湖北省人感染H5N6禽流感重症病例救治成功1例报道  

Successful Treatment of Severe Cases of H5N6 Avian Influenza in Hubei Province: a Case Report

作　　者：李良[1] 刘小政[2] 邵联群 胡茂胜 俞真[5] 喻允奎 吴激波[7] 黄宽明 

机构地区：[1]湖北省十堰市西苑医院(传染病医院)麻醉科 [2]湖北省十堰市西苑医院(传染病医院)检验科 [3]湖北省十堰市西苑医院(传染病医院)外科 [4]湖北省十堰市西苑医院(传染病医院)呼吸内科 [5]湖北省十堰市西苑医院(传染病医院)影像科 [6]湖北省十堰市西苑医院(传染病医院)药剂科 [7]湖北省十堰市西苑医院(传染病医院)感染科 [8]十堰市太和医院.湖北医药学院附属医院神经外科,湖北十堰442000

出　　处：《湖北医药学院学报》2017年第4期325-329,共5页Journal of Hubei University of Medicine

基　　金：十堰市科技局引导性科研项目(15Y15)

摘　　要：目的:分析湖北省人感染H5N6禽流感病例临床特征,提高对禽流感的防治能力。方法:回顾性报道及分析湖北省人感染H5N6禽流感重症病例1例救治成功的临床资料。结果:本例患者为人感染H5N6禽流感的重症病例,具有病情进展迅速,病死率极高,出现呼吸衰竭、多脏器功能衰竭等一种或几种合并症等典型临床特点及相关影像学特点。结论:人感染H5N6禽流感重症病例进展迅速,提高对人感染H5N6禽流感患者的临床特征与影像学特点认识,将有利于该病的及时诊断与预后评估。正压机械通气联合体外膜肺氧合以维持满意的通气和氧合,是呼吸衰竭最为有效的支持治疗手段。营养支持也极为重要。Objective To analyze the clinical characteristics of human infection with H5N6 avian influenza in Hubei province,and to improve the prevention and control of avian influenza. Methods The clinical data of 1 case of severe avian influenza H5N6 infection in Hubei province were retrospectively analyzed and reviewed. Results This patient was a severe case infected with H5N6 avian influenza showing typical clinical characteristics and related images such as rapid progression and high mortality,respiratory failure,multiple organ failure with one or several complications. Conclusion Severe cases of human infection with H5N6 avian influenza are progressing rapidly,and people infected with H7N9 avian influenza are prone to severe pneumonia and respiratory failure. Further understanding the clinical and imaging features of human infection of H5N6 avian influenza is conducive to the timely diagnosis and prognosis evaluation of the disease. Positive pressure ventilation combined with extracorporeal membrane oxygenation（ ECMO） is the most effective supporting treatment for respiratory failure in order to maintain satisfactory ventilation and oxygenation. Nutrition support is also extremely important.

关 键 词：流感病毒A型 H5N6亚型 流感 肺炎 急性呼吸窘迫综合征 

分 类 号：R511.7[医药卫生—内科学]