论文部分内容阅读
2009-03-18墨西哥报道首例甲型H1N1流感病例。至2010-04-11止,世界卫生组织(WHO)登记的确诊病例死亡人数已达17798例。重症病例救治是这一新型甲型流感防控策略的重要内容。本文就诊断和治疗方面的体会,在以下几个方面做一叙述:对重症或危重症病例做到早期识别和早期干预;对于重症H1N1病例,应积极进行氧疗或者机械通气;尽早进行抗病毒治疗;不建议预防性应用抗生素,注意预防医院获得性肺炎(呼吸机相关性肺炎);激素应用要慎重;体外膜肺可作为呼吸支持的一个可选择措施。
2009-03-18 Mexico reports first case of Influenza A (H1N1). As of 2010-04-11, the number of confirmed cases registered by the World Health Organization (WHO) has reached 17,798. Severe cases of relief is an important part of this new influenza A prevention and control strategy. This article on the diagnosis and treatment of the experience in the following aspects to make a narrative: early diagnosis of critically ill or critically ill cases and early intervention; for severe H1N1 cases, should be actively oxygen therapy or mechanical ventilation; early anti-virus Treatment; preventive prophylaxis of antibiotics is not recommended and care is taken to prevent hospital-acquired pneumonia (ventilator-associated pneumonia); caution should be exercised for the use of hormones; and extracorporeal membrane lungs may be an alternative measure of respiratory support.