“非典型肺炎”的临床问题——关于SARS与常见呼吸道疾病鉴别诊断的探讨

Proposal concerning differentiation of SARS with other respiratory tract infections by clinical profile

去冬今春在亚洲及部分国家和地区发生的“非典型肺炎” ,世界卫生组织 (WHO)称为重症急性呼吸综合征(SARS)。病因未明 ,目前有证据表明可能为变异的冠状病毒 (SARS病毒 )引起 ,属于急性呼吸道传染病。该病在临床上有其独特的特点 ,但应注意与普通感冒、流行性感冒、上呼吸道感染和寻常的肺炎鉴别 ,以便早期诊断SARS病例 。

Three months ago, the World Health Organization (WHO) issued a worldwide notice about the severe acute respiratory syndrome (SARS) that was termed as atypical pneumonia (AP) in China and some other countries / regions in Asia. It is getting quite clear that SARS is an infectious disease. Up to the present, at least eight international laboratories have identified coronavirus in patients with SARS. Despite there were some clinical features in SARS, it should be carefully differentiated from usual pneumonia common cold, influenza and other upper respiratory tract infections.