A Follow－Up Study of 69 Discharged SAltS Patients

Sixty-nine patients with severe acute respiratory syndrome (SARS) discharged from Guangdong Provincial TCM Hospital were followed up from January to April 2003 during which the patients were asked to fill the questionnaire form and at the same time received blood routine examination, hepatic, renal,...

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Published in:Journal of traditional Chinese medicine 2003, Vol.23 (3), p.214-217
Main Author: 韩云 庚慧 冯维斌 汤湘江 欧爱华 老膺荣 许银姬 林浩 刘惠 李咏文
Format: Article
Language:English
Subjects:
SARS
严重急性呼吸综合征
中医药疗法
参苓白术散
归脾汤
生脉散
百合固金汤
血府逐瘀汤
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Summary:Sixty-nine patients with severe acute respiratory syndrome (SARS) discharged from Guangdong Provincial TCM Hospital were followed up from January to April 2003 during which the patients were asked to fill the questionnaire form and at the same time received blood routine examination, hepatic, renal,pulmonary and immune function tests, and spiral computerized tomography (CT) of the chest, color B-ultrasonography of the heart with the collected data treated by descriptive analysis and deductive analysis.The results showed that in the 69 followed-up patients, impairment of the hepatic function was found in 5 cases, hypoimmune state in 18, impediment of ventilation in the distal air passages with normal major air passages in 15, increased residual volume in 40, mild disturbance of pulmonary diffusion function in 14,incomplete absorption of inflammatory exudatcs, focal or multiple interstitial lesions, pulmonary interstitial fibrosis and pleural adhesion in 24; increased resistance or mild systolic hypertension in the pulmonary circulation, and segmental ischemia of the left myocardium in 34; and decreased visual acuity in 2. According to TCM differentiation 24 cases belonged to the type of deficiency of both qi and yin, 8 deficiency of both the heart and spleen, 37 depression of the liver and deficiency of the spleen, 18 intermingling with damp-heat, and 7 intermingling with stagnant blood. Some patients still had psychological problems. The study indicates that though clinically cured and discharged from hospital,some SAPS patients have functional impairment of the heart, lung and liver, hypoimmnne state as well as psychologic/d problems, and need to be treated accordingly for a complete recovery. A rationale for suggested TCM treatment is expounded.
ISSN:0255-2922