人禽流感救治策略

The strategies on the treatment of the human avian influenza pneumonia

目的探讨人禽流感救治的有效紧急预案和治疗经验。方法2005年10月18日,该院通过院前急救转运收治了来自湘潭疫区的1名9岁人禽流感患者,经过25 d全力抢救治疗痊愈出院,成为国内首例成功救治的人禽流感患者。2006年1月9日又收治了来自郴州的另1名6岁人禽流感患儿,经过44 d的救治痊愈出院,是目前国内确诊年龄最小的患者。结果根据病原和流行病学特点,分析人禽流感的临床特征,制定有效的救治方案,包括呼吸支持、维护器官功能、小剂量糖皮质激素和微量肝素的应用等,完善的急诊医疗体系和科学的应急预案在救治过程中发挥积极作用。结论尽早发现和观察病情变化,采取综合措施可使人禽流感完全治愈。

Objective To explore the effective urgent scheme and therapeutic strategy of the two cases of cured patients with human H5N1 avian influenza pneumonia. Methods A patient of 9 years old with human avian influenza pneumonia from Xiangtan in Hunan province was transported to the urgent care center in the children＇s hospital of Hunan province on Oct 18, 2005. The patient got recovery with the treatment for 25 days and he was the first cured patient with the human avian influenza pneumonia in China. Another 6 years old patient with the same disease from Chenzhou Region was transported to the hospital on Jan 9, 2006. The patient was cured with the treatment for 44 days and he was the youngest patient with the human avian influenza pneumonia in China. Results According to the characteristic of etiological agent and epidemiology, the clinical features of the human avian influenza pneumonia were analyzed. The effective therapeutic strategies were formulated, including the CPAP assistant ventilation, the protection of organ＇s function, and the application of low - dosage giucocorticoid and microcrystalline heparin. The consummate emergency medical service system and scientific project of emergency had played important roles in the treatment of human avian influenza pneumonia. Conclusion The patients with human avian influenza pneumonia can be cured with the early detection of the disease and prompt integrative measure.