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472 H1N1 Flu Cases New Influenza Syndrome Is Learning Stage Investigation And Etiology And Pathogenesis Regularity Study

Posted on:2012-11-01Degree:MasterType:Thesis
Country:ChinaCandidate:L Q HuangFull Text:PDF
GTID:2214330368476480Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Objective:Influenza H1N1 influenza etiology and pathogenesis and preach the recognition variable regularity of traditional Chinese medicine is not comprehensive, different characteristics of infectious diseases, have a complete theoretical system and unique syndrome differentiation and treatment method. Through the new H1N1 flu 47.2 cases of patients with a syndrome, summarizes the new learning stage investigation H1N1 influenza pandemic of three card type change model, make its preach with clinical practice according to the TDS. And in its pathogenesis regularity H1N1 flu proposed to discuss the clinical stages of yuyejiedu (table the SFC, in the SFC, recovery/end-stage) do not preach, existing in the "the Gospel preached, inverse throughout all rules.Methods:HINI flu reference health scheme for a diagnosis diagnostic criteria, choose shenzhen third people's hospital March 2009 to 2010 during march isolated and diagnosed patients hospitalized cases.472 Methods retrospective analysis cross-sectional survey H1N1 influenza a confirmed case 472 example, respectively according to table the SFC, in the SFC and recovery three stages of their clinical symptoms, signs, and each period of relevant syndrome factor 346 cases of light disease and 126 cases the onset of critically ill patients age, weight, hospital days, fever (including among the highest temperature, heating duration and treatment-temperature normal time), the statistical analysis.Results:(1) 472 H1N1 flu patients example influenza a 346 cases light disease,126 cases of serious patients. Fever is this disease, all the major clinical manifestations of patients with the highest temperature of average 38.32+0.90℃, the average fever lasts for 80.51+41.60 hours, its thermal type is shown more irregular hot. The average age 13.82+25.15 onset ages in teenagers majority. Average hospitalization for 5.585+2.326 days days, the selected patients hospitalized days and more focused on 48 days.126 cases of severe chest imaging examination, expression is double lung abnormal diffuse oozy or realvariable 76 cases, double interstitial lung venereal change 4 cases, unilateral or bilateral next patchy shadow 43 cases,3 cases of pleural effusion combined. Liver function abnormal 207 cases. Myocardial enzymology abnormal 121 patients. This complete recovery in both cases, no deaths.(2) According to the H1N1 flu patients 47.2 cases of influenza clinical features, watch the SFC express frequency more than 50% of symptoms, signs are:90.46%, fatigue, fever, cough 68.21% 50.29% congestion 72.83%, tonsil enlargement swallow 83.53% etc; Inside the SFC express frequency more than 50% of symptoms, signs are: fever, cough 100%,100% urine yellow 100%, thirsty 100% 76.98%, sore throat, chest pain 81.75% etc; A:the relatively high frequency convalescence 30.29%, NaCha weary 17.58%, rou GUI 17.58%, new 17.16%, cough 11.23% urine yellow etc.(3) According to the "WenBing jiao tone by, first make the lungs, inverse preach pericardial" theory, the "don't preach, shun preach, inverse preach" to describe the H1N1 flu a pass, and discusses changing characteristic do not preach, shun influence "preach, the main factors of inverse preach".Conclusions:(1) 472 H1N1 flu patients example influenza 346 cases, recovery watch solution we call the "watch solution and do not preach". Only 126 cases, namely in the SFC performance by the table into the "shun preach. This is not seen cases complete recovery BingShi forbidding" inverse preach ". (2) the "WenBing jiao tone, first by the lung, inverse preach made the WenBing pericardial" is to change laws summary, preach more precisely, it is armour H1N1 flu occur development process in the pathogenesis and preach become the basic theory. (3) the H1N1 influenza a (table the SFC clinical stages, the card period, existing in recovery/end-stage) do not preach, shun "the Gospel preached, inverse throughout all rules.
Keywords/Search Tags:A flow, H1N1, Syndrome factor, Pathogenesis, Symptoms, Staging differentiation
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