摘要
目的 :探讨传染性非典型肺炎 (SARS)的临床诊断和治疗 ,以提高对本病的治愈率和降低死亡率。方法 :根据诊断SARS的临床实践和体会 ,参考相关资料 ,综合评价本病的早期诊断和治疗。结果 :SARS由冠状病毒引起 ,患者主要有发热 (体温常 >38 0℃ )、畏寒、头痛、干咳、胸闷气短、呼吸困难等临床症状 ,肺部体征不明显或仅有少量湿性音 ;外周血白细胞正常或降低 ,或伴血小板降低 ;胸部X线或CT检查可见多叶或双侧肺异常阴影 ;单纯用抗生素治疗无效。早期应用糖皮质激素、利巴韦林、氧疗、无创机械通气、对症支持、中医中药及抗生素等综合治疗措施治疗 ,效果令人满意。结论 :SARS由冠状病毒引起 ,诊断主要依据流行病学和临床综合资料 ,积极有效的内科综合治疗可提高SARS治愈率、降低其病死率。
Objective:To investigate the clinical diagnosis and treatment of the severe acute respiratory syndrome (SARS), so as to improve the cure rate and decrease the mortality to this kind of disease.Methods:According to the clinical practices and experiments during diagnosis and treatment of SARS, the early diagnosis and treatment were evaluated referring to the correlative materials.Results: It has been found that coronavirus was the pathogen of SARS. The chief clinical symptoms included fever, which was often higher than 38 0 ℃, shiver, headache, nonproductive cough, chest distress and short breath, dyspnea and so on. Pulmonary sign was not evident and a small amount of moist rale could only be found. The counts of WBC were normal or decreased, which might be accompanied by decrease of thrombocytes. Abnormal shadows could be seen in many lobes or both lungs with the help of X ray or CT examination. Antibiotics were not effective to SARS. The combined therapies for SARS were satisfied, such as using of glucocorticoid hormone, ribavirin, oxygen therapy, nontraumatic mechanical ventilation, expectant and supportive therapies, antibiotic treatment, traditional Chinese medicine and so forth. Conclusion:SARS was caused by coronavirus. The diagnosis was mainly depended on epidemiological and combined clinical materials. The cure rate and mortality of SARS could be obviously improved and decreased respectively by means of comprehensive treatments.
出处
《军医进修学院学报》
CAS
2003年第3期161-164,共4页
Academic Journal of Pla Postgraduate Medical School
关键词
传染性
非典型肺炎
诊断
治疗
冠状病毒
coronavirus
severe acute respiratory syndrome (SARS)
clinical diagnosis
treatment
