Clinical Thinking of Diagnosis in SARS

摘要

Outstanding problem that general hospital face is at front and from now on for a while how recognize and diagnosis of SARS, especially doctor of emergency department and respiratory department. It is very important to avoid cross infection of the hospital staff and all patients without any protection. The warning in abrupt spreading have already send out by WHO, along with the epidemic situation to whole world to of our country Guangdong, Hong Kong and Peking other regions. And the beginning proceeds to monitor to the whole world's epidemic situation were. And so far and already have 30 nations to appear the epidemic situation with region at least. In 2003 February the last ten days of a month, the United States CDC named after the SARS this disease, and bring upped the clinical case definition. The Hong Kong hospital the management bureau (HA) in the standard that bring up toward HA SARS the registry to report on April 10 in 2003, reported, exclused and suspected standards. The third edition of Standard of Diagnosis SARS was announced on May 3 2003 by China CDC. For diagnosis this disease, clinical character are detected: Usually there is a super spreader, make transmission through his secretion( such as the flying of droplet, sputum transmission; After the hand contact with respiratory secretion, the virus penetrate the mucosa of mouth, nose, eye; and the excrement transmission) quickly, and make the exposed crowd who surrounding him infect, and outbreak is appeared. Especially the critical case and case with severe cough are most infectionus, for this reason the attacking people are all close contaction, call that " super spreader". Why he can become the " super spread"? Where is source of his infection route? These questions still not clear now. Pay attention to the progression of the disease super spreader.