目的分析SARS患者的临床资料,了解疾病的临床特点,探讨其中西医发病机理。方法统计20例SARS患者的一般资料,观察症状、外周血象、肝肾功能、血清生化、心肌酶谱、X线的变化。结果20例患者中14例为重症SARS,均以发热或伴恶寒、咳嗽为初始症状,容易出现呼吸困难;重症患者迅速出现呼吸衰竭。X线检查示:局限型者13例(60%),多发型7例(35%),团絮状增密影10例,片状阴影4例,磨玻璃样变3例,网状变2例,淡薄阴影1例。结论SARS患者以发热为主症,发热持续时间长,容易出现呼吸窘迫,多数白细胞总数正常或下降,X线检查示肺部病灶表现多样化,呈团絮状、片状、磨玻璃样、淡薄影改变,病灶进展快。重症SARS患者病程中多见嗜中性粒细胞、单核细胞升高伴有淋巴细胞的持续降低,类似一过性的改变也可见于普通型患者病情加重时。给予抗病毒、抗感染、增强免疫力并中医卫、气、营、血辨证施治等中西医方法相结合是较为有效的治疗方案。 Objective To analyze the clinical data of patients with SARS to understand the clinical features of the disease and to explore the pathogenesis of these diseases. Methods The general data of 20 patients with SARS were collected. The symptoms, peripheral blood, liver and kidney function, serum biochemistry, myocardial enzymes and X - ray were observed. Results Of the 20 patients, 14 were severe SARS. All of them were fever or with aversion to cold and cough as initial symptom, and were prone to dyspnea. Respiratory failure occurred rapidly in critically ill patients. X-ray examination showed: localized type in 13 cases (60%), multiple type in 7 cases (35%), flocculent increased shadow in 10 cases, flaky shadow in 4 cases, ground glass-like change in 3 cases, Cases, light shadow in 1 case. Conclusions The main symptoms of SARS are fever, prolonged fever, prone to respiratory distress, the majority of the total number of leukocytes normal or decreased, X-ray examination showed diversified lung lesions showed flocculent, flaky, ground glass-like, light Shadow changes, lesions progress faster. Patients with severe SARS more common in the course of neutrophils, monocytes increased with lymphocytes continued to decrease, similar to transient changes can also be seen in the general type of patients when the disease worsened. Given antiviral, anti-infective, enhance immunity and Chinese medicine, gas, camp, blood and other traditional Chinese and Western medicine combined with the method is more effective treatment.