26例重症SARS患者初诊时临床症状与体征分析  

Analysis of the Clinical Symptoms and Signs of 26 Patients of Severe SARS at First Visit

作　　者：吴红金[1] 茹立强[1] 李澎涛[2] 赵锡银 王凡 刘娟 李建民 段姝伟 王国华 王瑞丽 刘婵 王建章 刘天琪 

机构地区：[1]华中科技大学同济医学院,湖北430030 [2]北京中医药大学,北京100029 [3]北京市中西医结合医院,北京100039

出　　处：《北京中医药大学学报》2004年第5期84-86,共3页Journal of Beijing University of Traditional Chinese Medicine

基　　金：科技部"十五"863计划重大项目 (No .2 0 0 3AA2 0 810 1);国家中医药管理局科研课题 (No 国中医药科非典专项 0 6号 )

摘　　要：目的　探讨重症SARS患者的临床症状、体征、胸片特点及中医治疗经验。方法　回顾分析了 2 6例重症SARS患者初诊时的临床症状、体征、胸片及其恢复时间 ,并与同期入院的 30例普通SARS患者进行对比。结果　重症SARS患者临床症状中 ,发热、干咳、乏力、咯痰、头痛、气短、肌肉酸痛等症状较为普遍。与普通组相比 ,乏力、气短和恶寒等症发生率高 ,发热、乏力、头痛、肌肉酸痛等症改善时间长 ,其结果具有统计学差异。结论　SARS的主要病理变化是热毒蕴肺、瘀热互结、气阴两伤 ,辨证时不应拘泥单一病机 ,而应分清轻重缓急 。Objective To investigate the clinical symptoms, signs, and the chest X-ray features of the patients of severe SARS, and the experience of the TCM treatment of severe SARS. Method The clinical symptoms, signs, chest X-rays and the restoration time of 26 patients of severe SARS at first visit were retrospected, and the results of the retrospective study were compared with the results of the retrospective study of the 30 patients of general SARS admitted in the same period concerning the above-mentioned criteria. Results In the patients with severe SARS, the commonly appeared clinical symptoms were found to be fever, dry cough, weakness, coughing with sputum, headache, short breath, and aching pain in muscle. Compared with those symptoms appeared in the patients of general SARS, the symptoms of weakness, short breath, and feeling disgusted with cold appeared at a higher frequency, and the symptoms of fever, weakness, headache, aching pain in muscle needed a longer time to be relieved. The results of the comparison were with statistical significance. Conclusion The pathogenesis of SARS is mainly of stagnation of heat toxin in lung, aggregation of stasis and heat, and impairment of qi and yin. Stickling to one single factor in its pathogenesis should be avoided in diagnosing SARS by TCM diagnostic methods, and the four natures, namely mildness, severity, meekness and acuteness, of the factors of its pathogenesis should be clearly understood in order to make a reasonable treating plan.

关 键 词：严重急性呼吸综合征 症状体征 中西医结合治疗 临床分析 

分 类 号：R259.638[医药卫生—中西医结合]