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目的 :调查出院严重急性呼吸综合征 (SARS)患者残留病状 ,为康复治疗提供依据。方法 :对东城区所辖社区及本市其他区域患者 SARS出院后来北京中医医院门诊的患者进行问卷调查或诊查 ,记录症状、舌脉、理化检查等情况 ,并进行归纳总结。结果 :共调查病例 12 6例 ,其中接受理化检查 89例 ,临床症状中气短、乏力、胸闷、汗出、口干苦、五心烦热等症状占 4 7%以上 ,舌红、苔厚腻、脉滑细数较常见 ,尤其多见于用过激素的患者中 ;理化检查中 ,仍有 10 %~ 2 0 %的患者有淋巴细胞计数、转氨酶、心肌酶、尿素氮、血糖等的异常 ,不到 10 %的患者有心电图异常 ,X线检查中 5 5例遗留肺部阴影吸收不全 (包括炎性病变、间质病变及纤维化 )。结论 :SARS患者康复期仍有接受治疗及医学观察的必要。
Objective: To investigate the residual disease in discharged patients with severe acute respiratory syndrome (SARS) and provide basis for rehabilitation. Methods: The patients in the communities under the jurisdiction of Dongcheng District and other districts in the city were investigated by SARS patients after they were discharged from hospital, and the symptoms, tongue veins and physicochemical examination were recorded and summarized. Results: A total of 12 6 cases were examined, of which 89 were physical and chemical tests. The clinical symptoms included shortness of breath, fatigue, chest tightness, sweating, dry mouth and five upset, accounting for 47% Pulse slip is more common, especially in patients with hormone use; physical and chemical examination, there are still 10% to 20% of patients with lymphocyte count, transaminase, myocardial enzymes, urea nitrogen, blood glucose and other abnormalities, not Electrocardiographic abnormalities were present in up to 10% of patients, with incomplete lung shadow absorption (including inflammatory lesions, interstitial lesions and fibrosis) in X-ray examination. Conclusion: There is still a need for treatment and medical observation during the convalescence of SARS patients.