论文部分内容阅读
目的 探讨重症 SARS死亡高危因素 ,研讨 SARS安全有效的治疗方法 ,降低 SARS的病死率。方法 对死亡 8例 SARS进行回顾性分析。结果 SARS病死与家庭及群体聚集、强毒性病毒株、肺部病变性质和病变范围、院内感染、基础疾病、呼吸机的正确使用、多器官功能衰竭有关 ,与潜伏期长短、病程时间不相关。结论 正确选用呼吸机参数和适应个体耐受个性化是纠正低氧血症的重要手段 ,早期发现、有效治疗院内真菌感染是减少病死率的重要环节 ,综合治疗及人文关怀的实效性是最终治疗的关键。
Objective To investigate the risk factors of severe SARS death and discuss the safe and effective treatment of SARS and reduce the mortality of SARS. Methods The death of 8 cases of SARS were retrospectively analyzed. Results The death of SARS was associated with family and colony aggregation, virulent strains, the nature and extent of pulmonary lesions, nosocomial infections, underlying diseases, proper use of ventilator, and multiple organ failure, but not with the length of incubation and duration of disease. Conclusions Correct selection of ventilator parameters and adaptation to personal tolerance is an important means to correct hypoxemia. Early detection and effective treatment of nosocomial fungal infection is an important part of reducing mortality. The effectiveness of comprehensive treatment and humanistic care is the final treatment key.