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目的 :寻找较为敏感的严重急性呼吸综合征 (SARS)的临床症状指标 ,以便于临床及时观察病情以及对 SARS患者的及早处理。方法 :收集 2 4例 SARS轻型患者的临床症状资料 ,并与已报道的较重的 SARS患者的临床症状相比较。结果 :SARS轻型患者与较重患者在临床表现上存在很大不同 ,尤其是呼吸困难的出现 ,前者仅为 4 .2 % ,后者报道有 74 .4 %。轻型患者发热、肌酸肌痛乏力、咳嗽、咳痰的发生率分别为 10 0 % (2 4 / 2 4 )、79.1% (19/ 2 4 )、2 9.7% (7/ 2 4 )、2 0 .8% (5 / 2 4 ) ,重型患者分别为 10 0 % (83/ 83)、38.6 % (32 / 83)、83.1% (6 9/ 83)、5 5 .4 % (4 6 / 83)。 结论 :对于 SARS的病情判断 ,临床表现仍是一个重要的观察因素 ,特别是呼吸困难的出现。
Objective: To find the more sensitive clinical indicators of severe acute respiratory syndrome (SARS) in order to facilitate clinical observation of the disease and the early treatment of patients with SARS. Methods: Clinical data of 24 light-duty patients with SARS were collected and compared with those reported in the more severe cases of SARS. Results: The clinical manifestations of patients with severe and severe type of SARS were quite different, especially the occurrence of dyspnea. The former was only 4.2% and the latter 74.4%. The incidence of fever, muscle weakness, cough and sputum in light patients were 10 0% (2 4/2 4), 79.1% (19/2 4), 2 9.7% (7/2 4), 2 (83/83), 38.6% (32/83), 83.1% (69/83) and 55.4% (46% 83). Conclusion: The clinical manifestations of SARS are still an important observation factor, especially the occurrence of dyspnea.