论文部分内容阅读
目的探讨重症甲型H1N1死亡病例的特点,提高重症患者的诊治水平。方法回顾性分析2009年6月至2010年1月北京佑安医院18例甲型H1N1流感死亡患者的资料。结果甲型H1N1流感的病死率为7.5%;死亡患者的年龄偏大,50岁以上者占50%;18例患者中14例合并基础疾病,以发热、咳嗽和呼吸困难为主要表现;17例死于呼吸衰竭,1例死于肿瘤晚期多脏器衰竭。结论甲型H1N1流感主要死于呼吸衰竭,需要密切关注具有基础疾病的老年患者,加强抗感染和营养支持治疗。
Objective To investigate the characteristics of deaths from severe type A H1N1 and improve the diagnosis and treatment of critically ill patients. Methods The data of 18 deaths from influenza A (H1N1) in Beijing You’an Hospital from June 2009 to January 2010 were retrospectively analyzed. Results The mortality rate of Influenza A (H1N1) was 7.5%. The death patients were older and accounted for 50% of patients over 50 years old. Among the 18 patients, 14 patients had underlying diseases with fever, cough and dyspnea as the main manifestations. Seventeen patients Died of respiratory failure, and one died of multiple organ failure in the advanced stage of the tumor. Conclusion Influenza A (H1N1) virus mainly died of respiratory failure. It is necessary to pay close attention to elderly patients with underlying diseases and to strengthen anti-infective and nutritional supportive treatment.