成人SARS病情严重度的临床研究  

Clinical analysis of 197 patients with critical severe acute respiratory syndrome in Beijing areas

作　　者：阴赪宏[1] 王超[1] 汤哲[2] 张淑文[1] 王宝恩[1] 

机构地区：[1]首都医科大学附属北京友谊医院,北京100050 [2]首都医科大学宣武医院

出　　处：《中国急救医学》2004年第4期248-250,共3页Chinese Journal of Critical Care Medicine

基　　金：北京市科技计划重大项目 (No H0 2 0 92 0 0 5 0 2 3 0)

摘　　要：目的　进行成人严重急性呼吸综合征 (SARS)的病情严重度研究。方法　回顾性分析 197例成人SARS住院患者的临床资料。结果　患者男女比例相当 ,患病轻重无性别差异 ,但男性死亡率高于女性。轻症、重症、死亡患者的年龄、既往慢性病史 (高血压、冠心病、糖尿病、脑血管病等 )、呼吸困难、再次发热、淋巴细胞计数降低、动脉血气分析异常、T细胞亚群降低、心肌酶升高及部分生理学指标异常、X线胸片病变程度 (肺病变、肺叶受损、肺受损面积 )、心电图改变、并发症发生率具有显著性差异。结论　以上症状、体征与SARS病情严重度密切相关 。Objective To investigate the clinical characteristics of critical severe acute respiratory syndrome Methods The clinical date of 197 patients with critical SARS in Beijing were studied retrospectively Results The 197 patients included 95 males and 102 females,aged 18～86 The past history,the age,difficult breath,second fever,lymphocyte count dropping,abnormality of artery blood gas,subsets of T lymphocyte,myocardium enzyme step-up and some physiological predicators,X-ray chest radiography,abnormality of EKG and incidence rate of complication had significantly difference in critical SARS,compared with those mild cases Conclusion The above-mentioned signs correlated with the patient's severity of the SARS Correct judgement of the severity is important

关 键 词：严重急性呼吸综合征(SARS) 病情严重度 

分 类 号：R511.9[医药卫生—内科学]