SARS诊治的临床体会(附17例报告)

Clinical experience on diagnosis and treatment of SARS (17 Cases report)

目的 :对SARS诊断和治疗进行探讨。方法 :分析经治的17例患者临床资料。结果 :17例患者均有明确的接触史 ,男性7例、女性10例 ,发病年龄在19～62岁之间。主要临床表现发烧94.11 % (16/17) ,全身中毒表现如肌肉、关节酸痛82.35%(14/17)、乏力76.47%(13/17)、头痛47.06% (8/17)、呼吸困难58.82 %(10/17) ,腹泻11.76 % (2/17),白细胞总数正常或减少70.58 %(12/17)、淋巴细胞降低52.94 % (9/17)。转归示好转16例 ,死亡1例 (并存糖尿病、高血压病 )。结论 :SARS的特征性临床表现有助诊断及判断病情 ,处理予抗生素可防治继发性感染 ,合理使用糖皮质激素 。

Objective:To discuss the diagnosis and treatment of severe acute respiratory synˉdrome.Methods:The clinical data of17cases from writer were analyzed.Results:All the17cases have a definite contact history,7cases are males and10are females,age from19years to62years.The main clinical manifestations included fever94.11%(16/17),With toxic symptom such as muscular and articulation soreness82.35%(14/17)?hypodynamia76.47%(13/17)headache47.06%(8/17);dyspnea58.82%(10/17),diarrhea11.76%(2/17);blood WBC normal or decrease64.70%(11/17)?lymphocyte decrease52.94%(9/17),lapse to improvement16casˉes,and die1cases(were complicated by diabetes mellitus and primary hypertension).Concluˉsion:Characteristic clinical manifestations of severe acute respiratory syndrome,is helpful to diagnosis,estimate and management Both antivirus and non invasive mechanical ventilation can help to stop the development of disease.