15例严重急性呼吸综合征死亡病例分析

Clinical Analysis of the Dead SARS Patients

目的 :分析严重急性呼吸综合征死亡病例的危险因素 ,总结治疗经验。方法 :对呼和浩特市收治严重急性呼吸综合征(SARS)病人中的 15例死亡病例进行病案复习 ,就一般情况、流行病学、既往史、临床表现、实验室检查、影像学检查、治疗方案及直接死亡原因进行分析总结。结果 :病死率 10 .4 2 % ,平均年龄 5 4 .6 7,6例伴基础疾病 ,14例死于呼吸衰竭和ARDS。结论 :(1)有效的、早期呼吸支持至为关键 ;(2 )激素不能改变病程进展 ;(3)营养支持不足是导致死亡的重要原因之一。

Objective: Analysis the risk factors in order to summarize the therapeutic experience. Methods: Review and sum up the death cases on general information, epidemiologic data, history of past illness, clinical manifestations , laboratory examination results, radiological appearance , treatment plan and direct death causes. Results: The mortality was 10.42%,mean ages 54.67, six patient basic disease,14 persons died for respirative failure and ARDS.Conclusion: 1. Effective and early applied oxygen therapy is the crux of the matter. 2. Incorrect prescription of corticosteroid worsened the pathologic progression.3. Insufficient nutritional support therapy deteriorated the disease.