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目的 了解伴有腹泻的危重型严重急性呼吸综合征 (SARS ,即非典型肺炎 )病人的临床特点以及探索临床有效的治疗方法。方法 对 2 0 0 3- 0 4～ 0 5入院的 8例出现消化道症状的危重SARS病人的临床资料进行分析。这些危重病人除采取综合治疗措施以外 ,及早使用甲泼尼龙冲击治疗 ,并给予无创呼吸机辅助通气。结果 8例病人 5例死亡 ,3例病情逐渐缓解 ,好转后出院。结论 8例出现消化道症状的危重SARS病例 ,其病情严重 ,临床进展快 ,死亡率高 ,病人应在出现发热症状后及早诊断和治疗 ,并高度注意出现合并症。
Objective To understand the clinical features of patients with severe acute respiratory syndrome (SARS) associated with diarrhea and to explore clinically effective treatments. Methods The clinical data of 8 SARS patients with digestive tract symptoms admitted to the hospital from 2000 to 2004 were analyzed. In addition to these critically ill patients to take comprehensive treatment measures, the early use of methylprednisolone therapy and noninvasive ventilator assisted ventilation. Results 8 patients died in 5 cases, 3 patients gradually eased, improved and discharged. Conclusions 8 cases of critically ill SARS patients with gastrointestinal symptoms have serious illness, rapid clinical progress and high mortality rate. The patients should be diagnosed and treated as soon as possible after the onset of fever symptoms, and patients should pay high attention to complications.