成功救治1例危重型甲型HINI流感合并气胸病例并文献分析

Analysis of a child with severe and critical influenza A (H1N1) and aerothorax: a case report and review of the literature

目的探讨儿童危重型甲流合并气胸的临床特征及防治手段。方法结合文献复习分析1例甲型H1N1流感患者合并气胸的临床表现及治疗结局。结果患儿起初表现为重症肺炎,经实验室及胸片检查确诊甲流及合并气胸,经过积极对症治疗、应用奥司他韦、呼吸机辅助通气、胸腔闭式引流后临床症状逐渐好转,住院11天后痊愈出院。结论早发现、早诊断、早期综合治疗,是降低甲型H1N1流感危重症病死率的关键。

Objective To analyze the clinical features of a severe and critical child of influenza A （H1N1） and aerothorax,discuss its diagnosis and treatment. Methods A case of 2 year old male child with H1N1 infection confirmed by laboratory test was prospectively analyzed together with review of the literature. Results After antiviral treatment with oseltamivir,the use of gamma globulin,support ventilation and closed thoracic drainage,the boy was saved 11 day later. Conclusion Early recognization,early diagnosis and early treatment is the key to reduce the death rate of severe influenza A （H1N1） virus infection.