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1、1,SEVERE ACUTE RESPIRATORY SYNDROME(SARS)严重急性呼吸系统综合症/非典型性肺炎,非典知识讲座,2,SARS is“Severe Acute Respiratory Syndrome”严重急性呼吸系统综合症/非典型性肺炎A respiratory infection that can cause pneumonia and death in otherwise healthy adults 可导致平素体健的人罹患肺炎，甚至死亡,What Is SARS?非典型性肺炎?,3,November 2002:outbreak of an unusual pneum
2、onia in Asia 2002 年11月在亚洲出现Majority are hospital workers and close family members who have cared for SARS patients 大多数感染者为医治SARS病人的医务工作者及与SARS病人密切接触的人,What Is SARS?非典型性肺炎?,4,Scientists have identified a previously unrecognized coronavirus 医学科学家已确定新型冠状病毒,What Is The Causes of SARS?病因是什么？,5,This virus
3、 has not affected man before and 新型冠状病毒第一次感染人类May have“jumped”the species barrier可能是从别的物种传染至人类,What Is The Causes of SARS?病因是什么？,6,SARS Is Spreading The World?世界范围,Total 3389 cases,and 165 deaths by 17 April 截至4月17日，共3389病例，165人死亡,7,Epidemic Curves SARS 流行曲线,8,SARS in China 中国地区,9,How Contagious is
4、SARS?传染性？,Coronavirus can survive in dry air/surfaces for up to 3 hours 冠状病毒可在自然界存活3小时People are most likely to be infectious when they have symptoms 病人在出现症状后有明显传染性,10,How Contagious is SARS?传染性？,Droplet transmission from person to person 人与人之间的飞沫小滴可导致传播Close contact patient:care for,live with and c
5、ontact body fluid与病人密切接触：照料，居住，接触病人的体液,11,It requires 3-10 days incubation period before the disease appears.通常在被感染后3-10天出现症状,How Long is the Incubation?潜伏期多长？,12,How to Know if I May Have SARS?我有SARS吗？,Close contact with SARS patient or have traveled to Hong Kong,or Guandong within the previous two
6、 weeks两周内曾接触过SARS病人，或到过SARS 流行区域，香港，广东,13,Fever 38 C发烧，体温超过38度Respiratory symptoms 并伴有呼吸系统症状If any symptoms,go to see doctor early.CXR and FBC are also valuable如有症状，尽早看医生。胸片及血液检查对诊断亦有帮助,How to Know if I May Have SARS?我有SARS吗？,14,What is the Treatment for SARS 治疗,Supportive 支持治疗Symptomatic treatment
7、对症治疗Antibiotics 建议抗生素 http:/,15,What is the Prognosis of SARS 预后,90%patients improve in two weeks90%病人于两周左右改善10%may develop severe pneumonia10%病人可发展成严重肺炎,16,Mortality is around 3-5%,the highest number of deaths have been among people with pre-existing chronic conditions死亡率3-5%。多为原有慢性疾患的病人,What is th
8、e Prognosis of SARS 预后,17,If Any One has Fever in Office 如果办公室有人发烧?,Ask the patient to put on mask要求病人戴口罩Advise him/her leave office and see doctor建议病人离开办公室,并去看医生,18,Plenty ventilation in office保证办公室良好通风The patient should not be allowed return to office until SARS excluded在除外SARS之前,病人不应出现在办公室,If Any
9、 One has Fever in Office 如果办公室有人发烧?,19,How to Protect Myself?如何防护,Avoid visiting crowded places with poor ventilation避免去拥挤及通风不好的场所N-95 Mask is required when expose to SARS 接触SARS病人时应戴 N-95口罩Wash hands frequently and thoroughly with liquid soap 使用洗手液,勤洗手,20,Do not touch nose,eyes or mouth without was
10、hing your hands 洗手前勿触摸鼻,眼,或 口Good ventilation保持良好通风Maintain good personal hygiene保持个人卫生,How to Protect Myself?如何防护,21,How to Disinfect at Home/Office 室内消毒,Alcohol for metal surface医用酒精擦拭金属物器Bleaching for other surfaces漂白粉及含氯消毒液擦拭其他物品,22,Chinese CDC suggests fumigating by indoor air disinfection for
11、hospital中国疾病控制中心建议熏蒸用于医院内消毒 http:/,How to Disinfect at Home/Office 室内消毒,23,What Hospital Does for SARS?医院管理,SARS patients and suspected case will be transferred to assigned hospitals respectivelySARS病人及可疑病人将被转至传染病院及指定医院SARS patients will be isolated for treatment所有SARS病人需被隔离治疗,24,Patients can not be discharged until one week after fever resolves,and symptoms and CXR improved病人在体温恢复正常后一周，同时其他症状及胸片明显好转，方可出院,What Hospital Does for SARS?医院管理,
