Influenza: Diagnosis and Management

R. Blum
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Abstract

Compared with other respiratory viral illnesses, influenza is more severe in itself as well as being more likely to result in complications. These range from milder conditions such as otitis media and sinusitis to acute bronchitis, viral pneumonia and bacterial pneumonia. There are also a number of less common non-respiratory complications, including myocarditis, encephalitis, rhabdomyolysis and nephritis. In addition, a substantial component of severe disease and death from influenza is due to exacerbations of pre-existing cardiac conditions, respiratory disease or diabetes 1. Accurate diagnosis is the basis of the proper management of patients, understanding of the epidemiology of this virus, and detecting the entry and spread of new influenza strains.
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流感:诊断和管理
与其他呼吸道病毒疾病相比,流感本身更为严重,也更容易导致并发症。这些疾病的范围从较轻的中耳炎和鼻窦炎到急性支气管炎、病毒性肺炎和细菌性肺炎。还有一些不太常见的非呼吸系统并发症,包括心肌炎、脑炎、横纹肌溶解和肾炎。此外,流感造成的严重疾病和死亡的很大一部分是由于先前存在的心脏病、呼吸道疾病或糖尿病恶化所致1。准确诊断是对患者进行适当管理、了解这种病毒的流行病学以及发现新的流感毒株进入和传播的基础。
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