摘要
目的 对我所ICU收治的重症传染性非典型肺炎(SARS)患者的临床治疗经过及特点进行回顾分析。方法 从临床的特点和治疗的反馈系统地回顾我所ICU于2002年12月至2003年4月临床诊断重症SARS患者的临床资料。初步分析治疗与预后的因果关系。结果 收治的重症SARS患者共38例,21％合并有基础病(8/38),起病初期均给予抗病毒对症支持和器官保护治疗,发展至重症阶段均予抗菌、皮质激素抗炎、营养支持、免疫调节、人工通气辅助等治疗措施。30例病愈出院(79％),其中11例(11/30)出院时X线胸片示有轻微肺纤维化改变(37％):8例死亡(21％)。结论 重症SARS患者病情发展迅速,除了提倡早诊断、早隔离、早治疗外,合理使用皮质激素和人工通气辅助效果理想。
Objective Retrospective analysis the clinical therapy feature of severe infectious atypical pneumonia ( SARS). Methods Patient's clinical therapy feature were retrospectively studied who diagnosed as suffering severe infectious atypical pneumonia in Guangzhou Institute of Respiratory Disease during Dec 2002 to Apr 2003 were. Results 38 cases of severe infectious atypical pneumonia were diagnosed, Empirical therapy most commonly included corticosteroids, antibiotics, oseltamivir and mechanical ventilation. 30 cases were recovered(78.9%), 11 cases had pulmonary fibrosis(36.7%), 8 cases died(21.%). Conclusion Severe SARS could worsen rapidly. Not only should advocate diagnosis, insulate and therapy in early time. Also we using corticolsteriod and noninvasive ventilation in reasion.
出处
《广东医学》
CAS
CSCD
2003年第z1期108-110,共3页
Guangdong Medical Journal
关键词
肺炎
严重急性呼吸综合征
临床分析
Pneumonia Severe acute vespiratory syndrome Clinical analysis
