20例院内感染SARS患者中西医结合诊治分析

目的：总结院内医务人员感染严重急性呼吸综合征(SARS)的流行病学、临床特征、诊断、治疗和预防等特点。方法：对我院2003年2-5月收治的20例患SARS医护人员的临床资料进行回顾性分析。结果：本组人员均有与SARS患者接触史，潜伏期2～7d，首发症状为发热，有明显的呼吸道症状，部分出现呼吸加速，外周血白细胞不高；X线胸片改变以斑片状肺部浸润影多见；综合治疗措施疗效较好，严格的隔离措施能有效防止SARS的继续传播。结论：医护人员感染SARS诊断相对容易；短期应用糖皮质激素是安全的；中西医结合治疗对改善症状有益。

Analysis on diagnosis and treatment with integrated traditional Chinese and western medicine in 20 severe acute respiratory syndrome patients infected in hospital

Objective: To summarize the clinical features and managements of hospital staff with severe acute respiratory syndrome (SARS) infected in hospital. Methods: Clinical data of 20 SARS staffs in our hospital from February 2003 to May 2003 were retrospective analyzed. Results: All had a direct personal contact with SARS patients. The incubation period of the disease was 2-7 days. Fever and cough were the initial symptoms. The respiratory symptoms progressed in some of the patients. Laboratory features included normal peripheral white blood cell(WBC) count. Focal involvement was common in chest X-ray radiographs. It was easy to meet the diagnostic criteria of SARS. The clinical outcome was good. Aggressive infection control measures were effective in preventing further transmission of this disease. Conclusion: The diagnosis of SARS in hospital staff is easy to make. The treatment with glucocorticoid in a short period is safe. Integrated traditional Chinese and western medicine therapy is benefit to the improving of symptom, and the clinical outcome is good.