33例SARS患者临床表现与治疗

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 Chest Hospital were analyzed retrospectively. RESULTS:The most common complaint is fever(in 100 percent of the patients). 33.3% of the cases suffered from dyspnea. The laboratory test abnormality happened in about half of cases, including leuknpenia, thrombocytopenia, elevated serum aminotrasferase, increasd cardio enzyme and glucose levels. The IgG artibody was detected in all tested 15 patients. The features of shadow in chest X-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 inconsistency between 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 result in damage of multi-organs. The most common symptoms are fever and respiratory system manifestations. In order to raise cure rate and lower mortality, it is important to command correctly the administration of corticosteroids and mechanical ventilation, treat carefully basic diseases and complications, provide sufficient nutrition, pay attention psychological therapy and daily life nursc.

Clinical signs and therapy of 33 SARS cases