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目的了解人感染H7N9禽流感患者的临床特点,并对治疗方法进行探讨。方法对本院收治的两例人感染H7N9禽流感确诊病例的临床资料进行回顾性分析总结。结果两例患者起病前均有禽类接触史,以发热、咳嗽为首发症状,并进行性加重,出现呼吸困难、进展性肺部斑块状阴影和多器官功能损伤为特点,咽拭子及下呼吸道病毒核酸检测鉴定为H7N9禽流感,采取综合治疗措施,均治愈出院。结论临床中提高对H7N9禽流感诊断的警惕性,应及早干预、诊断及治疗,以降低发病率及死亡率。
Objective To understand the clinical characteristics of human infection with H7N9 bird flu and discuss the treatment methods. Methods The clinical data of two confirmed human cases of H7N9 in our hospital were retrospectively analyzed. Results Both patients had history of bird contact before onset, with fever and cough as the first symptom, with progressive aggravation, dyspnea, progressive pulmonary plaque shadow and multiple organ dysfunction. Throat swab and Lower respiratory tract virus nucleic acid detection identified as H7N9 bird flu, to take comprehensive treatment, were cured. Conclusion In order to improve the vigilance of diagnosis of H7N9 avian influenza in clinical practice, interventions, diagnosis and treatment should be taken as early as possible to reduce morbidity and mortality.