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重症甲型H1N1流感病毒肺炎的临床和病理特征
引用本文:李冠华,张力,李月川,贾玮,张冬睿,高淑连,赵勇.重症甲型H1N1流感病毒肺炎的临床和病理特征[J].天津医药,2010,38(1).
作者姓名:李冠华  张力  李月川  贾玮  张冬睿  高淑连  赵勇
作者单位:1. 天津医科大学天津市胸科医院胸内科,300070
2. 天津市胸科医院胸内科
基金项目:天津市科技支撑计划重大项目 
摘    要:目的:探讨危重症甲型H1N1流感病毒(甲流)肺炎患者的主要临床特点,分析其气道内分泌物及肺、心脏病理学改变与持续性低氧血症的关系.方法: 回顾性分析入住呼吸重症监护病房(RICU)的24例危、重症甲流肺炎患者的临床资料.24例均用抗病毒治疗(达菲剂量75或150 mg)每日2次,24例中20例用激素治疗,6例行气管插管机械通气治疗.结果:24例患者平均年龄(48.25±19.73)岁,孕产妇、肥胖及有慢性基础病者15例.进行性气短、咳嗽、肌肉酸痛是主要症状.双肺多发实变影22例(91.67%).入院后5例气道内分泌物中蛋白质为34.1~37.7 g/L,乳酸脱氢酶(LDH)为792~1 890 U/L.白细胞计数为(0.722~1.470)×10~9/L,中性粒细胞0.21~0.44,单核细胞为0.111~0.560,嗜酸粒细胞为0.027~0.110,嗜碱粒细胞为0.018~0.054.病理学变化有肺透明膜形成、肺泡腔塌陷、心肌细胞变性和心肌灶性坏死.气管插管机械通气支持治疗6例,死亡5例,病死率20.83%.结论:气道内分泌物LDH、蛋白质升高、炎性细胞增多是危重症甲流肺炎患者肺部病理损害的表现;机械通气支持治疗对于肺内广泛实变者效果不理想,且相关的并发症是部分患者病情加重或死亡的促发因素.

关 键 词:流感病毒A型  H1N1亚型  流感    肺炎  病毒性  危重病  重症监护病房  呼吸  人工  奥司他韦病理学  临床    心脏

Clinical and Pathological Features of Severe Influenza A H1N1 Influenza Virus Pneumonia
LI Guanhua,ZHANG Li,LI Yuechuan,JIA Wei,ZHANG Dongrui,GAO Shulian,ZHAO Yong.Clinical and Pathological Features of Severe Influenza A H1N1 Influenza Virus Pneumonia[J].Tianjin Medical Journal,2010,38(1).
Authors:LI Guanhua  ZHANG Li  LI Yuechuan  JIA Wei  ZHANG Dongrui  GAO Shulian  ZHAO Yong
Institution:LI Guanhua,ZHANG Li,LI Yuechuan,JIA Wei,ZHANG Dongrui,GAO Shulian,ZHAO Yong Tianjin Medical University,Tianjin 300070,China
Abstract:Objective:To investigate the main clinical features of critically ill patients with influenza A (H1N1) influenza virus pneumonia,and the relationship between airway secretions and cardiopulmonary pathology change with continuous hypoxemia. Methods:The retrospective analysis was made in critically ill patients with H1N1 influenza virus pneumonia admitted to a respiratory intensive care unit(RICU). Twenty-four patients were all administrated antiviral drugs (oseltamivir 75/150 mg Bid). Twenty of them were sub...
Keywords:influenza A virus  H1N1 subtype  influenza  human  pneumonia  viral  critical illness  intensive care units  respiration  artificial  oseltamivir  pathology  clinical  lung  heart
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