1.什麼是SARS:
流行事件開始於2003年2月26日越南河內的一位美國商人發病就醫,送香港威爾森醫院後死亡,之後在香港、越南陸續出現非典型肺炎合併有呼吸衰竭的案例,特點為發生瀰漫性肺及呼吸衰竭,較過去所知由病毒或細菌引起的非典型肺炎嚴重,因此世界衛生組織將其命名為嚴重急性呼吸道症候群(severe acute respiratory syndrome)。
2.主要症狀:
發高燒(>38°C)、咳嗽、呼吸急促或呼吸困難。可能伴隨其他症狀,包括頭痛、肌肉僵直、食慾不振、倦怠、意識紊亂、皮疹及腹瀉。胸部X光檢查可發現肺部病變。3.潛伏期:2~7天,最長可達10天以上。
4.傳染途徑:
依現有證據顯示,致病原在人與人之間的傳播需經由與病人的密切接觸,可能是吸入或黏膜接觸病人的飛沫或傳染。
5.病原:新型冠狀病毒
6.病人應如何處置:病人應安置在負壓隔離病房,並在照護時使用接觸、飛膜及空氣防護措施。
7.怎樣才算痊癒:
7.1.臨床症狀與表現:
7.1.1.疑似或可能病例:無發燒5天以上;審後待決病例:無發燒3天以上
7.1.2.咳嗽症狀改善
7.2.檢驗結果:先前為異常者
7.2.1.白血球數目恢復正常中
7.2.2.血小板數目恢復正常中
7.2.3.肌酸磷酸激(creatinine phosphokinase, CPK)值恢復正常中
7.2.4.肝功能恢復正常中
7.2.5.血漿鈉濃度恢復正常中
7.2.6.C reactive protein濃度恢復正常中
7.3.放射線檢查表現胸部X光變化應有持續改善。affair dating sites
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