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目的 :探讨发热门诊在预防控制SARS的流行中的作用。方法 :回顾性分析九江市发热门诊 2 0 0 3年 4月～ 11月共诊治发热患者资料。结果 :4 5 76例患者的年龄 14～ 75岁 ,平均 4 0 .5岁 ,>5 0岁 15 18例 (33% ) ,男 2 4 16例 ,女2 16 0例 ,主要临床表现有发热 (10 0 % )、咳嗽 (76 .8% )、鼻塞、咽喉痛 (33.5 % )、头痛、乏力 (4 1.5 % )、肺部罗音 (8.2 % )。发热门诊依据卫生部诊断标准严格预检诊断发热患者 ,70 9例到过疫区旅居史 ,隔离观察 115例。切实做到早发现、早诊断、早隔离、早治疗的原则。 4 5 76例发热患者最后诊断明确 ,普通感冒 3482例 (76 .1% )、支气管炎 35 7例 (7.8% )、肺炎 197例 (4 .3% )、肺TB133例 (2 .9% )、其他系统感染 4 0 7例 (8.9% )。结论 :发热门诊科学规范建立十分必要 ,充分发挥对发热患者予检诊断 ,切断SARS从患者到健康人群的传染链 ,是控制SARS流行的关键 ,能够有效地控制SARS的流行。
Objective: To explore the role of fever clinics in the prevention and control of the epidemic of SARS. Methods: A retrospective analysis of Jiujiang fever clinics in April 2003 to November were diagnosed fever patients. Results: A total of 45 76 patients, aged 14-75 years old, average 40.5 years and 15 18 (33%)> 50 years old, were 2 4 16 male and 2 160 female. The main clinical manifestations were fever (100%), cough (76.8%), stuffy nose, sore throat (33.5%), headache, weakness (41.5%) and pulmonary rales (8.2%). Fever clinics According to the Ministry of Health diagnostic criteria strict pre-diagnosis of fever patients, 70 9 cases had traveled to the epidemic area history of living, isolated 115 cases observed. Realize early detection, early diagnosis, early isolation, early treatment of the principle. The final diagnosis was clear in 4 of 76 cases of fever, with 3482 cases (76.1%) of common cold, 357 cases (7.8%) of bronchitis, 197 cases (4.3%) of pneumonia, and 133 cases , Other system infections 407 (8.9%). Conclusion: It is very necessary to set up the scientific norms for outpatient fever clinics to give full play to the diagnosis of febrile patients and cut off the infection chain of SARS from patients to healthy people. It is the key to control the epidemic of SARS and can effectively control the epidemic of SARS.