最后审核时间: 一月 2020
最近更新时间: 六月  2018

小结

定义

病史和查体

关键诊断因素

  • 咳嗽
  • 典型流感症状
  • 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 A 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检测
更多 首要检查

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

贡献者

Consultant in Infectious Diseases and General (Internal) Medicine

Respiratory Virus Unit

Virus Reference Department

National Infection Service

Public Health England

London

UK

利益冲突披露

JD declares that he has no competing interests.

Assistant Professor of Medicine and Global Health

Associate Director

International Respiratory and Severe Illness Center (INTERSECT)

Division of Pulmonary and Critical Care Medicine

University of Washington

Seattle

WA

利益冲突披露

JRO declares that he has no competing interests.

Chief Medical Officer

Influenza Division

National Center for Immunization and Respiratory Diseases

Centers for Disease Control and Prevention

Atlanta

GA

利益冲突披露

TMU declares that he has no competing interests.

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To be added

利益冲突披露

RF declares that he has no competing interests.

Professor

Division of Infectious Diseases

Faculty of Medicine and Dentistry

University of Alberta

Edmonton

Alberta

Canada

利益冲突披露

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

利益冲突披露

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 GlaxoSmithKelin and Shionogi.

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