Yan Jie, Wang Yu-guang, Xiao Jiang, Zhang Su-juan, Chen Zhi-hai, Guo Li-min, Wang Yu, Li Xin, Xu Yan-li, Zhang Ming, Li Xing-wang
Infectious Disease Diagnosis and Treatment Center, Beijing Ditan Hospital, Beijing 100015, China.
Zhonghua Nei Ke Za Zhi. 2009 Oct;48(10):830-2.
To review the clinical characteristics of H1N1 influenza A, and suggest the clinical practices for the diagnosis and treatment of H1N1 influenza A in the future.
Thirty-three cases of H1N1 influenza A hospitalized in Beijing Ditan Hospital from May 15 to June 22, 2009 were studied and the clinical data were statistically analyzed with SPSS 11.0 for Windows.
Twenty-five of the 33 patients had a history of travelling in America, Canada, Japan etc within a week; the latent period was between 1 and 6 days in 12 close contact patients. The main symptoms of H1N1 influenza A are fever (66.7%), dry cough (60.6%), cough with sputum (42.4%) and sore throat (36.4%). The laboratory tests in 24 cases (72.7%) were normal, while mild abnormal results were found in the remaining patients. All of the 33 cases were discharged according to the Standard of Diagnosis and Treatment of H1N1 Influenza A published by The Minister of Health, China. The period between 2-consecutive negative results in viral nucleic acid RT-PCR detection and the presenting symptom was 2 to 16 days and the period of hospitalization was 3 to 16 days.
The new type of H1N1 influenza A is characterized by mild symptoms, short period of hospitalization and good prognosis. All the patients can be cured, if they do not suffer from other severe chronic disease.
回顾甲型H1N1流感的临床特征,为今后甲型H1N1流感的诊断和治疗提出临床实践建议。
对2009年5月15日至6月22日在北京地坛医院住院的33例甲型H1N1流感患者进行研究,并用SPSS 11.0 for Windows对临床资料进行统计分析。
33例患者中25例在一周内有美国、加拿大、日本等地旅行史;12例密切接触患者潜伏期为1至6天。甲型H1N1流感的主要症状为发热(66.7%)、干咳(60.6%)、咳痰(42.4%)和咽痛(36.4%)。24例(72.7%)实验室检查正常,其余患者有轻度异常结果。33例均按照中国卫生部发布的《甲型H1N1流感诊疗方案》出院。病毒核酸RT-PCR检测连续2次阴性结果与出现症状的间隔时间为2至16天,住院时间为3至16天。
新型甲型H1N1流感具有症状轻、住院时间短、预后良好的特点。所有患者如无其他严重慢性疾病均可治愈。