【摘要】 目的:探讨经急诊诊断的13例非典型肺炎的临床特点。以进一步提高诊断的符合率。方法:对13例非典型肺炎病人资料进行回顾性统计分析。结果:与非典病人有明确接触史的有7例(53.85％);主要表现:发热11例(84.62％),咳嗽9例(69.23％),气促9例(69.23％);血常规:白细胞(WBC)<4.0×109有4例(30.17％),WBC 4.0×109-10×109有7例(53.83％),WBC>10×109有2例(15.38％);粒细胞百分比(GR)>70％有10例(76.92％),GR 50％-70％有2例(15.38％),GR<50％有1例(7.69％);淋巴细胞百分比(LY)>40％有1例(7.69％),LY 20％-40％有3例(23.08％),LY<20％有9例(69.23％);胸片和CT显示肺斑片状阴影:双侧改变8例(61.54％),单侧改变5例(38.46％)。结论:本组病人多数与非典病人有接触,发热,咳嗽,双肺或单肺斑片状阴影,粒细胞百分比增高,淋巴细胞百分比下降是其主要临床特点,但有个别病人表现不典型,只有认真地询问病史和检诊病人才能避免急诊病人的漏诊和误诊。更多还原

【Abstract】 Objective: To enhance the accurate rate of SARS diagnosis by evaluating the clinical evidences of 13 SARS patients. Methods: The clinical evidences of 13 SARS patients were analyzed retrospectively. Results: Obviously contact evidence was found in 7 patients (53.85%); main characteristics: high fever in 11 patients (84.62%),coughing in 9 patients(69.23%) ,short breathing in 9 patients(69.23%) ;blood white cell(WBC) <4.0×109 in 4 patients(30.17%), 4.0-10×109 in 7 patients(53.83%) ,> 10×109 in 2 patients( 15.38%),granule cell(GR) > 70% in 10 patients(76.92%), 50%-70% in 2 patients( 15.38%),<50% in 1 patient (7.69%);lymphocyte cell(LY) >% in 1 patient (7.69%),20%-40% in 3 patients (23.08%) ,< 20% in 9 patients (69.23%);chest X-ray and CT showed cloudy change of lungs in 8 patients for both lobes(61.54%), and in 5 patients for single lobe(38.46%). Conclusions: The obviously contact evidence was found in the majority of the SARS patients. The high fever, coughing, cloudy change of bilateral or single lobe of lung,risen GR(%),and declined LY(%) were shown. SARS should be accurately diagnosed through the detailed collection of clinical materials by conscientious medical staff at emergency department.更多还原