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39例重症严重急性呼吸综合征临床分析
引用本文:何晓蕴,周云芝,张涛,侯一军,袁英,马娜,吴慧丽,张楠,刘琪.39例重症严重急性呼吸综合征临床分析[J].中国呼吸与危重监护杂志,2003,2(5):275-277.
作者姓名:何晓蕴  周云芝  张涛  侯一军  袁英  马娜  吴慧丽  张楠  刘琪
作者单位:煤炭总医院,北京,100028
摘    要:目的 探讨重症严重急性呼吸综合征(SARS)的诊断和治疗方法。方法 对2003年4月30日~6月5日收治的39例重症SARS患诊治情况进行回顾性分析。结果 97例SARS患中39例为重症SARS患(占40.12%),SARS病死率为5.15%,而重症SARS患的死亡率为12.8%。早期进行积极综合治疗,85%的SARS病人痊愈或显效,重症SARS患治疗的总有效率为66.67%,好转率为20.51%。结论 对重症SARS患进行严密监测,及早采取干预措施,有助于降低其死亡率。

关 键 词:重症严重急性呼吸综合征  SARS  临床研究  病例分析  病理诊断  流行病学
修稿时间:2003年7月28日

Clinical analysis of 39 cases with serious severe acute respiratory syndrome
HE Xiaoyun,ZHOU Yunzhi,ZHANG Tao,et al The Coal General Hospital Beijing ,China.Clinical analysis of 39 cases with serious severe acute respiratory syndrome[J].Chinese Journal of Respiratory and Critical Care Medicine,2003,2(5):275-277.
Authors:HE Xiaoyun  ZHOU Yunzhi  ZHANG Tao  The Coal General Hospital Beijing  China
Institution:HE Xiaoyun,ZHOU Yunzhi,ZHANG Tao,et al The Coal General Hospital Beijing 100028,China
Abstract:Objective To analyze the clinical presentations and treatment of serious cases with severe acute respiratory syndrome (SARS) Methods 39 cases of serious SARS from April 30 to June 5,2003 in the Coal General Hospital were reviewed retrospectively Results Among 97 cases of SARS patients, 39 cases (40 12% )progressed into serious conditions and the mortality of these serious cases was about 12 8% With active combined treatments in early stage,about 85% of SARS patients can be cured or improved significantly The total mortality of SARS patients was 5 15% The cured rate in serious cases with SARS was 66 67% and the improved rate was about 20 51% Conclusion It is important to take intensive monitoring and early intervention for serious cases with SARS patients at high risk in order to reduce mortality
Keywords:Severe acute respiratory syndrome  Diagnosis  Treatment
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