53c3\u8003\u8cc7\u6599\uff1a<\/strong><\/p>\n<ol>\n<li>Qiu J. Nature. 2020 Mar 20. doi: 10.1038\/d41586-020-00822-x. <a href=\"https:\/\/www.nature.com\/articles\/d41586-020-00822-x\">Covert coronavirus infections could be seeding new outbreaks.<\/a><\/li>\n<li>Hu Z, et al. Sci China Life Sci. 2020 Mar 4. doi: 10.1007\/s11427-020-1661-4. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/32146694\">Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China.<\/a><\/li>\n<li>Day M. BMJ. 2020 Mar 23;368:m1165. doi: 10.1136\/bmj.m1165. <a href=\"https:\/\/www.bmj.com\/content\/368\/bmj.m1165\">Covid-19: identifying and isolating asymptomatic people helped eliminate virus in Italian village.<\/a><\/li>\n<li><a href=\"https:\/\/www.who.int\/publications-detail\/global-surveillance-for-human-infection-with-novel-coronavirus-(2019-ncov)\">Global Surveillance for human infection with coronavirus disease (COVID-19).<\/a><\/li>\n<li>\u4e2d\u592e\u5ee3\u64ad\u96fb\u81fa\uff0c<a href=\"https:\/\/www.rti.org.tw\/news\/view\/id\/2056766\">\u4e2d\u570b\u300c\u6e05\u96f6\u300d\u9019\u6a23\u4f86\uff01\u5fa9\u967d\u3001\u6aa2\u6e2c\u967d\u6027\u7121\u75c7\u72c0\u8005\u90fd\u4e0d\u7b97\u78ba\u8a3a<\/a><\/li>\n<li>To KK, et al. Lancet Infect Dis. 2020 Mar 23. pii: S1473-3099(20)30196-1. <a href=\"https:\/\/www.thelancet.com\/journals\/laninf\/article\/PIIS1473-3099(20)30196-1\/fulltext\">Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV-2: an observational cohort study.<\/a><\/li>\n<li>\u4e2d\u592e\u901a\u8a0a\u793e\uff0c<a href=\"https:\/\/www.cna.com.tw\/news\/ahel\/202003020175.aspx\">\u6b66\u6f22\u80ba\u708e\u7121\u75c7\u72c0\u611f\u67d3\u8005 \u9673\u6642\u4e2d\uff1a\u8b66\u89ba\u4f46\u7121\u9808\u6050\u614c<\/a><\/li>\n<li>\u75be\u75c5\u7ba1\u5236\u7f72\uff0c<a href=\"https:\/\/www.cdc.gov.tw\/Bulletin\/Detail\/j1xZARYFPRzNitt6rDXpWg?typeid=9\">\u6211\u570b\u8fc4\u4eca\u5df2\u9a57\u8d85\u904e6\u842c\u4ef6\u6aa2\u9ad4\uff0c\u6aa2\u9a57\u91cf\u80fd\u6301\u7e8c\u63d0\u5347<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u6b66\u6f22\u80ba\u708e (COVID-19) \u7684\u75ab\u60c5\u6301\u7e8c\u5728\u5168\u7403\u5ef6\u71d2\uff0c\u5c0d\u65bc\u6aa2\u6e2c\u5448\u967d\u6027\u3001\u6709\u75c7\u72c0\u7684\u611f\u67d3\u8005\uff0c\u61c9\u7d66\u4e88\u6cbb\u7642\u53ca\u9694\u96e2\uff0c\u4ee5\u907f\u514d\u65b0\u578b\u51a0\u72c0\u75c5\u6bd2 (2019-nCoV) \u6301\u7e8c\u50b3\u64ad\u3002\u7136\u800c\uff0c\u8d8a\u4f86\u8d8a\u591a\u7684\u8b49\u64da\u986f\u793a\uff0c\u4e0d\u5c11 COVID-19 \u7684\u60a3\u8005\u4e26\u7121\u75c7\u72c0\u6216\u8005\u662f\u75c7\u72c0\u8f15\u5fae\uff0c\u60a3\u8005\u81ea\u8eab\u4e5f\u96e3\u4ee5\u5bdf\u89ba\uff0c\u9019\u4e9b\u7121\u75c7\u72c0\u611f\u67d3\u8005\u662f\u5426\u6703\u6210\u70ba\u9632\u75ab\u6f0f\u6d1e\uff1f\u53c8\u6703\u5e36\u4f86\u54ea\u4e9b\u96b1\u6182\uff1f<\/p>\n","protected":false},"author":20,"featured_media":35187,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4580,3293],"tags":[4538,4577,4576,4523,4609],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2020\/04\/987464.jpg","_links":{"self":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/35181"}],"collection":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=35181"}],"version-history":[{"count":3,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/35181\/revisions"}],"predecessor-version":[{"id":35195,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/35181\/revisions\/35195"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/media\/35187"}],"wp:attachment":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=35181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=35181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=35181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}