摘要
目的了解本地区重症急性呼吸综合症(severe acute respiratory syndrome,SARS)的临床特点及治疗和预后.方法回顾性分析广东省佛山市第一人民医院2002年11月～2003年2月收治的16例SARS病人的临床资料,分为普通型、重症两组.结果本组病例年龄在20～57岁,男9例,女7例,青壮年为主,44%为医护人员.潜伏期平均为6.7±3.4天.重症7例,占44%.重症SARS较普通型肺部病灶发现晚,发热持续时间长,多累及双肺,易并发急性呼吸窘迫综合症(ARDS),多器官功能损害.重症患者采用早期氧疗,充分镇静及抗病毒,抗细菌感染,激素,增强免疫功能等综合治疗.结论重症SARS患者临床表现严重,但经过积极综合治疗,及早氧疗、采取'肺保护性策略'人工通气,预防和处理好并发症,是可以治愈的.
Objective: To investigate the clinical characteristics, treatment and prognosis of local fatal severe acute respiratory syndrome (SARS). Methods: Retrospectively analyse 16 cases of SARS patients for clinical data from November 2002 to February 2003 in the First People′s Hospital of Foshan, which were divided into ordinary type and severe type. Results: These cases were at the age of 20~57; 9 males, 7 females. The average age of majority between twenty and fifity, the medical personnel took up 44%. Average latent period was 6.7±3.4 days. 7 cases of severe disease accounts for 44%. The severe disease patients, lung focus were found later, the heat time last longer. The severe disease patients adopted complex treatment such as the early oxygen to treat, abundant calm and antivirus, to resist the bacterial infection, and Hormone to strengthen the immune function etc. Conclusion: SARS patients clinical manifestation is serious, but through positive complex treatment, early oxygen treatment, taking 'lung protect tactics', aerating artificially preventing and disposing complication, it can be cured.
出处
《中国医学工程》
2004年第4期100-101,103,共3页
China Medical Engineering
