• 自貢市第一人民醫院重癥醫學科(四川自貢,643000);
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【摘要】 目的  探討甲型H1N1流感危重癥患者的搶救療效。 方法  2009年10月-2010年1月,對我院ICU收治5例甲型H1N1流感危重癥患者采用集束化治療方案進行救治,并就患者的器官功能變化進行評價。 結果  5例患者平均住院天數為(11.8±5.59)d,4 例存活,1例死亡。存活患者在治療過程中急性生理和既往健康 (APACHE)Ⅱ、多器官功能障礙綜合征評分(MODS)、全身性感染相關的器官衰竭評分 (SOFA)總體呈逐漸下降趨勢。死亡者APACHEⅡ、SOFA評分均呈逐漸升高趨勢。 結論  對甲型H1N1流感危重癥患者采取集束化救治療效良好。
【Abstract】 Objective  To explore the effect of bundle therapy on severe patients with influenza A (H1N1). Methods  Bundle therapy were used in 5 severe patients with influenza A from October 2009 to January 2010. The patients’ organ dysfunction were observed for. Results  The average in-hospital duration was (11.80±5.59) days. Four patients survived and one died with the survival ratio of 80%. Acute physiology and chronic health evaluation (APACHE) II score, Multiple organ dysfunction syndrome (MODS) score and sepsis-related organ failure assessment (SOFA) score gradually decreased in 4 survived patients, while gradually increased in the died patient. Conclusion  Bundle therapy is effective on patients with severe influenza A.

引用本文: 楊明全,肖國輝. 5例甲型H1N1流感危重患者救治. 華西醫學, 2011, 26(7): 1022-1024. doi: 復制