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重症传染性非典型肺炎
相关语句
  severe infectious atypical pneumonia
     Objective Retrospective analysis the clinical therapy feature of severe infectious atypical pneumonia ( SARS).
     目的 对我所ICU收治的重症传染性非典型肺炎(SARS)患者的临床治疗经过及特点进行回顾分析。
短句来源
  “重症传染性非典型肺炎”译为未确定词的双语例句
     Monitoring of 18 cases of infectious severe acute respiratory syndrome
     18例重症传染性非典型肺炎病人的监护
短句来源
     Laboratory Characteristics of Severe Acute Respiratory Syndrome in 30 Cases
     30例重症传染性非典型肺炎实验室特征探讨
短句来源
     Analysis of the clinical features and treatments in patients with severe acute respiratory syndrome
     重症传染性非典型肺炎临床特征分析及治疗体会
短句来源
     Objective To provide diagnostic and therapeutic basis for severe acute respiratory syndrome(SARS) by reviewing and analyzing the clinical data and therapeutic strategy of critical SARS patients receiving mechanical ventilation.
     目的 分析施行人工通气的重症传染性非典型肺炎 (SARS)患者的临床表现及治疗策略 ,为重症SARS的诊断和治疗提供依据。
短句来源
     Results:38 cases of critical infectious atypical pneumonia were diagnosed,89% of them were young persons aged 20 -59,and 87 percent had contacts with AP patient.
     结果:重症传染性非典型肺炎共38例,89%为60岁以下患者(34/38); 87%有明确的接触史(33/38)。
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  相似匹配句对
     Monitoring of 18 cases of infectious severe acute respiratory syndrome
     18例重症传染性非典型肺炎病人的监护
短句来源
     Laboratory Characteristics of Severe Acute Respiratory Syndrome in 30 Cases
     30例重症传染性非典型肺炎实验室特征探讨
短句来源
     Nursing Care of Patients With Infectious SARS
     传染性非典型肺炎病人的护理
短句来源
     Analysis of the clinical features and treatments in patients with severe acute respiratory syndrome
     重症传染性非典型肺炎临床特征分析及治疗体会
短句来源
     A retrospective clinical analysis of critical severe acute respiratory syndrome patients with mechanical ventilation
     重症传染性非典型肺炎人工通气12例分析
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Objective To investigate the management of critical severe acute respiratory syndrome (SARS) and possible risk factors for death. Methods Thirty-three patients with SARS referred to Guangzhou Institute of Respiratory Disease (GIRD) between December 2002 and March 2003 were studied retrospectively. Paired t -test using statistical software SPSS 10.0 was employed to compare the respiratory frequency and pulse O 2 saturation (SpO 2) before and after noninvasive ventilation with continuous positive airway pressure...

Objective To investigate the management of critical severe acute respiratory syndrome (SARS) and possible risk factors for death. Methods Thirty-three patients with SARS referred to Guangzhou Institute of Respiratory Disease (GIRD) between December 2002 and March 2003 were studied retrospectively. Paired t -test using statistical software SPSS 10.0 was employed to compare the respiratory frequency and pulse O 2 saturation (SpO 2) before and after noninvasive ventilation with continuous positive airway pressure (CPAP) on the 33 patients. Among them, 18 patients who presented with SpO 2 of 90%-93% at rest under O 2 inhalation 5 L/min were further recorded for their SpO 2 during slight physical movement and CPAP. The possible death-related risk factors including age, underlying diseases, leucocytosis, thrombocytopenia, and lymphopenia were analyzed by the Mantel-Haenszel χ 2 test. Results The respiratory frequencies were significantly decreased and SpO 2 was improved in the 33 patients after one hour of noninvasive ventilation. The SpO 2 in the latter 18 patients fell during slight physical movement and improved one hour after CPAP ( P <0.01). The RRs of the five death predictors concerning thrombocytopenia, age (> 50 yrs, underlying diseases, leucocytosis, and lymphopenia were 25.83, 8.57, 6.40, 1.64, and 1.17, respectively, with the 95% CI of 3.64-183.59, 1.94-37.83, 1.75-23.33, 0.38-7.05 and 0.16-8.48, respectively. Management with corticosteroids effectively ameliorated and suppressed the development of pulmonary fibrosis. Conclusions Noninvasive ventilation relieves dyspnea and SpO 2 in patients with critical SARS, and should also be employed in those with SpO 2 of 90%-93% at rest under O 2 inhalation 5 L/min. Noninvasive as an add-on management may probably cut down on the dosage and duration of corticosteriod therapy. Among 5 possible risk factors, 3 were recognized as death-related, turning out to be thrombocytopenia, age (> 50 yrs) and underlying diseases.

目的 探讨重症传染性非典型肺炎 (世界卫生组织又称严重急性呼吸综合征 ,SARS)的治疗方法以及预测死亡的可能危险因素。方法以 2 0 0 2年 12月至 2 0 0 3年 3月临床诊断重症SARS37例患者为对象 ,通过回顾性分析 ,比较 33例应用持续气道内正压的方式进行无创通气前后的呼吸频率和脉搏容积血氧饱和度 (SpO2 ) ,并对其中 18例吸氧 5L/min、安静下SpO2 只有 90 %~ 93%的患者 ,进行无创通气前轻微活动、安静状态及无创通气 1h后SpO2 的比较 ;对年龄、基础疾病、血小板减少、白细胞升高、淋巴细胞减少 5个因素预测死亡的可能危险性采用Mantel Haenszelχ2 检验进行统计学分析。结果  33例患者无创通气 1h后较通气前呼吸频率明显减慢 (P <0 0 1) ,分别为 (2 9 6±10 0 )次 /min和 (34 6± 8 4 )次 /min ;SpO2 明显提高 (P <0 0 1) ,分别为 (96 1± 2 4 ) %和 (89 9±3 5 ) %。 18例吸氧 5L/min、安静下SpO2 只有 90 %~ 93%的患者 ,...

目的 探讨重症传染性非典型肺炎 (世界卫生组织又称严重急性呼吸综合征 ,SARS)的治疗方法以及预测死亡的可能危险因素。方法以 2 0 0 2年 12月至 2 0 0 3年 3月临床诊断重症SARS37例患者为对象 ,通过回顾性分析 ,比较 33例应用持续气道内正压的方式进行无创通气前后的呼吸频率和脉搏容积血氧饱和度 (SpO2 ) ,并对其中 18例吸氧 5L/min、安静下SpO2 只有 90 %~ 93%的患者 ,进行无创通气前轻微活动、安静状态及无创通气 1h后SpO2 的比较 ;对年龄、基础疾病、血小板减少、白细胞升高、淋巴细胞减少 5个因素预测死亡的可能危险性采用Mantel Haenszelχ2 检验进行统计学分析。结果  33例患者无创通气 1h后较通气前呼吸频率明显减慢 (P <0 0 1) ,分别为 (2 9 6±10 0 )次 /min和 (34 6± 8 4 )次 /min ;SpO2 明显提高 (P <0 0 1) ,分别为 (96 1± 2 4 ) %和 (89 9±3 5 ) %。 18例吸氧 5L/min、安静下SpO2 只有 90 %~ 93%的患者 ,轻微活动后SpO2 明显下降 ,无创通气 1h后SpO2 明显提高 ,SpO2 分别为 (91 7± 0 9) %、(88 5± 1 4 ) %和 (96 9± 1 8) % (P均 <0 0 1) ;以血小板减少、年龄 >5 0岁、基础疾病、血白细胞升高、淋巴细胞减少 5个因素预测死亡的可能危险性 ,其相对危险度 (RR )分别为 2

Objective To provide diagnostic and therapeutic basis for severe acute respiratory syndrome(SARS) by reviewing and analyzing the clinical data and therapeutic strategy of critical SARS patients receiving mechanical ventilation. Methods Retrospective analysis was performed in 12 patients with SARS. Twelve patients received invasive mechanical ventilation with transnasal endotracheal intubation following 9 of them failed to response to noninvasive ventilation(3 to 66 hours). All patients received methylpredisolone...

Objective To provide diagnostic and therapeutic basis for severe acute respiratory syndrome(SARS) by reviewing and analyzing the clinical data and therapeutic strategy of critical SARS patients receiving mechanical ventilation. Methods Retrospective analysis was performed in 12 patients with SARS. Twelve patients received invasive mechanical ventilation with transnasal endotracheal intubation following 9 of them failed to response to noninvasive ventilation(3 to 66 hours). All patients received methylpredisolone with a dose 500 mg/d in 6 patients and 240~320 mg/d in the remaining patients. Patients received macrolides, fluoquinolones or cephalosporins in different stage of the disease. Results The mean duration of invasive ventilation was (10 7±5 4) days in 12 patients. There was greatly significant difference before and after invasive ventilation in PaO 2 and OI( P <0 01). Eight patients weaned successfully from ventilator and the other 4 patients died. Conclusion Timely use of invasive mechanical ventilation can improve the success rate of rescuring SARS patient. Early presence and rapid exacerbation of pulmonary infiltration, neutrophilic leukocytosis and bloody sputum are signs of severe disease requiring careful monitor. High dose steroid in the progressive stage and invasive mechanical ventilation may reduce mortality in these patients.

目的 分析施行人工通气的重症传染性非典型肺炎 (SARS)患者的临床表现及治疗策略 ,为重症SARS的诊断和治疗提供依据。方法 总结 12例重症SARS患者的临床资料 ,全部患者均经鼻气管插管进行有创人工通气治疗 ,其中 9例经规范的无创通气治疗 ( 3~ 66h)失败后改用有创通气 ;全部患者均接受甲基强的松龙治疗 ,其中 6例剂量为 5 0 0mg/d ,其余为 2 40~ 3 2 0mg/d ;在疾病的不同阶段经验性应用大环内酯类、氟喹诺酮类及头孢类抗生素。结果 12例患者平均通气时间为 ( 10 7± 5 4)d ,通气前均有低氧血症 ,通气后氧合指数 (OI)上升 ,差异有非常显著性 (P <0 0 1) ;8例患者成功撤机 ,4例死亡。结论 及时进行有创人工通气可提高重症SARS患者的抢救成功率 ,起病时即出现肺部浸润并急剧进展、嗜中性白细胞分类增高及早期出现血痰者 ,提示病情严重 ,应严密监护 ,适时进行有创人工通气并在胸片急剧进展期应用大剂量皮质激素可能有助于改善重症患者的预后

Objective To evaluate the efficacy of nasal continuous positive airway pressure ventilation (n - CPAP) in the treatment of critical severe acute respiratory syndrome( SARS) . Methods Thirty - seven patients with enrolled in the study. All the patients pull tiled the criteria of critical SARS and no improvement after high flow oxygen therapy, n - CPAP were used via nasal mask with vision or BiPAP ventilator. CPAP were set at 4 - 8 cmH2O level. Results Success group(25 cases) and failure group( 12) were studied....

Objective To evaluate the efficacy of nasal continuous positive airway pressure ventilation (n - CPAP) in the treatment of critical severe acute respiratory syndrome( SARS) . Methods Thirty - seven patients with enrolled in the study. All the patients pull tiled the criteria of critical SARS and no improvement after high flow oxygen therapy, n - CPAP were used via nasal mask with vision or BiPAP ventilator. CPAP were set at 4 - 8 cmH2O level. Results Success group(25 cases) and failure group( 12) were studied. Their baseline repiratory rate (RR) were (31.8 ±4.6) and (45.8±8.7) bpm, SpO2 were (91.6±1.7) % and (86.2±4.3)%, mean n-CPAP time were (12.7±5.6) and (2.99±2.6) days. After 1 hour treatment with n-CPAP, in success group, RR decreased to (25.8±4.2) bpm(P<0.05) and SpO2 raised to (97.0±1.7)% (P<0.05). Conclusion For patients with critical SARS, n - CPAP could provide efiective management of in improvement of lung oxygenation and dyspnea. The successive rate in studied group of patients is 67.6% . The result of the present study supports the potential role of CPAP in the management of critical infectious atypical pneumonia.

目的 探讨鼻罩持续气道正压通气(n-CPAP)治疗严重急性呼吸综合征(SARS)的疗效。方法 37例重症SARS患者经高流量吸氧治疗后缺氧及呼吸窘迫等症状元改善,采用n-CPAP治疗。CPAP水平为4~8 cmH_2O。结果 治愈25例(成功组),通气前呼吸频率(RR)为(31.8±4.6)次/min,SpO_2为(91.6±1.7)%;平均通气时间为(12.7±5.6)d。转为有创通气12例(失败组),通气前呼吸频率(RR)为(45.8±8.7)次/min,SpO_2为(86.2±4.3)%;平均通气时间为(2.99±2.6)d。治疗1h后,成功组RR下降到(25.8±4.2)次/min(P0.05),SpO_2上升到(97.0±1.7)%(P<0.05)。结论 对重症传染性非典型肺炎患者,CPAP治疗有利于改善肺的氧合功能,减轻呼吸困难,成功率达到67.6%。CPAP是治疗重症传染性非典型肺炎的较好方法之一。

 
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