CN111445994A - Viral pneumonia auxiliary diagnosis device and method - Google Patents

Viral pneumonia auxiliary diagnosis device and method Download PDF

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CN111445994A
CN111445994A CN202010227258.0A CN202010227258A CN111445994A CN 111445994 A CN111445994 A CN 111445994A CN 202010227258 A CN202010227258 A CN 202010227258A CN 111445994 A CN111445994 A CN 111445994A
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柯佳
陈奕迪
陈潇君
苟建平
陈小波
徐岷
石磊
杨杰
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Abstract

The invention provides a viral pneumonia auxiliary diagnosis device and a viral pneumonia auxiliary diagnosis method, wherein the device comprises a viral pneumonia auxiliary diagnosis system which is respectively connected with a thermal imaging camera, a security inspection door, a face recognition system, an inspection information system and a medical image information system, integrates personnel identity information, face temperature values, inspection values and image diagnosis data, calculates various characteristic values, obtains the suspected degree of viral pneumonia, and accurately judges whether a patient enters a fever clinic or a common clinic according to the suspected degree of viral pneumonia. The invention realizes the whole-process management of the viral pneumonia and reduces the missed detection and the working negligence.

Description

Viral pneumonia auxiliary diagnosis device and method
Technical Field
The invention belongs to the technical field of intelligent auxiliary diagnosis, and particularly relates to an auxiliary viral pneumonia diagnosis device and method.
Background
Viral pneumonia is lung inflammation caused by upper respiratory tract virus infection and downward spread, which often occurs in winter and spring, can spread epidemic or outbreak, has extremely strong viral pneumonia infectivity, causes very serious complications and death phenomena, and brings great challenges to the pre-examination and triage, multi-department diagnosis and treatment, nosocomial control and other works of hospitals. Aiming at the diagnosis standard of viral pneumonia, hospitals need to cooperate with multiple departments to carry out multidisciplinary diagnosis and treatment on the epidemiological history of patients, the fever expression of pre-examination and triage, the blood routine index of a clinical laboratory and all data provided by the imaging diagnosis of a medical imaging department, but at present, no special equipment is used for carrying out unified management and further analysis on the data related to the diagnosis standard, and the diagnosis standard cannot be provided for related departments and departments to assist diagnosis suggestions.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a viral pneumonia auxiliary diagnosis device and method, which realize the viral pneumonia auxiliary diagnosis through the design of an informatization means and hardware equipment.
The present invention achieves the above technical objects by the following technical means.
A viral pneumonia auxiliary diagnosis device comprises a viral pneumonia auxiliary diagnosis system, wherein the viral pneumonia auxiliary diagnosis system is respectively connected with a thermal imaging camera, a security inspection door, a face recognition system, an inspection information system and a medical image information system; the viral pneumonia auxiliary diagnosis system receives personnel identity information, face temperature values, inspection values and image diagnosis data, and obtains the suspected degree of viral pneumonia according to various characteristic values.
The above techniqueIn the scheme, the thermal imaging camera simultaneously acquires face image information and face temperature values of people; the face recognition system retrieves the identity of a person from face image information; the inspection information system acquires personnel inspection values, wherein the personnel inspection values comprise total white blood cell count and lymphocyte count; the characteristic value comprises an epidemiological history characteristic value sd1Face temperature characteristic value sd2Characteristic value sd of total number of leukocytes3Characteristic value sd of lymphocyte count4And image diagnosis characteristic value sd5(ii) a Suspected degree of the viral pneumonia
Figure BDA0002428129130000011
Wherein swnThe weight of the degree of doubtful degree is set by the degree of correlation in the specific disease of the characteristic value.
A viral pneumonia auxiliary diagnosis method comprises the following steps:
s1, the face recognition system judges whether the collected face information is recognized, if so, the step is shifted to S4, otherwise, the step is shifted to S2;
s2, giving an alarm at a security inspection door, registering identity information by personnel and recording human face characteristics;
s3, establishing a personnel health file data table by the viral pneumonia auxiliary diagnosis system, registering personal information, recording face characteristics, and recording an epidemiological history characteristic value sd1
S4, calculating the face temperature characteristic value sd by the viral pneumonia auxiliary diagnosis system2And then said sd2Storing the personnel health record data table;
s5 judging sd by auxiliary viral pneumonia diagnosis system2If the value is equal to 1, the process proceeds to S6; otherwise, the security inspection door is normally released;
s6, alarming by a security check gate, and shunting personnel to a heating clinic;
s7, a conventional blood examination application report and a chest CT examination application report are issued to the fever clinic, and a viral pneumonia auxiliary diagnosis system is recorded;
s8, the viral pneumonia auxiliary diagnosis system sends the blood routine examination application report to the examination information system for examinationPerforming routine blood detection in laboratory, and calculating characteristic value sd of total number of leukocytes from total number of leukocytes wbc3(ii) a From the lymphocyte count lym, a lymphocyte count characteristic value sd was calculated4(ii) a The information inspection system sends the sd3、sd4Transmitting to a viral pneumonia auxiliary diagnosis system;
s9, the assistant diagnosis system for viral pneumonia sends the application report of chest CT examination to the medical image information system, the medical image department carries out chest CT examination, the medical image information system generates the characteristic value sd of chest image5And then said sd5Transmitting to a viral pneumonia auxiliary diagnosis system;
s10, calculating the suspected degree ViralPneuSus of the viral pneumonia by the aid of a viral pneumonia auxiliary diagnosis system, and judging whether the ViralPneuSus is larger than a threshold value VPS or notMaxIf yes, go to S11; otherwise, go to S13;
s11, guiding personnel to live in a single room of a fever clinic, submitting nucleic acid detection, and recording the detection result into a viral pneumonia auxiliary diagnosis system;
s12, the auxiliary viral pneumonia diagnosis system judges whether the nucleic acid detection is positive, if so, the system enters an isolation ward for treatment, and if not, the system is switched to S13;
and S13, the expert group carries out clinical comprehensive diagnosis on whether the personnel are suspected to be viral pneumonia according to the data in the personnel health record data sheet, if the personnel enter the isolation ward for treatment, otherwise, the personnel enter the ordinary outpatient service for normal treatment.
Further, the
Figure BDA0002428129130000021
The above-mentioned
Figure BDA0002428129130000022
Wherein T isMaxIs a body temperature threshold; the above-mentioned
Figure BDA0002428129130000023
Wherein WBCMaxA threshold for total white blood cell count; the above-mentioned
Figure BDA0002428129130000024
Wherein L YMMaxIs lymphocyte count threshold; the above-mentioned
Figure BDA0002428129130000031
The invention has the following beneficial effects: the auxiliary viral pneumonia diagnosis system is respectively connected with a thermal imaging camera, a security inspection door, a face recognition system, an inspection information system and a medical image information system, integrates personnel identity information, face temperature values, inspection values and image diagnosis data, calculates various characteristic values, obtains the suspected degree of viral pneumonia, and accurately judges whether a patient enters a fever clinic or a common clinic according to the suspected degree of viral pneumonia. The invention realizes the data sharing of each department, reduces the manual recording workload of hospitals, completes the full-flow management of patients, further standardizes the operation and reduces the omission factor and the working negligence.
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FIG. 1 is a schematic diagram of the general structure of the viral pneumonia auxiliary diagnosis device of the present invention;
FIG. 2 is a flow chart of the method for auxiliary diagnosis of viral pneumonia according to the present invention;
wherein: the system comprises a viral pneumonia auxiliary diagnosis system, a 2-thermal imaging camera device, a 3-security inspection door, a 4-face recognition system, a 5-inspection information system and a 6-medical image information system.
Detailed Description
The invention will be further described with reference to the following figures and specific examples, but the scope of the invention is not limited thereto.
As shown in fig. 1, the viral pneumonia auxiliary diagnosis device includes a viral pneumonia auxiliary diagnosis System 1, a thermal imaging camera 2, a security inspection door 3, a face recognition System 4, AN inspection Information System 5, and a medical image Information System 6, the viral pneumonia auxiliary diagnosis System 1 IS connected to the thermal imaging camera 2, the security inspection door 3, the face recognition System 4, the inspection Information System (L analysis Information System, L IS)5, and the medical image Information System (PACS) 6 through a hospital L AN, respectively.
The thermal imaging camera 2 is used for simultaneously acquiring face image information and face temperature values of personnel and transmitting the face image information and the face temperature values to the viral pneumonia auxiliary diagnosis system 1; the security inspection door 3 receives an instruction of the viral pneumonia auxiliary diagnosis system 1, and is used for giving an alarm and controlling personnel to pass; the face recognition system 4 receives the sent face image information through the viral pneumonia auxiliary diagnosis system 1, retrieves the personnel identity information and transmits the personnel identity information to the viral pneumonia auxiliary diagnosis system 1; the inspection information system 5 receives the personnel classification information through the viral pneumonia auxiliary diagnosis system 1 and transmits the acquired personnel inspection numerical value characteristic value to the viral pneumonia auxiliary diagnosis system 1; the medical image information system 6 is used for receiving personnel classification information and transmitting the chest image characteristic value to the viral pneumonia auxiliary diagnosis system 1; the viral pneumonia auxiliary diagnosis system 1 receives personnel identity information, face temperature values, inspection values and image diagnosis data, and obtains the suspected degree of viral pneumonia according to various characteristic values. The method for calculating the suspected degree of viral pneumonia comprises the following steps:
let the characteristic value of epidemiological history be sd1The face temperature characteristic value is sd2The characteristic value of the total number of leukocytes is sd3Characteristic value of lymphocyte count sd4The characteristic value of the image diagnosis is sd5(ii) a Set suspected degree weight swnN is more than or equal to 1 and less than or equal to 5, and the set is { sw%1,sw2,sw3,sw4,sw5},swnSet by the degree of correlation in the specific condition of the characteristic value; suspected degree of viral pneumonia
Figure BDA0002428129130000041
As shown in fig. 2, the method for auxiliary diagnosis of viral pneumonia specifically comprises the following steps:
s1, the viral pneumonia auxiliary diagnosis system 1 obtains face image information and a face temperature value tem which are collected by the thermal imaging camera 2;
s2, the viral pneumonia auxiliary diagnosis system 1 transmits the face image information to the face recognition system 4, judges whether the face information is recognized, if yes, the step is shifted to S5, and if not, the step is shifted to S3;
s3, the viral pneumonia auxiliary diagnosis system 1 gives an alarm through a security inspection door 3, and the personnel is required to register identity information and record face characteristics;
s4, the viral pneumonia auxiliary diagnosis system 1 establishes personnel health file data table, registers personal information, records face characteristics, and records epidemiological history characteristic value sd1
Figure BDA0002428129130000042
S5, calculating the face temperature characteristic value sd by the viral pneumonia auxiliary diagnosis system 12
Figure BDA0002428129130000043
Wherein T isMaxIs a body temperature threshold (set in a viral pneumonia auxiliary diagnosis system 1) and sd is2Storing the personnel health record data table;
s6 auxiliary diagnosis system for viral pneumonia 1 judging sd2If the value is equal to 1, the process proceeds to S7; otherwise, go to S16;
s7, the viral pneumonia auxiliary diagnosis system 1 gives an alarm through a security inspection door 3, and people need to be shunted to a fever clinic;
s8, a conventional blood examination application report and a chest CT examination application report are issued to the fever clinic, and the viral pneumonia auxiliary diagnosis system 1 is recorded;
s9, the viral pneumonia auxiliary diagnosis system 1 sends the blood routine test application report to the test information system 5, the clinical laboratory carries out the blood routine test, the test information system 5 calculates the characteristic value sd of the total number of white blood cells from the total number of white blood cells wbc3
Figure BDA0002428129130000044
Wherein WBCMaxA threshold for the total number of leukocytes (set in the test information system 5); the test information system 5 calculates a lymphocyte count characteristic value sd from the lymphocyte count lym4
Figure BDA0002428129130000045
Wherein L YMMaxA lymphocyte count threshold (set in the test information system 5); the test information system 5 compares the characteristic value sd of the total number of leukocytes3Characteristic value sd of lymphocyte count4Transmitting to a viral pneumonia auxiliary diagnosis system 1;
s10, the viral pneumonia auxiliary diagnosis system 1 sends the chest CT examination application report to the medical image information system 6, the medical image department carries out the chest CT examination, the medical image information system 6 generates the chest image characteristic value sd5
Figure BDA0002428129130000051
The medical image information system 6 transmits the chest image characteristic value sd5 to the viral pneumonia auxiliary diagnosis system 1;
s11, the viral pneumonia auxiliary diagnosis system 1 calculates the suspected degree ViralPneuSus of viral pneumonia, and judges whether ViralPneuSus is larger than the threshold value VPSMax(in the viral pneumonia auxiliary diagnosis system 1), if yes, the process proceeds to S12; otherwise, go to S14;
s12, guiding personnel to live in a single room of an fever clinic, submitting nucleic acid detection, and recording the detection result into the viral pneumonia auxiliary diagnosis system 1;
s13, the viral pneumonia auxiliary diagnosis system 1 judges whether the nucleic acid detection is positive, if so, the system is switched to S15, and if not, the system is switched to S14;
s14, the expert group carries out clinical comprehensive diagnosis to determine whether the personnel is suspected to be viral pneumonia according to the data in the personnel health record data table provided by the viral pneumonia auxiliary diagnosis system 1, if yes, the expert group switches to S15, and if not, the expert group switches to S17;
s15, people enter the isolation ward for treatment;
s16, the viral pneumonia auxiliary diagnosis system 1 is normally released through a security inspection door 3;
and S17, the personnel enter a common clinic for normal treatment.
In this embodiment, an auxiliary diagnosis is performed on COVID-19 coronavirus pneumonia, and a suspicion degree weight set is set as { sw1=1,sw2=1.5,sw3=0.5,sw4=0.5,sw51 }; threshold VPSMax2.5, body temperature thresholdValue TMaxWhite blood cell count threshold WBC 37.5MaxLymphocyte count threshold L YM ═ 10Max=0.2。
Example 1: normal body temperature double-diagnosis personnel without epidemiological history
S1, the viral pneumonia auxiliary diagnosis system 1 obtains the face image information of the person collected by the thermal imaging camera 2, and the face temperature value tem is 36.5;
s2, the viral pneumonia auxiliary diagnosis system 1 transmits the face image information to the face recognition system 4, and the face information is recognized as registered personnel;
s3, calculating the face temperature characteristic value sd by the viral pneumonia auxiliary diagnosis system 12When the sum is 0, sd is2Storing the personnel health record data table;
s4, the viral pneumonia auxiliary diagnosis system 1 determines that the face temperature value tem is 36.5 less than the body temperature threshold TMax=37.5;
S5, the viral pneumonia auxiliary diagnosis system 1 controls the security inspection door 3 to normally pass;
and S6, the personnel enter a common clinic for normal treatment.
Example 2: ordinary heat-producing person without epidemiological history
S1, the viral pneumonia auxiliary diagnosis system 1 obtains the face image information of the person collected by the thermal imaging camera 2, and the face temperature value tem is 38.3;
s2, the viral pneumonia auxiliary diagnosis system 1 transmits the face image information to the face recognition system 4, and the face information is recognized as registered personnel;
s3, calculating the face temperature characteristic value sd by the viral pneumonia auxiliary diagnosis system 121, d is2Storing the personnel health record data table;
s4, the viral pneumonia auxiliary diagnosis system 1 determines that the face temperature value tem is 38.3 greater than the body temperature threshold TMax
S5, the viral pneumonia auxiliary diagnosis system 1 controls the security inspection door 3 to alarm, and people need to be shunted to a fever clinic;
s6, a conventional blood examination application report and a chest CT examination application report are issued in the fever clinic;
s7, performing blood routine test in clinical laboratory to obtain total leukocyte WBC ═ 4 and WBCMaxCalculating the characteristic value sd of the total number of leukocytes as 1031, lymphocyte count lym 0.3, and L YMMaxCalculating lymphocyte count characteristic value sd as 0.24The test information system 5 compares the characteristic value sd of the total number of leukocytes with 03Characteristic value sd of lymphocyte count4Transmitting to a viral pneumonia auxiliary diagnosis system 1;
s8, the medical image department carries out the chest CT examination, the medical image information system 6 generates the chest image characteristic value sd50, and transmitting to a viral pneumonia auxiliary diagnosis system 1;
s9, the auxiliary viral pneumonia diagnosis system 1 calculates the suspected degree ViralPneuSus of viral pneumonia due to sd1=0、sd2=1、sd3=1、sd4=0、sd5Is equal to 0, so
Figure BDA0002428129130000061
And ViralPneuSus is less than the threshold VPSMax=2.5;
S10, carrying out clinical comprehensive diagnosis on the non-suspected viral pneumonia of the personnel according to the data in the personnel health archive data table provided by the viral pneumonia auxiliary diagnosis system 1 by an expert group;
and S11, the personnel enter a common clinic for normal treatment.
Example 3: fever virus pneumonia person suspected of satisfying epidemiological history
S1, connecting the viral pneumonia auxiliary diagnosis system 1 with the thermal imaging camera 2 to acquire human face image information of personnel, wherein a human face temperature value tem is 39.1;
s2, the viral pneumonia auxiliary diagnosis system 1 transmits the face image information to the face recognition system 4 for calculation, and the face information is not recognized;
s3, the viral pneumonia auxiliary diagnosis system 1 controls the security inspection door 3 to alarm, and the personnel needs to register identity information and record face characteristics;
s4 establishment of viral pneumonia auxiliary diagnosis system 1A personnel health record data sheet, registering personal information, recording face characteristics, and recording characteristic value sd of epidemiology history11, satisfying epidemiological history;
s5, calculating the face temperature characteristic value sd by the viral pneumonia auxiliary diagnosis system 121, d is2Storing the personnel health record data table;
s6, the viral pneumonia auxiliary diagnosis system 1 determines that the face temperature value tem is 39.1 greater than the body temperature threshold TMax=37.5;
S7, the viral pneumonia auxiliary diagnosis system 1 gives an alarm through a security inspection door 3, and people need to be shunted to a fever clinic;
s8, a conventional blood examination application report and a chest CT examination application report are issued in the fever clinic;
s9, performing blood routine test in clinical laboratory to obtain total number of leukocytes WBC ═ 3, and WBCMaxCalculating the characteristic value sd of the total number of leukocytes as 1031, lymphocyte count lym 0.15, and L YMMaxCalculating lymphocyte count characteristic value sd as 0.24The test information system 5 compares the characteristic value sd of the total number of leukocytes with 13Characteristic value sd of lymphocyte count4Transmitting to a viral pneumonia auxiliary diagnosis system 1;
s10, the medical image department carries out the chest CT examination, the medical image information system 6 generates the chest image characteristic value sd51, the virus has the imaging characteristics of the new coronavirus pneumonia, and data are submitted to a virus pneumonia auxiliary diagnosis system 1;
s11, the auxiliary viral pneumonia diagnosis system 1 calculates the suspected degree ViralPneuSus of viral pneumonia due to sd1=1、sd2=1、sd3=1、sd4=1、sd51, so
Figure BDA0002428129130000071
ViralPneuSus is greater than threshold VPSMax=2.5;
S12, allowing the personnel to live in a fever clinic single room, submitting nucleic acid detection, and recording the detection result into the viral pneumonia auxiliary diagnosis system 1;
s13, judging whether the nucleic acid detection is positive by the viral pneumonia auxiliary diagnosis system 1;
and S14, the personnel enter the isolation ward for treatment.
The present invention is not limited to the above-described embodiments, and any obvious improvements, substitutions or modifications can be made by those skilled in the art without departing from the spirit of the present invention.

Claims (8)

1. The viral pneumonia auxiliary diagnosis device is characterized by comprising a viral pneumonia auxiliary diagnosis system (1), wherein the viral pneumonia auxiliary diagnosis system (1) is respectively connected with a thermal imaging camera (2), a security check door (3), a face recognition system (4), an inspection information system (5) and a medical image information system (6); the viral pneumonia auxiliary diagnosis system (1) receives personnel identity information, face temperature values, inspection values and image diagnosis data, and obtains the suspected degree of viral pneumonia according to various characteristic values.
2. A viral pneumonia auxiliary diagnosis apparatus according to claim 1, wherein the thermal imaging camera (2) simultaneously collects face image information and face temperature value of the person.
3. A viral pneumonia auxiliary diagnosis apparatus according to claim 2, wherein the face recognition system (4) retrieves the identity of a person from the face image information.
4. A viral pneumonia auxiliary diagnostic apparatus according to claim 1, wherein said test information system (5) obtains human test values, said human test values including total white blood cell count and lymphocyte count.
5. The apparatus of claim 1, wherein the characteristic value comprises an epidemiological history characteristic value sd1Face temperature characteristic valuesd2Characteristic value sd of total number of leukocytes3Characteristic value sd of lymphocyte count4And image diagnosis characteristic value sd5
6. The auxiliary viral pneumonia diagnosis device according to claim 5, wherein the suspiciousness of viral pneumonia is
Figure FDA0002428129120000011
Wherein swnThe weight of the degree of doubtful degree is set by the degree of correlation in the specific disease of the characteristic value.
7. A method of aiding in the diagnosis of viral pneumonia according to any one of claims 1 to 6, comprising the steps of:
s1, the face recognition system (4) judges whether the collected face information is recognized, if so, the step is shifted to S4, and if not, the step is shifted to S2;
s2, the security inspection door (3) gives an alarm, and personnel register identity information and record human face characteristics;
s3, the viral pneumonia auxiliary diagnosis system (1) establishes a personnel health record data table, registers personal information, records human face characteristics and records an epidemiological history characteristic value sd1
S4, calculating the face temperature characteristic value sd by the viral pneumonia auxiliary diagnosis system (1)2And then said sd2Storing the personnel health record data table;
s5 auxiliary diagnosis system for viral pneumonia (1) judging sd2If the value is equal to 1, the process proceeds to S6; otherwise, the security inspection door (3) is normally released;
s6, the security inspection door (3) gives an alarm and shunts the personnel to a heating clinic;
s7, a conventional blood examination application report and a chest CT examination application report are issued to the fever clinic, and a viral pneumonia auxiliary diagnosis system (1) is recorded;
s8, the viral pneumonia auxiliary diagnosis system (1) sends the blood routine test application report to the test information system (5), the clinical laboratory carries out blood routine test, and the total number of leucocytes wbc is used for calculating the leucocytesTotal number characteristic sd3(ii) a From the lymphocyte count lym, a lymphocyte count characteristic value sd was calculated4(ii) a The sd is checked by the checking information system (5)3、sd4Transmitting to a viral pneumonia auxiliary diagnosis system (1);
s9, the viral pneumonia auxiliary diagnosis system (1) sends the chest CT examination application report to the medical image information system (6), the medical image department carries out the chest CT examination, and the medical image information system (6) generates the chest image characteristic value sd5And then said sd5Transmitting to a viral pneumonia auxiliary diagnosis system (1);
s10, the viral pneumonia auxiliary diagnosis system (1) calculates the suspected degree ViralPneuSus of viral pneumonia, and judges whether ViralPneuS is larger than the threshold value VPSMaxIf yes, go to S11; otherwise, go to S13;
s11, leading personnel to live in a single room of a fever clinic, submitting nucleic acid detection, and recording the detection result into a viral pneumonia auxiliary diagnosis system (1);
s12, the viral pneumonia auxiliary diagnosis system (1) judges whether the nucleic acid detection is positive, if so, the system enters an isolation ward for treatment, and if not, the system is switched to S13;
and S13, the expert group carries out clinical comprehensive diagnosis on whether the personnel are suspected to have viral pneumonia according to the data in the personnel health record data sheet, if so, the personnel enter an isolation ward for treatment, otherwise, the personnel enter a common clinic for normal treatment.
8. The method of claim 7, wherein the viral pneumonia is diagnosed with the viral pneumonia
Figure FDA0002428129120000021
The above-mentioned
Figure FDA0002428129120000022
Wherein T isMaxIs a body temperature threshold; the above-mentioned
Figure FDA0002428129120000023
Wherein WBCMaxA threshold for total white blood cell count; the above-mentioned
Figure FDA0002428129120000024
Wherein L YMMaxIs lymphocyte count threshold; the above-mentioned
Figure FDA0002428129120000025
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CN112530578A (en) * 2020-12-02 2021-03-19 中国科学院大学宁波华美医院 Viral pneumonia intelligent diagnosis system based on multi-mode information fusion
CN113034434A (en) * 2021-02-03 2021-06-25 深圳市第三人民医院(深圳市肝病研究所) Multi-factor artificial intelligence analysis method for predicting severity of COVID-19
CN113034434B (en) * 2021-02-03 2022-09-02 深圳市第三人民医院(深圳市肝病研究所) Multi-factor artificial intelligence analysis method for predicting severity of COVID-19

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