中华临床感染病杂志
中華臨床感染病雜誌
중화림상감염병잡지
CHINESE JOURNAL OF CLINICAL INFECTIOUS DISEASES
2010年
1期
5-8
,共4页
罗洁%卢业成%张复春%洪文昕%余卫华%胡凤玉%陈铿%尹炽标%唐小平%杨湛
囉潔%盧業成%張複春%洪文昕%餘衛華%鬍鳳玉%陳鏗%尹熾標%唐小平%楊湛
라길%로업성%장복춘%홍문흔%여위화%호봉옥%진갱%윤치표%당소평%양담
流感,人%流感病毒A型,H_1N_1亚型%发热门诊%筛查
流感,人%流感病毒A型,H_1N_1亞型%髮熱門診%篩查
류감,인%류감병독A형,H_1N_1아형%발열문진%사사
Influenza,human%Influenza A virus,H_1N_1 subtype%Fever clinic%Screening
目的 总结甲型H_1N_1流感的流行特征和临床表现,探索早期筛查的有效方法.方法 对2009年5月2日-10月31日在广州市第八人民医院发热门诊就诊的患者进行甲型H_1N_1流感筛查,并对其流行病学资料、临床症状和实验室检测结果进行分析.结果 在3063例接受筛查的病例中,共有272例(8.88%)被确诊为甲型H_1N_1流感,其中重症病例23例(8.46%).190例患者以发热为首发症状,其他常见的症状有咳嗽、咽痛和头痛等.重症病例可出现肌酸激酶同工酶(CK-MB)升高、心电图改变及影像学检查显示肺炎.结论 甲型H_1N_1流感的临床表现与一般季节性流感相似,但传染性较强.随着重症病例的增多,筛查时应加强心肌酶谱检测以及心电图和胸部X线检查,以便尽早发现甲型H_1N_1流感重症病例,降低病死率.
目的 總結甲型H_1N_1流感的流行特徵和臨床錶現,探索早期篩查的有效方法.方法 對2009年5月2日-10月31日在廣州市第八人民醫院髮熱門診就診的患者進行甲型H_1N_1流感篩查,併對其流行病學資料、臨床癥狀和實驗室檢測結果進行分析.結果 在3063例接受篩查的病例中,共有272例(8.88%)被確診為甲型H_1N_1流感,其中重癥病例23例(8.46%).190例患者以髮熱為首髮癥狀,其他常見的癥狀有咳嗽、嚥痛和頭痛等.重癥病例可齣現肌痠激酶同工酶(CK-MB)升高、心電圖改變及影像學檢查顯示肺炎.結論 甲型H_1N_1流感的臨床錶現與一般季節性流感相似,但傳染性較彊.隨著重癥病例的增多,篩查時應加彊心肌酶譜檢測以及心電圖和胸部X線檢查,以便儘早髮現甲型H_1N_1流感重癥病例,降低病死率.
목적 총결갑형H_1N_1류감적류행특정화림상표현,탐색조기사사적유효방법.방법 대2009년5월2일-10월31일재엄주시제팔인민의원발열문진취진적환자진행갑형H_1N_1류감사사,병대기류행병학자료、림상증상화실험실검측결과진행분석.결과 재3063례접수사사적병례중,공유272례(8.88%)피학진위갑형H_1N_1류감,기중중증병례23례(8.46%).190례환자이발열위수발증상,기타상견적증상유해수、인통화두통등.중증병례가출현기산격매동공매(CK-MB)승고、심전도개변급영상학검사현시폐염.결론 갑형H_1N_1류감적림상표현여일반계절성류감상사,단전염성교강.수착중증병례적증다,사사시응가강심기매보검측이급심전도화흉부X선검사,이편진조발현갑형H_1N_1류감중증병례,강저병사솔.
Objective To screen influenza A(H_1N_1)from patients in fever clinic.Methods Influenza A(H_1N_1)screening was performed from patients in fever clinic of Guangzhou No.8 People's Hospital during May 2 to October 31,2009.Epidemiological data,clinical symptoms and the laboratory findings were analyzed.Results In 3 063 patients who received screening,272(8.88%)were diagnosed as influenza A(H_1N_1),23(8.46%)of whom were severe cases.Fever as the initial symptom was observed in 190 patients,and other frequent symptoms included cough,angina and headache,etc.Increased creatine kinase isoenzyme(CK-MB),electrocardiogram change or pneumonia images appeared in severe cases.Conclusions Clinical symptoms of influenza A(H_1N_1)are similar to those of seasonal influenza but with higher infectivity.Myocardial enzyme tests,electrocardiogram and chest X ray examination should be taken for early diagnosis of severe cases.
