CAJ | 학술논문

目的探讨和总结成功救治甲型H_1N_1流感危重症病例的关键和主要治疗措施.方法回顾性分析2009年9月5日义乌市中心医院收治的浙江省首例甲型H_1N_1流感危重症病例的诊疗资料.结果患者病情发展迅速,并发重症细菌性肺炎、急性呼吸窘迫综合征(ARDS)、感染性休克和I型呼吸衰竭,同时还出现心功能不全、肾功能损害、骨髓抑制和消化道出血等症状.经积极的抗病毒、抗感染、抗休克及对症支持治疗后病情好转并于10月9日出院.结论及时诊断、早期积极的抗病毒治疗,以及有效处理各种并发症是成功救治甲型H_1N_1流感危重症病例的关键.
목적 탐토화총결성공구치갑형H_1N_1류감위중증병례적관건화주요치료조시.방법 회고성분석2009년9월5일의오시중심의원수치적절강성수례갑형H_1N_1류감위중증병례적진료자료.결과환자병정발전신속,병발중증세균성폐염、급성호흡군박종합정(ARDS)、감염성휴극화I형호흡쇠갈,동시환출현심공능불전、신공능손해、골수억제화소화도출혈등증상.경적겁적항병독、항감염、항휴극급대증지지치료후병정호전병우10월9일출원.결론급시진단、조기적겁적항병독치료,이급유효처리각충병발증시성공구치갑형H_1N_1류감위중증병례적관건.
Objective To pmvide experiences for the management of critical case of influenza A(H_1N_1).Methods A female influenza A(H_1N_1)patient aged 41 was admitted to Yiwu Central Hospital with critical condition on September 5 2009 and was successfully treated.The clinical data of the patient were retrospectively reviewed.Results Patient Was quickly progressed to gevere bacterial pneumonia,acute respiratory distress syndrome(ARDS),septic shock,type I respiratory failure,and cardiac dysfunction,renal dysfunction,bone marrow inhibition and gastrointestinal hemorrhage were observed.With antiviral,anti-infective,anti-shock and symptomatic and supportive therapy,the patient Was improved and discharged from the hospital on October 9.Conclusion Early diagnosis and active antiviral treatment,together with managemem of complications are key measures for the successful treatment of critical illness due to influenza A(H_1N_1).