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目的 对我所ICU收治的重症传染性非典型肺炎(SARS)患者的临床治疗经过及特点进行回顾分析。方法 从临床的特点和治疗的反馈系统地回顾我所ICU于2002年12月至2003年4月临床诊断重症SARS患者的临床资料。初步分析治疗与预后的因果关系。结果 收治的重症SARS患者共38例,21％合并有基础病(8/38),起病初期均给予抗病毒对症支持和器官保护治疗,发展至重症阶段均予抗菌、皮质激素抗炎、营养支持、免疫调节、人工通气辅助等治疗措施。30例病愈出院(79％),其中11例(11/30)出院时X线胸片示有轻微肺纤维化改变(37％):8例死亡(21％)。结论 重症SARS患者病情发展迅速,除了提倡早诊断、早隔离、早治疗外,合理使用皮质激素和人工通气辅助效果理想。
Objective To retrospectively analyze the clinical course and characteristics of severe infectious non -ssential pneumonia (SARS) admitted to our ICU. Methods The clinical data of patients with severe SARS diagnosed in our ICU from December 2002 to April 2003 were retrospectively reviewed from the clinical features and the feedback from treatment. Preliminary analysis of the causal relationship between treatment and prognosis. Results A total of 38 severe SARS patients were admitted and 21% were complicated with underlying diseases (8/38). All patients were given anti-virus symptomatic support and organ protection during the initial stage of disease. Antibiotic and corticosteroid anti-inflammatory and nutrition Support, immunomodulation, artificial ventilation and other treatment measures. Thirty patients were discharged (79%), of which 11 (11/30) had a slight pulmonary fibrosis (37%) on discharge at the time of discharge: 8 were fatal (21%). Conclusion Severe SARS patients develop rapidly, in addition to promoting early diagnosis, early isolation, early treatment, the rational use of corticosteroids and artificial ventilation effect of the ideal.