5例甲型H1N1流感危重患者救治  

Bundle Therapy in Five Severe Patients with Influenza A(H1N1)

作　　者：杨明全[1] 肖国辉[1] 

机构地区：[1]自贡市第一人民医院重症医学科,四川自贡643000

出　　处：《华西医学》2011年第7期1022-1024,共3页West China Medical Journal

摘　　要：目的探讨甲型H1N1流感危重症患者的抢救疗效。方法 2009年10月2010年1月,对我院ICU收治5例甲型H1N1流感危重症患者采用集束化治疗方案进行救治,并就患者的器官功能变化进行评价。结果 5例患者平均住院天数为(11.8±5.59)d,4例存活,1例死亡。存活患者在治疗过程中急性生理和既往健康(APACHE)Ⅱ、多器官功能障碍综合征评分(MODS)、全身性感染相关的器官衰竭评分(SOFA)总体呈逐渐下降趋势。死亡者APACHEⅡ、SOFA评分均呈逐渐升高趋势。结论对甲型H1N1流感危重症患者采取集束化救治疗效良好。Objective To explore the effect of bundle therapy on severe patients with influenza A（H1N1）.Methods Bundle therapy were used in 5 severe patients with influenza A from October 2009 to January 2010.The patients＇ organ dysfunction were observed for.Results The average in-hospital duration was（11.80±5.59） days.Four patients survived and one died with the survival ratio of 80%.Acute physiology and chronic health evaluation（APACHE） II score,Multiple organ dysfunction syndrome（MODS） score and sepsis-related organ failure assessment（SOFA） score gradually decreased in 4 survived patients,while gradually increased in the died patient.Conclusion Bundle therapy is effective on patients with severe influenza A.

关 键 词：甲型HlN1流感 危重患者 集束化治疗 

分 类 号：R511.7[医药卫生—内科学]