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新型甲型H1N1流感68例临床分析
引用本文:黄绍萍,张占卿,卢洪洲,胡芸文,周志统,袁正宏. 新型甲型H1N1流感68例临床分析[J]. 实用医学杂志, 2010, 26(2). DOI: 10.3969/j.issn.1006-5725.2010.02.045
作者姓名:黄绍萍  张占卿  卢洪洲  胡芸文  周志统  袁正宏
作者单位:上海市(复旦大学附属)公共卫生临床中心,201508
基金项目:上海市公共卫生重点学科建设项目 
摘    要:目的:探讨上海地区甲型H1N1流感确诊病例的临床特点.方法:分析2009年5月24日至7月1日上海市(复旦大学附属)公共卫生临床中心收治的甲型H1N1流感68例确诊病例的流行病学及临床资料.结果:68例甲型H1N1流感确诊病例的临床特点:(1)不同性别和各年龄段均可感染和发病,但主要见于青少年,女性患者偏多.(2)首发症状多为发热.大多数为中低热,发热持续时间为1~4 d;主要症状包括发热(98.5%)、咳嗽(83.8%)、咽痛(52.9%);主要体征为咽部充血(95.6%)、扁桃体肿大(54.4%);少数患者可出现病毒性肺炎.(3)血清C反应蛋白升高和前白蛋白下降比较常见.(4)在奥司他韦治疗的前提下,患者病毒转阴时间1~7 d,中位时间4 d.结论:此次甲型H1N1流感病毒具有很强的传染性,能在人与人之间传播,并在不同国家扩散.该次流行期间的感染者大多表现出轻微的症状,患者很快痊愈.

关 键 词:流感病毒A型,H1N1亚型  临床特征

Clinical features of 68 cases of novel influenza A (H1N1) in Shanghai
HUANG Shao-ping,ZHANG Zhan-qing,LU Hong-zhou,HU Yun-wen,ZHOU Zhi-tong,YUAN Zheng-hong. Clinical features of 68 cases of novel influenza A (H1N1) in Shanghai[J]. The Journal of Practical Medicine, 2010, 26(2). DOI: 10.3969/j.issn.1006-5725.2010.02.045
Authors:HUANG Shao-ping  ZHANG Zhan-qing  LU Hong-zhou  HU Yun-wen  ZHOU Zhi-tong  YUAN Zheng-hong
Affiliation:HUANG Shao-ping,ZHANG Zhan-qing,LU Hong-zhou,HU Yun-wen,ZHOU Zhi-tong,YUAN Zheng-hong.Shanghai Public Health Clinical Center Shanghai 201508,China
Abstract:Objective To analyze clinical features of patients infected with novel influenza A(H1N1) in Shanghai.Methods The epidemiology and clinical data of 68 confirmed cases with H1N1 infection from May 24th to July 1st,2009 were analyzed.Results The clinical features of 68 patients infected with H1N1 were as follows:(1) Male and female of different ages could be infected and fell ill,the mainly patients were teenagers and female.(2)The starting symptoms were fever,mostly low-grade fever for 1-4 days.The main sympt...
Keywords:Influenza A virus  N1N1 subtype  Clinical Features  
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