严重急性呼吸综合征患者的临床特征  

The clinical characteristics of severe acute respiratory syndrome patients in emergency department

作　　者：廖晓星[1] 关开泮[1] 马中富[1] 林贤寿[1] 詹红[1] 荆小莉[1] 梁艳冰[1] 唐皓[1] 叶海宁[1] 熊艳[1] 李欣[1] 曾春[1] 金小岩[1] 谭泽辉[1] 

机构地区：[1]中山大学附属第一医院急诊科,广州510080

出　　处：《中华急诊医学杂志》2003年第6期373-375,共3页Chinese Journal of Emergency Medicine

摘　　要：目的　分析急诊科严重急性呼吸综合征 (severeacuterespiratorysyndrome ,SARS)或称传染性非典型肺炎 (infectiveatypicalpneumonia ,IAP)患者的临床资料 ,了解其特征。方法　统计SARS患者的年龄分布和总体发病趋势 ;以社区获得性肺炎患者为对照 ,分析SARS患者的临床特点。结果　本组 6 4例SARS患者中 2 1～ 4 0岁年龄段占 4 3 75 %。在出现SARS疫情后 31～ 5 0d病例数达高峰 ,全过程约 4个月。SARS患者临床表现的前 3位为发热、咳嗽和咯稀白痰 ,约 2 /3患者无肺部体征。X线胸片病变进展较快 ,外周血白细胞计数正常或降低 ,淋巴细胞计数降低以及具有传染性为SARS的临床特点。结论　SARS患者在年龄分布、发病趋势、临床表现、X线胸片、外周血白细胞和淋巴细胞计数以及传染性等方面与社区获得性肺炎患者有所不同 。Objective To analyze the characteristics of severe acute respiratory syndrome patients in Emergency Department (ED). Methods The cases,who were confirmed as SARS in ED, were analysed on the age distributing and the trending of the incidence time. Patients with community acquired pneumonia (CAP) served as control group,and their data were analysed. Results Patients with SARS aged from 21 to 40 accounted 43 75% . The peak time for the occurrence was at 31～50 days after the SARS was detected. The whole process lasted about 4 months. The main three clinical presentations were fever, cough,and sputum production. About two thirds patients didnt have lung sign. Other characteristics of SARS were the quickly worsening of chest, leukocytopenia, lymphopenia and the infectivity. Conclusion There exist differences between SARS and CAP patients in the age distributing, the trending of the incidence time, the clinical presentations, the chest X-ray and laboratory findings. These clinical characteristics is useful to diagnose SARS patients in ED. [

关 键 词：严重急性呼吸综合征 SARS 传染性非典型肺炎 IAP 临床资料 诊断 

分 类 号：R511.9[医药卫生—内科学]