广东省中医院治疗非典型肺炎临床经验

Clinical experiences of treating SARS in Guangdong Hospital of TCM

关键词:  严重急性呼吸综合症(SARS)  中西医结合  临床经验

Key words:  SARS  integrated Chinese and western medicine  clinical experience

摘要:

[目的]观察中西医结合治疗严重急性呼吸综合症(SARS)的临床疗效。[方法]对103例确诊SARS患者采用中西医结合的治疗方案。中医采用卫气营血和三焦辨证,按病情分为早期、中期、极期 (高峰期)、恢复期4期;西医方案主要采取营养支持、吸氧、呼吸机辅助通气、抗感染、免疫增强、激光抗炎及对症处理等措施。[结果]103例中治愈96例 (93.21%),死亡7例 (6.79%);退热时间为 (6.72±3.95)d;肺部病灶完全消失94例 (91.26%),胸部X片显示病灶吸收时间为(18.13±8.99)d;2例呈纤维索条状改变。[结论]采用中西医结合治疗在干预病程、减轻中毒症状、缩短发热时间和住院时间、减少后遗症、减轻并发症和西药副作用方面有明显的作用。

Abstract:

[Objective] To observe the clinical effect of SARS treated by integrated Chinese and western medical therapy. [Methods] All 103 SARS cases were treated by integrated Chinese and western medical therapeutic project. It was divided into 4 stages: early stage, middle stage, crisis stage and recovery stage according to Wei-qi Ying-xue Differentiation and Triple-jiao Differentiation of TCM.The treatment of western medicine were nutrition supporting therapy, oxygen inhalation, auxiliary ventilation through respirator, anti-infection, enhancement of immunity, anti-infection by laser, expectant treatment and so on.[Result] Among 103 cases, 96 were cured (93.21%) and 7 dead (6.79%). The average time for abatement was (6.72±3.95) d. The focus at the lung was disappeared completely in 94 cases (91.26%), and X-ray showed the time was(18.13±8.99) d. Fibrotic striped changes was shown on 2 cases’ X-ray photograph.[Conclusion] The integrated Chinese and western medical therapeutic project has marked effects on interrupting the duration, relieving the toxic symptoms, shortening the stage of fever and the duration of hospitalization, decreasing the sequel, complication and side-effects of western medicine.