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目的探讨甲型H1N1流感危重症患者的抢救疗效。方法 2009年10月2010年1月,对我院ICU收治5例甲型H1N1流感危重症患者采用集束化治疗方案进行救治,并就患者的器官功能变化进行评价。结果 5例患者平均住院天数为(11.8±5.59)d,4例存活,1例死亡。存活患者在治疗过程中急性生理和既往健康(APACHE)Ⅱ、多器官功能障碍综合征评分(MODS)、全身性感染相关的器官衰竭评分(SOFA)总体呈逐渐下降趋势。死亡者APACHEⅡ、SOFA评分均呈逐渐升高趋势。结论对甲型H1N1流感危重症患者采取集束化救治疗效良好。
Objective To investigate the salvage efficacy of patients with critical illness of Influenza A (H1N1). Methods October 2009 January 2010, ICU admitted to our hospital five cases of influenza A (H1N1) critically ill patients treated with bundling therapy, and the patient’s organ function changes were evaluated. Results The average length of stay in 5 patients was (11.8 ± 5.59) days, 4 survived and 1 died. Survival patients in the course of treatment of acute physiology and previous health (APACHE) Ⅱ, multiple organ dysfunction syndrome score (MODS), systemic infection-related organ failure score (SOFA) showed a general downward trend. The APACHE II and SOFA scores of the deceased showed a gradual upward trend. Conclusion The treatment of critically ill patients with influenza A (H1N1) in cluster therapy is effective.