实用医院临床杂志2023年3月第20卷第2期四川省流行性感冒中西医结合诊疗专家共识(2023版)王蜀强，曾俊，万朝敏，何涌泉1，黄仁刚，石伟d,周丽君3，袁珩3，蒋黎1，范娟d,张扬4，陈婧4，陈果4，肖玲辉，杨阳“，杨勇8，崔小娇8，梅劼，蒲红，雷学忠5，曾义岗6，吴刚了，胡章勇8，刘凤君”，章晓红，陈云凤0，万雪梅4，侯艳，杨仁国，闫力婷，扈晓字4，杨兴祥a(1.四川省医学科学院·四川省人民医院a感染科，b.急救中心，心人类疾病基因研究四川省重点实验室，d儿科，.临床检验中心，上呼吸与危重症医学科，8药学部，h.妇产科，i.放射科，四川成都610072：2.四川大学华西第二医院儿科，四川成都610041：3.四川省疾病预防控制中心急传所，四川成都610041：4.成都中医药大学附属医院感染科，四川成都610075：5.四川大学华西医院感染性疾病中心，四川成都610041:6.成都市公共卫生临床医疗中心，四川成都610066：7.西南医科大学附属医院感染科，四川泸州6460008.成都医学院附属第一医院感染科，四川成都610083：9.川北医学院附属医院感染科，四川南充637000：10.成都市中西医结合医院呼吸与危重症科，四川成都610041)【摘要】流行性感冒是由流感病毒引起的急性呼吸道传染病，主要由甲型流感病毒H山N1、H32亚型及乙型流感病毒Victora和Yamagata系导致。典型表现为高热，头痛、肌痛、全身不适，部分患者伴有呼吸道症状。每年呈季节性流行，多数具有自限性，但是少数高危人群可发生重症表现，甚至导致死亡·诊断需结合流行病学史、临床表现、实验室及影像学检查。主要治疗措施为抗病毒治疗和对症治疗，重症患者需积校支持治疗。有效预防措施包括接种流感疫苗、药物预防及采取经呼吸道传播疾病标准预防措施。本共识集四川省内从事流感诊治中西医相关学科专家讨论制定，旨在为医疗机构临床医生在流感规范诊疗提供指导。【关键词】流行性感冒：中西医结合：诊疗：专家共识【中图分类号】R18【文献标志码】A【文章编号】16726170(2023)02000111Expert consensus on the diagnosis and treatment of influenza with integrated Chinese andWestern medicine in Sichuan Province WANG Shu-qiang",ZENG Jun",WAN Chao-min2,HE Yong-quan",HUANG Ren-gang",SHI Wei,ZHOU Li-jun',YUAN Heng',JIANG Li",FAN Juan",ZHANG Yang',CHEN Jing',CHEN Guo,XIAO Ling-hui,YANG Yang,YANG Yong',CUI Xiao-jiao',MEI jie,PU Hong",LEIXuezhong',ZENG Yi-an,WU Gang',HU Zhang-yong,LIU Feng jun',ZHANG Xiao-hong",CHEN Yun-feng",WAN Xue-mei,HOU yan",YANG Ren-guo",YAN Li-ting'",HU Xiao-yu',YANG Xing-xiang"(1a.Department of Infectious Disease,1b.Emergency Center,1c.Sichuan Provincial Key Laboratory of HumanDisease Gene Research,Id.Department of Pediatrics,le.Department of Laboratory Medicine,If.Department of Respiratory and Critical Care Medicine,1g.Department of Pharmacy,1h.Department of gy-naecology and obstetrics,li.Department of Radiology,Sichuan Academy of Medical Sciences SichuanProvincial People's Hospital,Chengdu 610072,China;2.Department of Pediatrics,West China SecondHospital,Sichuan University,Chengdu 610041,China;3.Sichuan Provincial Disease Control and PreventionCenter,Chengdu 610041,China;4.Department of Infectious Disease,Hospital of Chengdu University ofTraditional Chinese Medicine,Chengdu 610075,China:5.Infectious Disease Center,West China Hospital ofSichuan University,Chengdu 610041,China:6.Public Health Clinical Center of Chengdu,Chengdu610066,China;7.Department of Infectious Diseases,Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;8.Department of Infectious Diseases,The First Affiliated Hospital of ChengduMedical College,Chengdu 610083,China;9.Department of Infectious Diseases,Affiliated Hospital of NorthSichuan Medical College,Nanchong 637000,China:10.Department of Respiratory and Critical CareMedicine,Chengdu Integrated TCM and Western Medicine Hospital,Chengdu 610041,China)[Corresponding author YANG Xing-xiang,HU Xiaou[Abstract Influenza is an acute respiratory infectious disease caused by influenza virus,mainly including the HINI and H3N2subtypes of influera A virus and the Victoria and Yamagata strains of influenza B viru
