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目的 提高对传染性非典型肺炎的认识 ,以期早期诊断和防治。方法 分析总结我院自 2 0 0 3 -0 2～ 2 0 0 3 -0 4收治的 3 4例患者的X线特点及临床表现。结果 胸部X线表现特征是病灶侵犯单侧居多 (2 1/ 3 4) ,呈斑片状、云絮状高密度阴影 ,边界不清 ,进展和变化较快。临床以发热起病 (3 4/ 3 4) ,多伴有全身及关节酸痛 (2 9/ 3 4) ,咳嗽 (2 9/ 3 4) ,白细胞正常或偏低。高热不退者有发展为成人 (急性 )呼吸窘迫综合征 (adultrespiratorldistresssyndrome ,ARDS)倾向 (2 / 3 4)。 3 4例患者经综合治疗全部痊愈出院。 结论 X线检查是本病早期诊断、观察病情变化的重要手段。发热、咳嗽、四肢酸痛、血象不高、对抗菌素不敏感是本病的临床特点 ,高热不退者有发展为ARDS倾向。
Objective To improve the understanding of SARS in the hope of early diagnosis and prevention. Methods The X-ray features and clinical manifestations of 34 patients admitted to our hospital from 2000 to 2002 were retrospectively analyzed. Results The chest X-ray showed the most unilateral lesions (2 1/34), patchy, cloud-like high-density shadows with unclear boundaries and rapid progression and change. Clinical onset of fever (34/34), and more accompanied by systemic and joint pain (29/34), cough (29/34), normal or low white blood cells. Those with hyperthermia have a tendency to develop adult (acute) respiratory distress syndrome (ARDS) (2/34). All 34 patients were cured by comprehensive treatment and were discharged. Conclusion X-ray examination is an early diagnosis of the disease, an important means of observation of changes in condition. Fever, cough, limbs, pain, blood is not high, the antibiotic is not sensitive to the clinical features of the disease, high fever who have the tendency to develop ARDS.