摘要
目的探讨重症甲型H1N1死亡病例的特点,提高重症患者的诊治水平。方法回顾性分析2009年6月至2010年1月北京佑安医院18例甲型H1N1流感死亡患者的资料。结果甲型H1N1流感的病死率为7.5%;死亡患者的年龄偏大,50岁以上者占50%;18例患者中14例合并基础疾病,以发热、咳嗽和呼吸困难为主要表现;17例死于呼吸衰竭,1例死于肿瘤晚期多脏器衰竭。结论甲型H1N1流感主要死于呼吸衰竭,需要密切关注具有基础疾病的老年患者,加强抗感染和营养支持治疗。
Objective To describe the clinical characteristics of fatal cases with confirmed influenza A（H1N1） so as to improve the diagnosis and treatment of the severe cases.Methods We retrospectively analyzed medical records of 18 fatal cases infected with influenza A（H1N1） in Beijing You＇an Hospital between June 2009 and January 2010.Results Case fatality rate of influenza A（H1N1） in our hospital is 7.5%.50% fatal cases were over 50 years old.Of the 18 patients,14 had underlying diseases.The main clinical manifestations are fever,cough and dyspnea.Seventeen patients died of respiratory failure,1 died of multiple organ failure due to advanced cancer.Conclusion The main fatal cause of influenza A（H1N1） is respiratory failure.Pay for attention elderly patients with underlying diseases,with strengthening support for anti-infective and nutritional therapy.
出处
《北京医学》
CAS
2011年第6期464-466,共3页
Beijing Medical Journal
基金
科技部甲型H1N1流感联防联控应急科研项目
