目的　分析山西地区 10 2例重症严重急性呼吸道综合征 (SARS)患者的临床特征、治疗效果和预后。方法　对山西地区 2 0 0 3年 3月 7日至 6月 4日 10 2例重症 SARS患者的临床资料进行总结 ,并进行统计学分析。结果　 10 2例患者男性 4 8例 (4 7% ) ,女性 5 4例 (5 3% ) ;主要临床表现为发热 (10 0 % )、咳嗽 (5 5 % )、呼吸困难 (4 4 % )。早期白细胞数平均 (6± 4 )× 10 9/ L ,淋巴细胞平均 (16± 12 ) % ,10 2例都有胸部 X线检查异常。疾病的早期使用呼吸机 ,心理治疗可阻止病情进展 ,多因素分析显示 :不良预后影响因素是高龄、无心理治疗。结论　重症 SARS男女发病大致相等 ,无特征性临床表现 ,早期使用呼吸机 ,心理治疗有效 ,年龄、心理治疗是该病预后的预测因素 Objective To analyze the clinical features, therapeutic effects and prognosis of 102 patients with severe acute respiratory syndrome (SARS) in Shanxi Province. Methods The clinical data of 102 severe SARS patients from March 7 to June 4, 2003 in Shanxi Province were summarized and statistically analyzed. Results The main clinical manifestations were fever (10 0%), cough (54%), dyspnea (44%), fever in 40 cases (47%) and females . The average number of early white blood cells (6 ± 4) × 10 9 / L, average lymphocyte (16 ± 12)%, 102 cases of chest X-ray abnormalities. Early use of ventilator disease, psychological treatment can prevent the progression of the disease, multivariate analysis showed that: adverse prognostic factors are elderly, no psychotherapy. Conclusions The incidence of severe acute respiratory syndrome (SARS) in both sexes is roughly the same with no characteristic clinical manifestations. Early use of ventilator, effective psychotherapy, age and psychotherapy are the predictors of the prognosis