成人流感住院患者56例临床分析

Clinical analysis of 56 hospitalized adult patients with influenza

目的:分析56例成人流感住院患者的临床特征。方法:选取2018年10月-2019年4月住院流感患者56例,其中青年组26例,老年组30例;均采用综合治疗方法。结果:有基础疾病的老年患者比例高于青年组。患者临床表现均为发热、咳嗽、咳痰、精神淡漠等;入院时胸部CT以双肺浸润为主,病灶进展快,恢复期临床症状消失;部分胸部CT无变化;少数患者有全身器官功能损害。56例患者均治愈出院。结论:患有基础病的流感患者易出现重症肺炎;少数全身器官功能损害的患者需进行综合性治疗,尽早服用奥司他韦,降低并发症发生率、死亡率。

Objective:To analyze the clinical characteristics of 56 hospitalized adult patients with influenza.Methods:From October 2018 to April 2019,56 cases of hospitalized influenza patients were selected,including 26 cases in the youth group and 30 cases in the elderly group.They were treated with comprehensive treatment.Results:The proportion of elderly patients with underlying diseases was higher than that of young patients.The clinical manifestations of all patients were fever,cough,expectoration and apathy.On admission,the chest CT mainly showed bilateral lung infiltration,and the lesions progressed rapidly,and the clinical symptoms disappeared in the recovery period.Some chest CT showed no change.A few patients had systemic organ dysfunction.All 56 patients were cured and discharged.Conclusion:Influenza patients with underlying diseases are prone to severe pneumonia.A small number of patients with systemic organ dysfunction need comprehensive treatment,early administration of oseltamivir can reduce the incidence of complications and mortality.