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目的 探讨严重急性呼吸综合征 (SARS)与其他肺部疾病的相同点和不同点 ,包括临床表现 ,胸部X显影像、实验室检查、诊断及鉴别诊断等特点。方法 对我院发热门诊接诊的 4 4 0例发热患者的临床表现 ,X线胸片及实际室资料进行回顾性分析。结果 除 1例患者与SARS患者有接触史 ,其他患者无SARS接触史 ,全部患者以发热为首发症状 (10 0 % ) ,伴有干咳 (77.0 % ) ,气促 (34.0 % ) ;无腹泻 ;高热患者均有胸部X线改变 ,多数累及单肺 ,肺部体征与脑部X线表现多数一致 ;治疗以综合治疗为主 ,99.8%的患者经使用抗菌药物、抗病毒药物、糖皮质激素有明显疗效。结论 SARS传染性极强 ,有一定的病死率 ,以发热为首发症状 ,对有胸部X线改变的患者需要认真分析、细致研究、仔细鉴别 ,才能不误诊 ,不漏诊
Objective To explore the similarities and differences between severe acute respiratory syndrome (SARS) and other lung diseases, including clinical manifestations, chest X-ray imaging, laboratory tests, diagnosis and differential diagnosis. Methods A retrospective analysis was performed on the clinical manifestations, X-ray and actual room data of 4400 fever patients admitted to fever clinics in our hospital. Results All patients except one patient had history of exposure to SARS. Other patients had no history of SARS. All patients had fever as the first symptom (100%), with dry cough (77.0%) and shortness of breath (34.0%); without diarrhea; High fever in patients with chest X-ray changes, most involving a single lung, lung signs and most of the performance of brain X-ray; treatment to comprehensive treatment, 99.8% of patients with antimicrobial agents, antiviral drugs, glucocorticoid Significant effect. Conclusion SARS is extremely contagious and has a certain mortality rate, with fever as the first symptom. Patients who have chest X-ray changes need to be carefully analyzed, careful study and careful identification before they can be misdiagnosed and missed