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湖北省38例疑似传染性非典型肺炎个案分析

Analysis on 38 Suspected SARS Cases in Hubei Province
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摘要 目的 分析湖北省传染性非典型肺炎 (WHO命名为严重急性呼吸综合征 SARS)与疑似 SARS流行病学特点 ,为该病的鉴别诊断提供参考。方法 采用统一的流行病学个案调查表对 SARS与疑似 SARS进行调查 ,分析其在湖北省的流行特点以及排除 SARS的病因。结果 全省累计报告疑似 SARS38例 ,其中临床确诊 6例 ,确诊率为 1 5 .79% ;排除 32例 ,排除率为 84 .2 1 %。排除的病因以肺炎、肺部感染、支气管炎、肺结核及肺部阻塞性病变等呼吸系统疾病为主 (2 5例 ,占 78.1 3% )。治愈 34例 ,治愈率为 89.4 7% ;死亡 4例 ,病死率为 1 0 .5 3%。结论 发病第一周 ,SARS与呼吸系统疾病难以鉴别 ,应密切观察病情变化 ,及时排除诊断 。 Objective To analyze the epidemiological characteristics of SARS and suspected SARS in Hubei Province and provide reference for differential diagnosis. Methods SARS and suspected SARS cases were surveyed with the uniform questionnaire to analyze the SARS epidemiological characteristics in Hubei Province. Results A total of 38 cases of suspected SARS were reported in Hubei with 6 cases (15.97%) confirmed and 32 cases (84.21%) excluded. The 32 cases were mainly pneumonia, bronchitis, pulmonary tuberculosis and pathological changes in lungs (78.13%). 34 cases were cured (89.47%) and 4 cases dead (10 53%). Conclusions There was difficulty in distinguish SARS from other respiratory diseases during the 1st week, therefore it is necessary to pay close attention to the changes of patients′ condition, and timely exclude the diagnosis so as to reduce the cost for quarantine and medical observation of the patients close contacts and localiye the place for disinfection.
出处 《湖北预防医学杂志》 2003年第4期1-3,共3页 Hubei Journal of Preventive Medicine
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参考文献5

  • 1卫生部.卫生部办公厅关于在医疗机构中统一开展传染性非典型肺炎诊断、报告、流行病学调杏工作的通知[Z].,2003..
  • 2卫生部.关于做好传染性非典型肺炎疑似患者临床诊断工作的紧急通知:卫发电2003—78号[Z].,..
  • 3卫生厅.湖北省卫生厅转发卫生部关于印发新修订的传染性非典型肺炎临床诊断标准和推荐治疗方案及出院参考标准的通知(鄂卫发电[2003]10号)[Z].,2003..
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