甲型H1N1流感轻症病例118例临床分析

Clinical characteristics of 118 mild cases of influenza A(H1N1)

目的总结甲型H1N1流感病例临床表现及治疗特点。方法对顺义区传染病院从7月末开始收治的甲型H1N1流感确诊病例118例的临床资料进行回顾性分析。结果绝大多数有一过性或间断发热,大多数患者有咽痛、咳嗽症状,血常规检查示近一半患者白细胞(WBC)低于正常,WBC分类示多数患者淋巴细胞百分比(LYM%)高于正常,而中性粒细胞百分比(GRA%)低于正常,多于1/3的患者单核细胞百分比(MON%)高于正常。血生化检查示有4.46%患者肌酸激酶(CK)高于正常,所有患者全部治愈,44.07%患者接受抗生素治疗,26.27%患者接受奥司他韦治疗。结论甲型H1N1流感符合病毒感染特点,致病性较为温和,但聚集性发病明显,要高度重视,但又不必过度恐慌,要在卫生部甲型H1N1流感诊疗方案的基础上做好防治工作,最大可能减少重症病例发生。

Objective To investigate the clinical factures of patients with influenza A（HI N1 ）. Methods One hun- dred and eighty mild cases of influenza A（ H1N1 ） were collected from july 2009 to October 2009 in Shunyi District Hospital for Infectious Diseases. Results The vast majority there is a transient or intermittent fever, Most patients have sore throat, cough symptoms. Routine blood examination showed nearly half of the total number of patients with normal white blood cells, white blood cell classification showing the majority of the percentage of lymphocytes in patients with higher than normal, while the percentage of neutrophils than normal, more than 1/3 of the percentage of monocytes in patients with higher than normal. Blood biochemical examination revealed a 4.46% higher than normal in patients with creatine kinase, all patients were cured, 44.07% of patients received antibiotics, 26. 27% patients received oseltamivir treatment. Conclusion Influenza A （ H1 N1 ） virus infection in line with the characteristics of pathogenicity is more moderate, but significant aggregation of disease, we must attach great importance, but they do not have to panic unduly. We ought to take preventive measures on the basis of the program of the Ministry of Health influenza A（ H1 N1 ） clinics, and to largest may reduce the occurrence of severe cases.