SARS Clinical diagnostic standard what? 's symptom

SARS Clinical diagnostic standard what? 's symptom
Infective SARS is a kind of infective and strong respiratory disease, there are cases in some countries and regions of world at present to take place and spread. World Health Organization (WHO) Think it is caused by inferior type mutation of a kind of coronavirus, and it is serious and acute to call infective SARS as and breathe syndrome.
(1)Epidemiology history
Keep in close touch the history with the persons who have illness coming on, or belong to one of the persons who have illness coming on of colony infected, or there is evidence of infecting others clearly.
Been or live on report to, have infective the intersection of SARS and patient and appear, continue, take place, infect area of epidemic situation in the 2 week before the onset.
(2)Symptom and physical sign:Get up disease to be worried, regard generating heat as, first publish symptom, the intersection of body temperature and general 38 , have, fear cold occasionally; Can with headache, joint ache, the intersection of muscle and ache, weak, diarrhoea; Do not often have his symptom of the upper respiratory tract card; Can cough, are mostly the dry cough, little phlegm, there are silk phlegm of bloods occasionally; Can have uncomfortable in chest, getting serious to present, breathe, accelerate, shortness of breath, breathe poverty-stricken obviously. The physical sign of lung is not obvious, some patients can hear a little wet sound, or there is consolidation physical sign of lung.
Attention: A few patients do not regard generating heat as and first publish symptom, especially there are recent operation history or patients with the basic disease.
(3)Check in the laboratory:The peripheral blood leucocyte is counted and seldom risen, or reduce; Common lymphocytes are counted and reduced
(4)The X-ray examination of chest:The lung has slice of different procedures, spot slice soaking shade or appears nettedly and changes, some patients develop fast, present the great flaky shade; Often change for leafy or dual sides, the shade absorbs and dissipates slower; The lung shade is inconsistent with the physical sign of symptom. If the inspection result is negative, should reexamine 1- 2 days later.
(5)There is no obvious result in antibacterial drug therapy.
Suspected diagnostic standard:Accord with the aforesaid +(2) +(3) Piece or +(2) +(4) String or (2) +(3) +(4) One.
Clinical diagnostic standard:Accord with the aforesaid +(2) +(4) One and the above, or +(2) +(4) +(5) One, or +(2) +(3) +(4) One.
Medical science observes the diagnostic standard:Accord with the aforesaid +(2) +(3) One.
Accord with medical science and observe the standard patient, such as the condition allow to should accept to isolate at the appointed place and observe; Can also allow the patient to isolate and observe at home. Should pay attention to ventilating while isolating at home and observing, avoid the close contact with family, and is controlled the department to observe medical science by disease and examined the body temperature every day. The condition of patient while observing should accord with suspected or clinical diagnosis standard time to transfer from the special means of transportation to and concentrate on accepting infective SARS patient and suspected disease for medical treatment immediately People's hospital isolates for treatment.
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