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林琳,韩云,杨志敏,刘伟胜,张敏州,唐光华,许银姬.中西医结合治疗非典型肺炎103例临床观察[J].中国中西医结合杂志,2003,(6):409-413
中西医结合治疗非典型肺炎103例临床观察
Clinical Observation on 103 Patients of Severe Acute Respiratory Syndrome Treated by Integrative Traditional Chinese and Western Medicine
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DOI:
中文关键词:  非典型肺炎  严重急性呼吸综合征  温病  中西医结合治疗
英文关键词:atypical pneumonia  severe acute respiratory syndrome  infectious febrile disease  therapy of integrative traditional Chinese and western medicine
基金项目:
作者单位
林琳 广东省中医院内三科 广州 510120 
韩云 广东省中医院内三科 广州 510120 
杨志敏 广东省中医院内三科 广州 510120 
刘伟胜 广东省中医院内三科 广州 510120 
张敏州 广东省中医院内三科 广州 510120 
唐光华 广东省中医院内三科 广州 510120 
许银姬 广东省中医院内三科 广州 510120 
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中文摘要:
      目的:观察中西医结合方法治疗非典型肺炎的疗效。方法:西医采用营养支持、呼吸机辅助通气、抗感染及糖皮质激素等方法治疗;中药根据中医辨证分期选方用药。统计学方法采用描述性分析法。结果:103中治愈96例(93.2%),死亡7例(6.8%);入院治疗后退热时间为(6.72±3.95)天;胸片复查病灶完全吸收94例,病灶吸收时间(18.13±8.99)天;2例胸片呈局部纤维索条样改变。结论:SARS属中医“温病”范畴,采用中西医结合治疗有积极作用。
英文摘要:
      Objective: To observe the effect of 103 patients of severe acute respiratory syndrome (SARS) treated by in-tegrative traditional Chinese and western medicine. Methods: Alimentotherapy, respiratory auxiliaring ventilation, anti-infective and glucocorticoid methods were used in western medicine; Chinese herbal medicine was used according to syndrome differentiation in traditional Chinese medicine. Descriptive statistical analyses were performed. Results:Of the 103 patients, 77 were identified as severe cases and 29 were admitted to the intensive care unit. A total of 96 patients (93.2%) were cured, 7 patients died (6.8%). The mean time between onset of feverishness and improvement was 6. 72±3. 95 days; 94 successful responses to therapy could be demonstrated by serial chest radiographs showing the resolution of lung opacities during 18. 13±8. 99 days, 2 of whom showed fibroid cord-like changes. Conclusion: In terms of traditional Chinese medicine theory, SARS is referred to "infectious febrile disease", the therapeutic strategies of integrative traditional Chinese and western on SARS have been shown effective, and traditional Chinese medicine played a positive role in it.
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