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目的 分析山西省严重急性呼吸综合征 (SARS)就诊的及时性以及临床诊断情况 ,对临床就治水平做出评估。方法 用疫情资料、临床上报资料等对患者发病、就诊、住院时间以及医院诊断为 SARS可疑病例、临床确诊病例的时间进行统计分析。结果 病人从发病到就诊的平均天数为 2 .6 4 d,就诊到住院的平均天数为0 .94 d;从住院到做出疑似诊断平均 1.2 4 d,从疑似诊断到临床诊断的平均天数为 5 .2 3d;住院到临床诊断的平均天数为 5 .37d。结论 随着时间的推移 ,社会人群对 SARS危害性的认识在不断提高 ,病人发病后就诊、住院的时间以及医院对收治病人后做出诊断所用的时间越来越短 ,且临床就治水平在不断提高 ,病死率仅为 5 .36 % ,低于全国平均水平。
Objective To analyze the promptness and clinical diagnosis of severe acute respiratory syndrome (SARS) in Shanxi Province and evaluate the clinical treatment level. Methods Epidemic data and clinical data were used to analyze the time of onset, treatment, hospitalization and suspicious cases of SARS and clinically diagnosed cases in the hospital. Results The average number of days from onset to treatment was 2.64 days and the average number of days of hospitalization was 0.94 days. From the hospital to the average of 1.2 4 days of suspected diagnosis, the average number of days from the diagnosis to the clinical diagnosis was 5 .2 3d; the average number of days from hospitalization to clinical diagnosis was 5.37 days. Conclusions With the passage of time, the awareness of SARS patients in the community has been increasing. The time after the onset of the illness, the time of hospitalization, and the time taken by the hospital to make a diagnosis after the patient has been treated are shorter and the clinical treatment level is between Increasingly, the case fatality rate was only 5.36%, lower than the national average.