综合医院对疑似SARS患者的早期诊断和治疗

Early diagnosis and treatment on suspected SARS patients in general hospital

目的通过临床观察 ,探索疑似严重急性呼吸综合征 (severeacuterespiratorysyndrome,SARS)患者的诊断以及相关因素的影响 ,完成最终诊断及相应的治疗处理。方法采用前瞻性研究方法对 1 0 0例疑似SARS患者的症状、实验室检查、肺部影像学检查以及治疗进行追踪分析。结果 1 0 0例疑似患者中 ,确诊SARS 66例 ,排除 34例 (其中支原体肺炎 4例、肺结核 2例 ,其余为一般细菌性肺炎 )。结论SARS没有特征性临床表现 ,在没有金标准诊断的情况下 ,对疑似SARS患者的消毒隔离应等同于SARS患者 ,诊断治疗应综合考虑 ,以防漏诊。

ObjectiveTo investigat e the diagnosis and correlative factors of suspected severe acute respiratory synd rome (SARS) cases, and finally, complete the diagnosis and treatment. MethodsTo analyze the clinical, laboratory data, chest radiog raph and treatment of 100 suspected SARS cases.ResultsAmong 100 suspected SARS cases, 66 were diagnosed as SARS, 4 were mycoplasma l pneumonia, 2 were pulmonary tuberculosis, the others were general bacteria pne umonia.Conclusions SARS hasn't characteristic clin ical manifestation. Because there is not a gold diagnosis standard up to now, th e disinfection and isolation of suspected SARS cases should be treated as SARS c ases. In order to prevent missed and misdiagnosis, the diagnosis and treatment s hould be synthetically thought.