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四川省流行性感冒中西医结合诊疗专家共识(2023版)

Expert consensus on the diagnosis and treatment of influenza with integrated Chinese and Western medicine in Sichuan Province

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【作者】 王蜀强曾俊万朝敏何涌泉黄仁刚石伟周丽君袁珩蒋黎范娟张扬陈婧陈果肖玲辉杨阳杨勇崔小娇梅劼蒲红雷学忠曾义岚吴刚胡章勇刘凤君章晓红陈云凤万雪梅侯艳杨仁国闫力婷扈晓宇杨兴祥

【Author】 WANG Shu-qiang;ZENG Jun;WAN Chao-min;HE Yongquan;HUANG Ren-gang;SHI Wei;ZHOU Li-jun;YUAN Heng;JIANG Li;FAN Juan;ZHANG Yang;CHEN Jing;CHEN Guo;XIAO Ling-hui;YANG Yang;YANG Yong;CUI Xiao-jiao;MEI jie;PU Hong;LEI Xue-zhong;ZENG Yi-lan;WU Gang;HU Zhang-yong;LIU Feng-jun;ZHANG Xiao-hong;CHEN Yunfeng;WAN Xue-mei;HOU yan;YANG Ren-guo;YAN Li-ting;HU Xiao-yu;YANG Xing-xiang;Department of Infectious Disease,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Emergency Center,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Department of Pediatrics,West China Second Hospital,Sichuan University;Sichuan Provincial Key Laboratory of Human Disease Gene Research,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Department of Pediatrics,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Sichuan Provincial Disease Control and Prevention Center;Department of Laboratory Medicine,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Department of Infectious Disease,Hospital of Chengdu University of Traditional Chinese Medicine;Department of Respiratory and Critical Care Medicine,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Department of Pharmacy,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Department of gynaecology and obstetrics,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Department of Radiology,Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital;Infectious Disease Center,West China Hospital of Sichuan University;Public Health Clinical Center of Chengdu;Department of Infectious Diseases,Affiliated Hospital of Southwest Medical University;Department of Infectious Diseases,The First Affiliated Hospital of Chengdu Medical College;Department of Infectious Diseases,Affiliated Hospital of North Sichuan Medical College;Department of Respiratory and Critical Care Medicine,Chengdu Integrated TCM and Western Medicine Hospital;

【通讯作者】 扈晓宇;杨兴祥;

【机构】 四川省医学科学院·四川省人民医院感染科四川省医学科学院·四川省人民医院急救中心四川大学华西第二医院儿科四川省医学科学院·四川省人民医院人类疾病基因研究四川省重点实验室四川省医学科学院·四川省人民医院儿科四川省疾病预防控制中心急传所四川省医学科学院·四川省人民医院临床检验中心成都中医药大学附属医院感染科四川省医学科学院·四川省人民医院呼吸与危重症医学科四川省医学科学院·四川省人民医院药学部四川省医学科学院·四川省人民医院妇产科四川省医学科学院·四川省人民医院放射科四川大学华西医院感染性疾病中心成都市公共卫生临床医疗中心西南医科大学附属医院感染科成都医学院附属第一医院感染科川北医学院附属医院感染科成都市中西医结合医院呼吸与危重症科

【摘要】 流行性感冒是由流感病毒引起的急性呼吸道传染病,主要由甲型流感病毒H1N1、H3N2亚型及乙型流感病毒Victoria和Yamagata系导致。典型表现为高热、头痛、肌痛、全身不适,部分患者伴有呼吸道症状。每年呈季节性流行,多数具有自限性,但是少数高危人群可发生重症表现,甚至导致死亡。诊断需结合流行病学史、临床表现、实验室及影像学检查。主要治疗措施为抗病毒治疗和对症治疗,重症患者需积极支持治疗。有效预防措施包括接种流感疫苗、药物预防及采取经呼吸道传播疾病标准预防措施。本共识集四川省内从事流感诊治中西医相关学科专家讨论制定,旨在为医疗机构临床医生在流感规范诊疗提供指导。

【Abstract】 Influenza is an acute respiratory infectious disease caused by influenza virus, mainly including the H1N1 and H3N2 subtypes of influenza A virus and the Victoria and Yamagata strains of influenza B virus. In general, influenza is characterized by high fever, headache, muscle pain, an overall feeling of discomfort, and some patients may have respiratory symptoms. The disease occurs seasonally every year, and most cases are self-limiting, but a small number of high-risk individuals can develop severe symptoms, even leading to death. Diagnosis requires a combination of epidemiological history, clinical manifestations, laboratory and imaging examinations. The main treatment measures include antiviral therapy and symptomatic treatment, while severe patients require active supportive treatment. Effective prevention measures include influenza vaccination, medication prophylaxis, and standard respiratory infectious disease prevention measures. This consensus was formulated through discussions among experts in traditional Chinese and western medicine who are engaged in the diagnosis and treatment of influenza in Sichuan Province, with the aim of providing guidance for clinicians of medical institutions on standardized diagnosis and treatment of influenza.

  • 【文献出处】 实用医院临床杂志 ,Practical Journal of Clinical Medicine , 编辑部邮箱 ,2023年02期
  • 【分类号】R511.7
  • 【下载频次】65
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