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[Clinical therapy of severe acute respiratory syndrome: 38 cases retrospective analysis]
Yuan-da Xu1, Yi-min Li, Xiao-qing Liu
1Guangzhou Institute of Respiratory Disease, Yingdong Critical Care Medical Center, Guangzhou 510120, Guandong, China.
Objective:
To analyze the clinical features and therapy experience of severe acute respiratory syndrome (SARS).
Methods:
From December 2002 to April 2003 in Guangzhou Institute of Respiratory Disease, 38 patients with severe SARS were retrospectively studied to evaluate the relationship between treatment strategy and prognosis.
Results:
Thirty-eight cases of severe SARS were diagnosed. Comprehensive measures most commonly included corticosteroids, antibiotics, antivirotics, nutritional support and mechanical ventilation. Thirty cases were cured (78.9%), of them 11 cases had pulmonary fibrosis (36.7%), 8 patients died (21.1%) in all cases.
Conclusion:
Severe SARS might develop rapidly. In addition to early diagnosis, prompt isolation, and emergency therapy, appropriate use of corticosteroid and noninvasive ventilation should be recommended.
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