摘要
目的总结甲型H1N1流行性感冒（流感）确诊患者的临床特征，以期为今后的甲型H1N1流感防治工作积累经验。方法将2009年5月15日-6月22日在北京地坛医院隔离治疗并达到出院标准的33例甲型H1N1流感确诊患者纳入研究，采用SPSS11．0软件进行统计学分析。结果33例患者中有25例在发病前1周曾前往美国、加拿大、日本等甲型H1N1流感流行国家旅行。12例有明确密切接触史患者的潜伏期为1～6d。患者的主要临床症状有发热（66．7％）、咳嗽（60．6％）、咳痰（42．4％）、咽痛（36．4％）。24例（72．7％）患者实验室检查结果均正常，仅少数患者出现轻度异常。33例患者均达到出院标准，病毒核酸检测连续2次阴性距出现首发症状的时间为2～16d，住院时间为3～16d。结论新型甲型H1N1流感具有症状轻微、病程较短、预后良好等临床特征，如无严重基础疾病，患者均能治愈。
Objective To review the clinical characteristics of H1N1 influenza A, and suggest the clinical practices for the diagnosis and treatment of H1N1 influenza A in the future. Methods Thirty-three cases of H1N1 influenza A hospitalized in Beijing Ditan Hospital from May 15 to June 22, 2009 were studied and the clinical data were statistically analyzed with SPSS 11.0 for Windows. Results Twenty-five of the 33 patients had a history of travelling in America, Canada , Japan etc within a week; the latent period was between 1 and 6 days in 12 close contact patients. The main symptoms of H1N1 influenza A are fever （66. 7% ）, dry cough（60. 6% ）, cough with sputum（42. 4% ） and sore throat（36. 4% ）. The laboratory tests in 24 cases（72. 7% ） were normal, while mild abnormal results were found in the remaining patients. All of the 33 cases were discharged according to the Standard of Diagnosis and Treatment of H1N1 Influenza A published by The Minister of Health,China. The period between 2-consecutive negative results in viral nucleic acid RT-PCR detection and the presenting symptom was 2 to 16 days and the period of hospitalization was 3 to 16 days. Conclusion The new type of H1N1 influenza A is characterized by mild symptoms, short period of hospitalization and good prognosis. All the patients can be cured, if they do not suffer from other severe chronic disease.
出处
《中华内科杂志》
CAS
CSCD
北大核心
2009年第10期830-832,共3页
Chinese Journal of Internal Medicine
基金
甲型H1N1流感联防联控应急科研项目（国家科技支撑项目）
