中国临床医学2011，Vol.18Issue(1)：58-61,4.
甲型H1N1流感重症与危重症患者临床特征分析
Clinical Characteristics of Patients with Severe or Critical Influenza A(H1N1)
摘要
Abstract
Objective: To study the clinical characteristics of patients with severe or critical influenza A( H1N1 ), and to provide foundations for early diagnosis.Methods: Retrospecttive analysis on clinical data of inpatients with influenza A( H1 N1 ), including 88 mild patients, 19 severe patients, 12 critically ill patients.Analysis the relationship between the 12 clinical indices,including sex, body mass index(BMI),period from onset time to admission time, body temperature of the admission day, maximum body temperature in hospital, albumin, serum alcium, myocardial enzyme, platelet, oxygenation index, chest X ray,CT, and acute lung injury(ALI), acute respiratory distress syndrome (ARDS), septic shock, multiple organ dysfunction syndrome (MODS) and death.Results: Standardization regression coefficient from big to small in proper order were: oxygenation index, CT, body temperature of the admission day, BMI were the most influence on ALI; oxygenation index, myocardial enzyme, BMI, body temperature of the admission day, albumin are the most influence on ARDS; albumin, oxygenation index, myocardial enzyme, body temperature of the admission day, maximum body temperature in hospital, platelet were the most influence on septic shock; oxygenation index, myocardial enzyme, CT, albumin, body temperature of the admission day, period from onset time to admission time were the most influence on MODS; albumin,oxygenation index, myocardial enzyme, body temperature of the admission day, maximum body temperature in hospital, platelet were the most influence on death.Conclusions: Clinical indices such as oxygenation index, CT, body temperature of the admission day,BMI may suggest of ALI.Oxygenation index, myocardial enzyme, BMI, body temperature of the admission day, albumin may suggest of ARDS.Albumin, oxygenation index, myocardial enzyme, body temperature of the admission day, maximum body temperature in hospital, platelet may suggest of septic shock.Oxygenation index, myocardial enzyme,CT, albumin, body temperature of the admission day, period from onset time to admission time may suggest of MODS.Albumin, oxygenation index, myocardial enzyme, body temperature of the admission day, maximum body temperature in hospital, platelet may suggest of death.Early recognition intervention are supposed to be applied by close concern to these clinical indices.关键词
H1N1/重症与危重症/临床表现/检查指标/相关性分类
医药卫生引用本文复制引用
梁德雄,蒙光国..甲型H1N1流感重症与危重症患者临床特征分析[J].中国临床医学,2011,18(1):58-61,4.基金项目
广西区南宁市科学研究与技术开发项目(编号:200902086C) （编号:200902086C）
