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26例重症SARS患者初诊时临床症状与体征分析

Analysis of the Clinical Symptoms and Signs of 26 Patients of Severe SARS at First Visit

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【作者】 吴红金茹立强李澎涛赵锡银王凡刘娟李建民段姝伟王国华王瑞丽刘婵王建章刘天琪

【Author】 Wu Hongjin , Ru Liqiang , Li Pengtao , et al. (Huazhong University of Science & Technology, Wuhan 430030)

【机构】 华中科技大学同济医学院北京中医药大学北京市中西医结合医院北京市中西医结合医院 湖北430030湖北430030北京100029北京100039北京100039

【摘要】 目的 探讨重症SARS患者的临床症状、体征、胸片特点及中医治疗经验。方法 回顾分析了 2 6例重症SARS患者初诊时的临床症状、体征、胸片及其恢复时间 ,并与同期入院的 30例普通SARS患者进行对比。结果 重症SARS患者临床症状中 ,发热、干咳、乏力、咯痰、头痛、气短、肌肉酸痛等症状较为普遍。与普通组相比 ,乏力、气短和恶寒等症发生率高 ,发热、乏力、头痛、肌肉酸痛等症改善时间长 ,其结果具有统计学差异。结论 SARS的主要病理变化是热毒蕴肺、瘀热互结、气阴两伤 ,辨证时不应拘泥单一病机 ,而应分清轻重缓急 ,作出恰当治疗

【Abstract】 Objective To investigate the clinical symptoms, signs, and the chest X-ray features of the patients of severe SARS, and the experience of the TCM treatment of severe SARS. Method The clinical symptoms, signs, chest X-rays and the restoration time of 26 patients of severe SARS at first visit were retrospected, and the results of the retrospective study were compared with the results of the retrospective study of the 30 patients of general SARS admitted in the same period concerning the above-mentioned criteria. Results In the patients with severe SARS, the commonly appeared clinical symptoms were found to be fever, dry cough, weakness, coughing with sputum, headache, short breath, and aching pain in muscle. Compared with those symptoms appeared in the patients of general SARS, the symptoms of weakness, short breath, and feeling disgusted with cold appeared at a higher frequency, and the symptoms of fever, weakness, headache, aching pain in muscle needed a longer time to be relieved. The results of the comparison were with statistical significance. Conclusion The pathogenesis of SARS is mainly of stagnation of heat toxin in lung, aggregation of stasis and heat, and impairment of qi and yin. Stickling to one single factor in its pathogenesis should be avoided in diagnosing SARS by TCM diagnostic methods, and the four natures, namely mildness, severity, meekness and acuteness, of the factors of its pathogenesis should be clearly understood in order to make a reasonable treating plan.

【基金】 科技部“十五”863计划重大项目 (No .2 0 0 3AA2 0 810 1);国家中医药管理局科研课题 (No 国中医药科非典专项 0 6号 )
  • 【文献出处】 北京中医药大学学报 ,Journal of Beijing University of Traditional Chinese Medicine , 编辑部邮箱 ,2004年05期
  • 【分类号】R511.9
  • 【下载频次】126
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