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目的 分析山西省 10 2例重症SARS患者的临床特征、治疗效果和预后。方法 对山西省 2 0 0 3- 0 3- 0 7～ 2 0 0 3- 0 6- 0 4确诊的 10 2例重症SARS患者的临床资料进行回顾性分析。结果 10 2例患者男性 4 8例 (47.1% ) ,女性 5 4例(5 2 9% ) ;主要临床表现为发热 (10 0 % )、咳嗽 (5 4 .9% )、呼吸困难 (44 .1% )。早期平均白细胞数计数 (6 .0± 4 .2 )× 10 9/L ,淋巴细胞百分比 (16 0± 11 6 ) %。 10 2例都有胸部X线检查异常。疾病的早期使用呼吸机、心理治疗可阻止病情进展。多因素分析显示 :高龄、缺乏心理治疗是死亡独立危险因素。结论 重症SARS男女发病大致相等 ,无特征性临床表现。早期使用呼吸机 ,心理治疗有效。高龄是死亡独立危险因素 ,心理治疗是该病预后的保护因素。
Objective To analyze the clinical features, treatment effects and prognosis of 102 severe SARS patients in Shanxi Province. Methods The clinical data of 102 severe SARS patients diagnosed in Shanxi Province from 2000-2003 to 2000-040 were retrospectively analyzed. Results The main clinical manifestations were fever (100%), cough (54.9%) and dyspnea (44%) in 42 patients (47.1%) and 54 females (52.9%) in 102 patients. 1% ). The average number of early leukocytes was (6.0 ± 4.2) × 10 9 / L, the percentage of lymphocytes was (16 0 ± 11 6)%. All 10 cases had chest X-ray abnormalities. The early use of ventilator disease, psychological treatment can prevent the progression of the disease. Multivariate analysis showed that: elderly, lack of psychological treatment is an independent risk factor for death. Conclusions The incidence of severe acute respiratory syndrome in men and women is roughly the same, with no clinical manifestations. Early use of ventilator, psychotherapy effective. Older age is an independent risk factor for death, and psychological treatment is a protective factor in the prognosis of the disease.