33例SARS患者临床表现与治疗

Clinical signs and therapy of 33 SARS cases

卫生部与世界卫生组织联合工作组2003年6月27日评价说,内蒙古自治区的非典型肺炎防治工作十分出色,它为中国华北地区及时有效地控制SARS疫情做出了贡献。内蒙古在理清SARS病人的传播链工作方面走在了中国各疫区的前列,内蒙古的282例诊断病例经过广大医务工作者艰苦细致的工作,把传播过程的来龙去脉调查得十分清楚,这为内蒙古及时有效地控制非典疫情奠定了良好的基础。

OBJECTIVE: To investigate the clinical charactertistics and therapy of patients with SARS.METHODS:The cases of total 33 chinically diagnosed SARS patients admitted in Inner Mongolia ChestHospital were analyzed retrospectively. RESULTS:The most common complaint is fever(in 100 percent of thepatients). 33.3% of the cases suffered from dyspnea. The laboratory test abnormality happened in about halfof cases, including leuknpenia, thrombocytopenia, elevated serum aminotrasferase, increasd cardio enzymeand glucose levels. The IgG artibody was detected in all tested 15 patients. The features of shadow in chestX-R are “soft”、“wet”and rapid change. 48.4% are severe. Corticosteroids were used in all the cases. 33.3% were treatcd by CPAP mechanical ventilation. 33.3% had basic diseases. 42% showed the inconsistencybetween the diagrams of temperature and pulse. The main complications are bone necrosis, pneumothorax,deterioration of tuberculosis, temporary increase of serum glucose and so on. CONCLUSION: SARS can resultin damage of multi-organs. The most common symptoms are fever and respiratory system manifestations. Inorder to raise cure rate and lower mortality, it is important to command correctly the administration ofcorticosteroids and mechanical ventilation, treat carefully basic diseases and complications, providesufficient nutrition, pay attention psychological therapy and daily life nursc.[