140例新型甲型H1N1流感病毒感染临床特征分析  

Analysis of Clinical Features of Infection of 140 Cases of Newly A H1N1 Influenza Virus

作　　者：毛雅云 翁恒 陈磊 李红艳 

机构地区：[1]福建省福州肺科医院呼吸内科二区,福建福州350001

出　　处：《中外医疗》2017年第6期1-3,共3页China & Foreign Medical Treatment

摘　　要：目的探讨甲型H1N1流感病毒感染流行病学特征、临床特点及治疗效果。方法对2009年5—12月福州肺科医院收治确诊的140例甲型H1N1流感病毒感染患者的流行病学、临床特征的治疗转归进行回顾性分析并总结。结果所有患者平均于发病后3.3 d予奥司他韦治疗,于4.1 d后退热。总的治疗痊愈出院139例,死亡1例。结论甲型H1N1流感病毒感染发病年龄青少年儿童多见,首发症状为以发热、咳嗽多见,约1/3左右伴随流涕咽痛,仅少数合并有肌痛、乏力、腹泻等症状。肺炎是起主要合并症。肺炎组与非肺炎组相比,发热峰值更高,持续时间更长,更难退热。并且肺炎组的CRP、LDH、TP、PA均明显异常。但及时给予奥司他韦治疗,预后良好。Objective To discuss the epidemiologic features, clinical features and treatment effect of A H1N1 influenza virus. Methods The epidemiology and treatment conversion of clinical features of 140 cases of patients with A H1N1 influenza virus admitted and treated in our hospital from May to December 2009 were retrospectively analyzed and summarized. Results All patients were treated with oseltamivir after 3.3 d, and the fever was brought down after 4.1 d, and there were 139 cases were cured and discharged and 1 case died. Conclusion Most patients with A H1N1 influenza virus are young children, and the first symptoms are fever and cough, about 1/3 were with nasal discharge and sore throat, only few patients were complicated with muscle pain, fatigue and diarrhea, compared with those in the non-pneumonia group, the fever peak value in the pneumonia group is higher and the duration is longer, and is more difficult to bring down a fever,and the CRP、LDH、TP、PA in the pneumonia are obviously abnormal, but the prognosis of timely oseltamivir treatment is good.

关 键 词：流感病毒 甲型H1N1 病毒感染 肺炎 流行病学 临床特征 治疗转归 

分 类 号：R4[医药卫生—临床医学]