唐山市传染性非典型肺炎的临床特点

Clinical features of probable SARS cases in Tangshan

①目的 总结唐山市传染性非典型肺炎 (非典 )的临床特点 ,为临床病例的诊断和治疗方案的选择提供参考。②方法 回顾性分析 48例非典患者临床诊断住院资料。③结果 儿童、青少年所占比例最低 (8.3 % ) ,医护人员比例最高 (2 7.1 % ) ,存在一定的空间聚集性。高热、打喷嚏、咳嗽、咯痰是最常见的早期症状。白细胞计数升高 (1 0 .7± 4 .0 )× 1 0 9/L 淋巴细胞百分比下降 (1 8.3±9.6) %。双肺病变占 63 .8% ,多叶病变 2 1 .3 % ,X线片状阴影占 91 .5 %。发病后 (8.0± 5 .7)天体温恢复正常 ;住院后 (1 0 .9± 6 .7)天 ,大部分病例 (37例 )的X线改变恢复正常。④结论 非典患者的临床症状和体征缺乏特异性 ,流行病学证据和血清学检查是确定诊断的必要条件。合理使用类固醇类激素 ,可能有利于非典患者的临床治疗。

Objective Summarize the clinical features of probable SARS cases in Tangshan, and provide evidence for SARS diagnosis and treatment. Methods Retrospectively collect the clinical data and home interview data when discharged. Frequency of clinical character include cough, difficult breathing are tabulated, and white blood cell counting, platelet counting, etc are summarized as mathematical mean. Results ①Children share the least ratio (8.3%) in age distribution, and hospital staff share the highest percent(27.1%) in occupation distribution. There is also a trend in space distribution. ②Fever, sneeze, cough and stupum is the most common symptom. ③The only two specified signs are higher leukocyte counting (10.7～4.0×10 9 /L) and lower lymphocyte percentage (18.3～9.6)%. ④Roentgen examination finds that double lung is compromised in 68.3% patients, multi leafs of lung (21.3%), soakage plaque (91.5%) is the main (21.3%) X-ray type. ⑤Body temperature drop to normal range in 8.0 5.7 days after onset. Roentgen signs fades away in 10.9 6.7 days after hospitalized. Conclusion ①Epidemiology evidence and serum data is the must in clinical diagnosis, for the limited value of clinical symptoms. ② Steroid hormones, if administered in a reasonable way, may improve the progress of the disease.