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目的分析甲型HlN1流感确诊病例的临床特点,为以后临床诊治提供依据。方法对2009年5月-2010年3月收治的120例甲型H1N1流感病例进行回顾性分析。结果 120例甲型H1N1流感病例以本土病例为主,占93%,5～49岁是主要的发病人群,单纯甲型H1N1感染67例,危重症2例;95%以上的患者有突出的上呼吸道症状。心肌酶谱异常达65%,轻度低钾血症达26%。淋巴细胞百分率低于正常出现在一般病例的急性期和危重症病例的进展期;高于正常见于疾病的恢复期。结论珠海市甲型H1N1流感患者呼吸道症状突出,部分患者出现心肌酶谱改变和低钾血症,经积极治疗,预后良好;淋巴细胞百分率的高低对疾病状态的评价有一定的提示作用。
Objective To analyze the clinical characteristics of confirmed cases of influenza A (H1N1) and provide the basis for clinical diagnosis and treatment. Methods A retrospective analysis of 120 cases of Influenza A (H1N1) from May 2009 to March 2010 was performed. Results A total of 120 cases of Influenza A (H1N1) were endemic to our country, accounting for 93% of cases. The majority of cases were from 5 to 49 years old, with 67 cases of type A H1N1 infection alone and 2 cases of critical illness. Over 95% Respiratory symptoms. Myocardial abnormalities of up to 65%, mild hypokalemia up to 26%. The percentage of lymphocytes is lower than the normal progression of acute and critically ill cases in normal cases; recovery is higher than normally seen in the disease. Conclusion The symptoms of respiratory tract in patients with Influenza A (H1N1) in Zhuhai are prominent. Some patients have changes in myocardial enzymes and hypokalemia. After active treatment, the prognosis is good. The percentage of lymphocytes has some implications for the evaluation of disease status.