歲月麻醉

Anesthesia,Joyful Life

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新流感的重症治療經驗 Cohort Study



JAMA 這期連續刊出 美國加州,墨西哥,加拿大,澳洲與紐西蘭的病例彙整報告,來看看幾個有興趣的資料。
(一)
美國加州這篇彙整今年4~8月份登錄到加州官方機構的1088個新流感病例資料,值的注意的幾個數據:
1.住入加護病房的比率,為住院數中的31%
2.住院死亡率為11%
3.有21%病人沒有接受克流感藥物治療,一半的病人無法在48小時內投藥
4.併發繼發性細菌肺炎者只有4%
5.約有1/3的假陰性快篩率

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ECMO vs. 新流感


死亡患者本身有高血壓、心律不整等病史,在八月十七日出現發燒、咳嗽、喉嚨痛等症狀,因未好轉且出現肌肉酸痛症狀,自行至診所就醫。後因呼吸喘急,廿一日轉往醫院,經醫師診斷為肺炎住院治療。廿六日因呼吸窘迫給予呼吸器治療,惟病情仍未見好轉。
這名患者住院治療並被檢驗出罹患H1N1新流感後,即曾給予克流感等藥物治療,之後院方雖曾以葉克膜急救,但仍於昨日中午回天乏術。 ..........200909.06 中國時報

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