27例甲型H1N1流感临床资料分析

发布时间：2018-01-19 10:29

本文关键词： 甲型H1N1流感临床特征治疗　出处：《重庆医科大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的：分析我院收治的甲型H1N1流感病例的临床资料,探讨其临床特征及诊治经验。方法：采用回顾性分析方法，对我院27例甲型H1N1流感患者的完整住院病历进行分析，，归纳其临床特征、治疗方法及疗效。结果：27例病例中轻症9例(33.3％)，重症15例(55.6％)，危重症3例(11.1％)，重症及危重症多存在基础疾病和免疫功能低下。重症病例除流感样表现外，病情迅速发展，出现呼吸困难及呼吸衰竭，需要辅助通气。与奥司他韦治疗组比较,中西医结合治疗组住院时间及体温恢复正常时间均缩短（P〈0.05）。结论：基础疾病及免疫功能低下是发生严重流感的高危因素。对于重症患者，应早期诊断，及时治疗，减少并发症。中西医结合治疗对甲型H1N1流感疗效优于单用奥司他韦。
[Abstract]:Objective: to analyze the clinical data of influenza A (H1N1) cases in our hospital and to explore its clinical features and experience in diagnosis and treatment. Methods: 27 inpatients with influenza A (H1N1) in our hospital were analyzed retrospectively, and their clinical features, treatment methods and efficacy were summarized. Results among 27 cases, 9 cases had mild disease, 15 cases had severe disease, and 3 cases had critical disease. In severe and critical cases, there are many basic diseases and low immune function. In addition to flu-like manifestations, severe cases develop rapidly, dyspnea and respiratory failure, need auxiliary ventilation. Compared with oseltamivir treatment group. The time of hospitalization and the recovery of body temperature in the treatment group were shorter than that in the control group (P < 0.05). Conclusion: basic diseases and low immune function are high risk factors for severe influenza. For severe patients, early diagnosis and timely treatment should be taken. To reduce complications. Combination of traditional Chinese and western medicine is better than oseltamivir alone in the treatment of influenza A (H1N1).
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R511.7

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