65例不明原因肺炎病例监测与就诊分析研究.docVIP

精品论文 参考文献 65例不明原因肺炎病例监测与就诊分析研究 龙云铸1 李丹1（通讯作者） 唐雨新2 刘富强3 周青1 谭英征1 傅京力1 　　（1.株洲市中心医院 412000） 　　（2.株洲市疾控中心 412000） 　　（3.湖南省疾控中心 412000） 　　【摘 耍】目的：分析评价不明原因肺炎病例的监测与就诊情况，为人感染H7N9禽流感等新发呼吸道传染病的早期识别提供参考。方法：回顾性统计分析2013年4月-2014年12月湖南省多家医院收治的65例不明原因肺炎病例。结果：从发病到诊断为“不明原因肺炎”的平均时间为6.5天，三级医院诊断率明显高于二级医院。20例人感染H7N9禽流感病例均在三级医院确诊，从发病到给予奥司他韦抗病毒治疗平均时间为10天，病死率高达45%。流感监测对不明原因肺炎的病因诊断有一定的帮助。结论：不明原因肺炎和流感监测，有助于及时发现H7N9禽流感等以肺炎为主要临床表??的原因不明呼吸道传染病。但仍存在不少困难和问题，导致了不明原因肺炎诊断的滞后而出现较高的死亡率，建议加大对医务人员不明原因肺炎、H7N9禽流感与流感监测等知识的培训力度。 　　【关键词】不明原因肺炎；流感监测；H7N9禽流感；就诊分析 　　【中图分类号】R563.1 【文献标识码】B 【文章编号】1003-5028（2015）8-0668-02 　　Surveillance and hospitalize analysis on 65 cases of pneumonia with unknown origin 　　LI Dan1, LONG Yun zhu1, TANG Yu Xin2,LI shihai3,FAN yong4,Zhang anping5,HU li6 　　1.Zhuzhou central Hospital, Zhuzhou 412000,China） 　　（2. Centers for Disease Control and Prevention of Zhuzhou, Zhuzhou 412000,China 　　（3. Centers for Disease Control and Prevention of Hunan, 410006,China） 　　【Abstract】Objective To analyze the surveillance and hospitalize of pneumonia with unknown origin（PUO）, and to provide recommendations for early recognize of novel contagious disease of respiratory tract such as avian influenza A(H7N9).Methods The surveillance and medical data of 65 cases with pneumonia with unknown origin were reviewed retrospectively,data collected from several hospitals in hunan province．Results The range of time interval of“onset　making a diagnosis as PUO，the median time was 6.5days. the diagnosis ratio of third-level hospitals was higher than that of second-level ones.20 avian influenza A(H7N9) cases were confirmed all in third-level hospitals, treatment with antiviral drugs was initiated at a median of 10 days after the onset of illness, The mortality rate as high as 45%. Influenza surveillance was helpful in etiological diagnosis of pneumonia of unknown origin.Conclusions It is very important for carrying on the surveillance of PUO and influenza to find novel contagious disease of respira