CAJ | 학술논문

目的:分析SARS临床诊断病例和疑似病例的流行病学特征和临床特征及其相关性,评价流行期间SARS的早期诊断工作.方法:对2003年3月15日到5月14日某地SARS临床诊断病例(1 550例)和疑似病例(790例)的相关特征进行描述和对比,通过分析存在的异同以及可能的原因来评价SARS早期诊断情况.结果:90%左右的病例在发病后6 d内做了诊断.临床诊断病例和疑似病例在发病时间(r=0.941)、地区分布(r=0.793)及年龄(r=0.961)和职业构成(r=0.937)等方面存在显著的相关关系;同样情况也见于临床症状(r=0.996)、白细胞(正常时r=0.723,降低时r=0.863)及淋巴细胞(正常时r=0.772)等指标.结论:SARS临床诊断病例和疑似病例在多数特征上存在相似性,应开发特异性的早期诊断方法.
목적:분석SARS림상진단병례화의사병례적류행병학특정화림상특정급기상관성,평개류행기간SARS적조기진단공작.방법:대2003년3월15일도5월14일모지SARS림상진단병례(1 550례)화의사병례(790례)적상관특정진행묘술화대비,통과분석존재적이동이급가능적원인래평개SARS조기진단정황.결과:90%좌우적병례재발병후6 d내주료진단.림상진단병례화의사병례재발병시간(r=0.941)、지구분포(r=0.793)급년령(r=0.961)화직업구성(r=0.937)등방면존재현저적상관관계;동양정황야견우림상증상(r=0.996)、백세포(정상시r=0.723,강저시r=0.863)급림파세포(정상시r=0.772)등지표.결론:SARS림상진단병례화의사병례재다수특정상존재상사성,응개발특이성적조기진단방법.
Objective:To obtain data for early diagnosis of severe acute respiratory syndrome (SARS) by analyzing epidemiological and clinical features of clinically diagnosed cases and suspected cases.Methods:Descriptive and comparative analyses were conducted on the features of clinically diagnosed cases(n=1 550) and suspected cases(n=790) of SARS between Mar.15, 2003 and May 14, 2003.The differences between the clinically diagnosed cases and the suspected cases were extensively investigated to evaluate parameters for early diagnosis of SARS.Results:About 90% of the total cases had been diagnosed within 6 d.The correlations between the clinically diagnosed cases and suspected cases were detected with regard to onset time(r=0.941), place of occurrence (r=0.793), age of illness (r=0.961), patient occupation (r=0.937), symptoms (r=0.996), normal white blood cell(r=0.723), decreased white blood cell (r=0.863) and normal lymphocytes(r=0.772).Conclusion:There are strong similarities in most epidemiological and clinical features between clinically diagnosed cases and suspected cases of SARS.It is necessary to develop specific parameters for the early diagnosis of SARS.