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目的 :探讨河南省严重急性呼吸综合征 (SARS)疑似病例的特点 ,提高诊断水平。方法 :对河南省 2 0 0 3年 4～ 6月诊断的 31例SARS疑似病例的临床表现、血常规、胸部X线、其他检查及治疗进行回顾性分析。结果 :31例中高热 2 9例 (93.5 % ) ,咳嗽 2 8例 (90 .3% ) ;血白细胞计数正常 2 3例 ,降低 4例 ,升高 4例 ;胸部X线示片状浸润性阴影 2 9例 ,正常 2例。最终诊断为细菌性肺炎 8例 ,支原体肺炎 7例 ,肺结核 5例 ,衣原体肺炎 5例 ,真菌性肺炎2例 ,上呼吸道感染 2例 ,病毒性肺炎 1例 ,急性化脓性扁桃体炎 1例 ,31例均排除SARS。结论 :加强鉴别诊断 ,可以减少SARS的过诊。
Objective: To explore the characteristics of suspected cases of severe acute respiratory syndrome (SARS) in Henan Province and to improve the diagnostic level. Methods: The clinical manifestations, blood tests, chest X-ray and other examination and treatment of 31 suspected cases of SARS diagnosed from April to June in Henan Province were retrospectively analyzed. Results: 31 cases were moderate and high fever in 29 cases (93.5%), cough in 28 cases (90.3%); normal white blood cell count in 23 cases, decreased in 4 cases and increased in 4 cases; chest X-ray showed infiltrative Shadow 29 cases, normal 2 cases. The final diagnosis of bacterial pneumonia in 8 cases, 7 cases of mycoplasma pneumonia, 5 cases of tuberculosis, 5 cases of chlamydial pneumonia, fungal pneumonia in 2 cases, upper respiratory tract infection in 2 cases, 1 case of viral pneumonia, acute suppurative tonsillitis in 1 case, 31 cases Cases were excluded SARS. Conclusion: Strengthening the differential diagnosis can reduce the SARS diagnosis.