J4 ›› 2010, Vol. 36 ›› Issue (2): 412-414.
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LIU Wei, PENG Li-Ping, HUA Shu-Cheng
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Abstract:Objective To study the chinical characteritics of critical patients cased by influenza A H1N1 virus,a new pathogen,in order to provide references for diagnosis and treatment.Methods The general clinical data, symptoms, signs, laboratory examinations, diagnosis and treatment methods and results in 24 cases of influenza A H1N1 complicated with severe pneumonia were analyzed. Results The mean age of 24 patients was (28.73±9.24) years, in which 2 cases of pregnant women (8.3%), obesity (body mass index (BMI) ≥ 30) 18 cases (75.0%), chronic underlying diseases 2 cases (8.3 %), including 1 case of bronchial asthma, 1 case of post renal transplantation.Fever, sore throat, shortness of breath were the main symptoms of patients. Multiple lung consolidation was found in 22 cases (91.6%). 24 patients were treated with anti-viral therapy (oseltamivir 75 or 150 mg,oral administration, 2 times per day), 20 cases with hormone therapy (83.3%), 18 patients were treated with mechanical ventilation (75.0%), of which 6 cases with mechanical ventilation after endotracheal intubation (25.0%), 2 death (8.3%). Conclusion Influenza A H1N1 complicated with severe pneumonia mainly occurs in young adults; the pregnant women, obesity, patients with chronic underlying diseases are easily complicated with severe pneumonia after infection;the antiviral drugs, glucocorticoids adjuvant therapy and artificial ventilation should be used as soon as possible. Tension pneumothorax, multiple organ dysfunction and other related complications are the main causes of death.
Key words: influenza A H1N1;severe pneumonia; , clinical analysis
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LIU Wei, PENG Li-Ping, HUA Shu-Cheng. Clinical analysis of |24 cases of influenza A H1N1 complicated with |severe pneumonia[J].J4, 2010, 36(2): 412-414.
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http://xuebao.jlu.edu.cn/yxb/EN/Y2010/V36/I2/412
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