Clinical diagnosis and treatment to severe acute respiratory syndrome

Objective: To investigate the clinical diagnosis and treatment of the severe acute respiratory syndrome (SARS)，so as to improve the cure rate and decrease the mortality to this kind of disease．Methods: According to the clinical practices and experiments during diagnosis and treatment of SARS，the early diagnosis and treatment were evaluated referring to the correlative materials．Results: It has been found that coronavirus was the pathogen of SARS．The chief clinical symptoms included fever， which was of ten higher than 38.0℃，shiver，headache，nonproductive cough，chest distress and short breath，dyspnea and so on．Pulmonary sign was not evident and a small amount of moist rale could only be found．The counts of WBC were normal or decreased，which might be accompanied by decrease of thrombocytes．Abnormal shadows could be seen in many lobes or both lungs with the help of X-ray or CT examination．Antibiotics were not effective to SARS．The combined therapies for SARS were satisfied，such as using of glucocorticoid hormone，ribavirin，oxygen therapy，nontraumatic mechanical ventilation，expectant and supportive therapies，antibiotic treatment，traditional Chinese medicine and so for th．Conclusion: SARS was caused by coronavirus．The diagnosis was mainly depended on epidemiological and combined clinical materials．The cure rate and mortality of SARS could be obviously improved and decreased respectively by means of comprehensive treatments．