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目的 探讨重症SARS患者的临床症状、体征、胸片特点及中医治疗经验。方法 回顾分析了 2 6例重症SARS患者初诊时的临床症状、体征、胸片及其恢复时间 ,并与同期入院的 30例普通SARS患者进行对比。结果 重症SARS患者临床症状中 ,发热、干咳、乏力、咯痰、头痛、气短、肌肉酸痛等症状较为普遍。与普通组相比 ,乏力、气短和恶寒等症发生率高 ,发热、乏力、头痛、肌肉酸痛等症改善时间长 ,其结果具有统计学差异。结论 SARS的主要病理变化是热毒蕴肺、瘀热互结、气阴两伤 ,辨证时不应拘泥单一病机 ,而应分清轻重缓急 ,作出恰当治疗
Objective To investigate the clinical symptoms, signs, characteristics of chest radiographs and experience of TCM treatment in patients with severe SARS. Methods The clinical symptoms, signs, chest radiographs and recovery time of 26 patients with severe SARS were retrospectively analyzed. The results were compared with those of 30 SARS patients admitted in the same period. Results Severe SARS patients with clinical symptoms, fever, dry cough, fatigue, expectoration, headache, shortness of breath, muscle soreness and other symptoms are more common. Compared with the normal group, fatigue, shortness of breath and aversion to embolism were high, fever, fatigue, headache, muscle soreness and other symptoms to improve a long time, the results were statistically significant. Conclusions The main pathological changes of SARS are heat toxic lung, heat stasis and heat, gas and yin and two injuries, syndrome differentiation should not be confused with a single pathogenesis, but should be prioritized and make the appropriate treatment