最近审阅: 八月 2020
最近更新: 十二月  2019

小结

定义

病史和体格检查

关键诊断因素

  • 咳嗽
  • 流行性感冒的典型体征和症状
  • 呼吸困难
  • 发热
  • 呼吸音减弱
  • 呼吸急促

其他诊断因素

  • 呕吐、腹泻
  • 意识状态改变

危险因素

  • 亚洲谱系 A 型(H7N9) 病毒的环境暴露
  • 与感染者密切接触
  • 接触 A 型(H7N9) 病毒的实验室工作人员

诊断性检查

首要检查

  • FBC 和分类计数
  • 肝功能检测(碱性磷酸酶、肝转氨酶、胆红素)
  • 胸部 X 线检查 (CXR)
  • 脉搏血氧测量测定法
  • 痰液革兰氏染色
  • 痰菌培养和血培养
  • 针对亚洲谱系甲型(H7N9)病毒和甲型、乙型流感病毒进行呼吸道样本的逆转录聚合酶链反应(reverse transcription polymerase chain reaction, RT-PCR)检测
更多 首要检查

需考虑的检查

  • 呼吸道样本的病毒培养
更多 需考虑的检查

新兴检查

  • 用于回顾性诊断的 A 型(H7N9) 特异性抗体的血清学检测
更多 新兴检查

治疗流程

撰稿人

Consultant in Infectious Diseases and General (Internal) Medicine

Tuberculosis; Acute Respiratory, Gastrointestinal, Emerging and Zoonotic Infections; and Travel Health (TARGET) Division

National Infection Service

Public Health England

London

UK

利益声明

JD declares that he has no competing interests.

Associate Professor of Medicine

Center for Vaccine Development and Global Health

University of Maryland School of Medicine

Baltimore

MD

利益声明

JRO is a member of the International Council on Adult Immunization and the scientific community for the Global Influenza Hospitalization Surveillance Network.

Chief Medical Officer

Influenza Division

National Center for Immunization and Respiratory Diseases

Centers for Disease Control and Prevention

Atlanta

GA

利益声明

TMU is a member of the Guideline Development Group for the World Health Organization Standard Guidance for the Clinical Management of Severe Influenza. TMU is a co-chair for the Clinical Practice Guidelines by the Infectious Diseases Society of America: 2018 update on diagnosis, treatment, chemoprophylaxis, and institutional outbreak management of seasonal influenza.

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Senior Scientist

Sunnybrook Health Sciences Centre

Toronto

Ontario

Canada

利益声明

RF declares that he has no competing interests.

Professor

Division of Infectious Diseases

Faculty of Medicine and Dentistry

University of Alberta

Edmonton

Alberta

Canada

利益声明

NL declares that he has no competing interests.

Professor

Division of Infectious Diseases

Division of Organ Transplantation

Northwestern University Feinberg School of Medicine

Chicago

IL

利益声明

MI declares that he received research support, paid to Northwestern University, from Beckman Coulter, Chimerix, and Gilead; is a paid consultant for Celltrion, Chimerix, Farmark, Genentech/Roche, Toyama/MediVector, Seqirus, and Shionogi; and is a member of the DSMB for GlaxoSmithKline and Shionogi.

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