96例甲型H1N1流感的临床分析  

Analysis of 96 cases with novel H1N1 influenza A

作　　者：王宇芳[1] 过建春[1] 娄国强[1] 荀运浩[1] 俞秀丽[1] 石伟珍[1] 施军平[1] 喻剑华[1] 

机构地区：[1]杭州市第六人民医院,310014

出　　处：《中华实验和临床病毒学杂志》2010年第3期212-214,共3页Chinese Journal of Experimental and Clinical Virology

基　　金：浙江省卫生科技专项项目（2009A108）

摘　　要：目的 通过回顾性分析96例甲型HlNl流感的流行病学及临床特点,提高对甲型H1Nl流感的诊断和治疗水平.方法 收集2009年8月20日至9月23日于杭州市第六人民医院住院治疗的96例甲型H1N1流感患者的临床资料,对其流行病学及临床特点进行分析.结果 患者平均年龄（26.52±10.62）岁,64例有甲流接触史.以发热100%、咳嗽86.4%、咽痛66.6%和肌肉酸痛32.3%为主要临床表现.结论 甲型H1N1流感临床表现与季节性流感很难区分,需结合流行病学调查与实验室检查及时诊断隔离治疗.Objective To review the epidemiologic and clinical characteristics of 96 cases with novel H1N1 influenza A, and improve the diagnosis and treatment level of novel H1N1 influenza A. Methods 96 cases of novel H1N1 influenza A admitted to the isolation wards from Oct 20 to Sep 23, 2009 were studied. Their epidemiologic, clinical, laboratory, and radiologie characteristics were analyzed. Results The median age of the 96 patients was 26. 52 ＋ 10.62 years （range, 5 to 60 years）. Sixty-four of the 96 patients had a close contact with novel H1 N1 influenza A patients. The main symptoms included fever 100% , cough 86.4% , sore throat 66.6% and myalgia 32.3%. Conclusion The clinical presentation of novel H1N1 infection is largely indistinguishable from that of seasonal influenza. Combines both a symptom complex with the epidemiological investigation and laboratory characteristics can improve the accuracy of diagnosis of novel H1N1 influenza A.

关 键 词：流感病毒A型 临床医学 流行病学 

分 类 号：R511.7[医药卫生—内科学]