论文部分内容阅读
随着非典型肺炎 (atypicalpneumonia ,AP ;亦谓严重急性呼吸道综合征 ,severeacuterespiratorysyndrome ,SARS)病例在我国部分地区出现 ,我国党和政府均给予高度重视 ,医学界人士对该病进行了卓有成效的防治研究。研究的重点集中在两方面 :一是病原学的研究 ,另一方面是治疗方法的探讨。病原学的研究取得了一些进展 ,这些进展均系从新闻报道上获悉。在临床上 ,医生还是倾向于病毒病原这方面 ,主要是根据病情发展和治疗反应上考虑。在治疗方面 ,尽管没有一个成熟的治疗方法供临床应用 ,但治疗上还是集中在支持、对症、抗感染、免疫治疗、可试用抗病毒治疗 ,重症患者使用糖皮质激素治疗和无创或有创的机械通气治疗等 ,也有一些地区强调了免疫治疗的重要性。在诊断上 ,明确强调了患者的密切接触史和明确传染他人证据的重要性。我们于 2 0 0 3年 2月、4月先后特邀广东省人民医院陈正贤主任及大连友谊医院张忠鲁博士为本刊撰稿 ,同时刊登《沈阳·大连两地非典型肺炎研讨会纪要》 ,对读者或许有些裨益
With the emergence of atypical pneumonia (SARS) cases in some areas in our country, the Chinese party and government attach great importance to the prevention and treatment of the disease by medical professionals . The research focuses on two aspects: one is the research of etiology, on the other hand, the treatment method is discussed. Some progress has been made in the study of etiology, all of which are reported from news reports. Clinically, doctors still prefer the viral pathogens, mainly based on the development of the disease and treatment response. In terms of treatment, although there is not a mature therapeutic method for clinical use, treatment is focused on supportive, symptomatic, anti-infective, immunotherapy, probable antiviral therapy, glucocorticoid therapy in critically ill patients and noninvasive or invasive Mechanical ventilation therapy, there are some areas stressed the importance of immunotherapy. The diagnosis clearly emphasizes the importance of the patient’s close contact history and the evidence of a clear transmission of others. In February and April 2003, we invited Director Chen Zhengxian of the Guangdong Provincial People’s Hospital and Dr. Zhang Zhonglu of Dalian Friendship Hospital to write articles for this magazine. We also published a summary of the seminar on atypical pneumonia in Shenyang and Dalian. Readers may be some benefit