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目的:了解SARS的临床特征,探索中西医结合治疗的有效方法。方法:对确诊的SARS患者病历资料进行总结与分析,并进行中西医结合治疗观察。结果:42例患者早期发热100％,头痛92.9％,畏寒76.2％,胸闷76.2％,咳嗽73.8％,肌肉酸痛88.1％;肺损伤累及≥3叶者42.9％,累及2叶者47.6％,累及1叶者9.5％;肝功能升高(ALT或AST)61.9％;心肌酶(CK或CK-MB)升高47.6％;T淋巴细胞亚群中CD_3~+低于正常91.1％(31/34例),CD_4~+/CD_8~+比值偏低76.5％(26/34例)。中晚期患者神疲乏力85.7％,恐惧感81.0%,气短或胸闷71.4%,食欲不振64.3%,舌质淡暗52.4%,舌苔黄白相兼45.2%,舌苔中根部黄厚21.4%。治愈出院时多无明显临床症状,胸片肺部病灶92.8%完全吸收,CD_3~+复查30例,仍有70%患者低于正常,CD_4~+/CD_8~+比值偏低36.7％。经中西医结合治疗(早期只用西药,中晚期中西药合用)后全部治愈出院,无1例 亡病例。发热消退时间平均(3.52±0.85)天,胸部X片肺部病灶完全吸收平均时间(26.82±5.98)天,平均住院(33.60±4.37)天。结论:本病患者临床表现多样,可见多个脏器受损。中西药配合中医辨证论治和中医心理干预有助于缓解患者临床症状,促进康复。
OBJECTIVE: To understand the clinical features of SARS and to explore effective methods for the treatment of Integrative Medicine. Methods: The clinical data of SARS patients diagnosed were summarized and analyzed, and the treatment of Integrative Medicine was observed. Results: 42 patients had early fever of 100%, headache of 92.9%, chills of 76.2%, chest tightness of 76.2%, cough of 73.8% and muscle soreness of 88.1%; lung injury involving more than 3 leaves and 42.6% 1 of the subjects was 9.5%, liver function was elevated (ALT or AST) 61.9%, CK (CK or CK-MB) was increased by 47.6%, and CD_3 ~ + in T lymphocyte subsets was lower than the normal 91.1% Cases), CD_4 ~ + / CD_8 ~ + ratio was 76.5% lower (26/34 cases). Mid-late patients with fatigue of 85.7%, fear of fear of 81.0%, shortness of breath or chest tightness of 71.4%, loss of appetite 64.3%, pale tongue 52.4%, yellow and white tongue 45.2%, the root of the tongue yellow thick 21.4%. There were no obvious clinical symptoms at the time of discharge. The chest radiographs were completely absorbed in 92.8% of the lungs. Thirty (70%) of the patients were still in the CD_3 ~ + examination. The ratio of CD_4 ~ + / CD_8 ~ + was 36.7% lower. After the combination of traditional Chinese and Western medicine treatment (early Western medicine, combined use of Chinese and Western medicine) were all cured and discharged, no one case of death. The mean duration of fever subsidence was (3.52 ± 0.85) days, the average time of lung lesions completely absorbed by chest X was (26.82 ± 5.98) days and the average hospitalization was (33.60 ± 4.37) days. Conclusion: The clinical manifestations of patients with various diseases, showing multiple organ damage. Chinese medicine and Western medicine with traditional Chinese medicine syndrome differentiation and psychological intervention can help alleviate the clinical symptoms and promote rehabilitation.