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小儿重症腺病毒肺炎临床分析 被引量:5

Clinical Analysis of Severe Adenovirus Pneumonia in Children
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摘要 目的分析小儿重症腺病毒肺炎的临床特点。方法采用回顾性分析的方法对小儿重症腺病毒肺炎的31例患儿的相关信息进行分析。结果重症腺病毒肺炎患儿中毒症状重,起病急骤,多表现为高热持续时间久,以精神萎靡、面色不佳、肺部密集湿啰音晚发为突出临床表现,常伴有肺外多器官损害。结论在临床工作中,遇到重症肺炎有严重中毒症状且早期无明显肺部体征、肺部影像学改变较早、伴有异常的肺外其它器官损害者,经常规抗菌药物治疗效果欠佳,需警惕重症腺病毒肺炎感染的可能,以明确诊断,避免延误诊治。 Objective Analysis the clinical characteristics of severe adenovirus pneumonia in children.MethodsThe clinical data of 31 cases of children with severe adenovirus pneumonia were retrospectively analyzed. Results Severe adenovirus pneumonia was a severe pneumonia with poisoning symptoms, abrupt onset, and with long duration of high fever. The patients often were dispirited, with the poor complexion, pulmonary wet rales appear late in clinical. Severe adenovirus pneumonia often associated with lung and multiple organ damage.Conclusion In clinical work, severe pneumonia has severe poisoning symptoms and early signs of lung, lung imaging changes earlier, with abnormal lung and other organ damage, the effect of regular antibiotics treatment is not good, need to be alert to the possibility of severe adenovirus pneumonia infection, in order to make clear diagnosis, to avoid delayed diagnosis and treatment.
作者 苏军 崔利丹
出处 《中国继续医学教育》 2015年第29期104-106,共3页 China Continuing Medical Education
关键词 儿童 重症 腺病毒肺炎 Children Severe Adenovirus pneumonia
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参考文献6

  • 1胡亚美,江载芳.诸福棠实用儿科学[M].北京:人民卫生出版社,2003.631-637.
  • 2Alharbi S, Van Caeseele P, Consunji-Araneta R, et al. Epidemiology of severe pediatric adenovirus Iower respiratory tract infections in Manitoba, Canada, 1991-2005[J]. BMC Infect Dis, 2012 (12) : 55.
  • 3Tang L, Wang L, Tan X, et al. Adenovirus serotype 7 associated with a severe lower respiratory tract disease outbreak in infants in Shaanxi Province, China[J]. VirolJ, 2011 (8) : 23.
  • 4中华医学会儿科分会呼吸学组,《中华儿科杂志》编辑委员会.儿童社区获得性肺炎管理指南(上).中华儿科杂志,2007,45(2):83-90.
  • 5毛晓健,钱新华.2005~2007年广州地区住院肺炎患儿腺病毒感染分析[J].南方医科大学学报,2009,29(2):274-277. 被引量:24
  • 6刘秀云,江载芳.小儿重症社区获得性肺炎31例病原分析[J].中国实用儿科杂志,2005,20(12):749-750. 被引量:46

二级参考文献20

  • 1常敏.腺病毒感染与多脏器损伤[J].现代中西医结合杂志,2006,15(1):66-67. 被引量:4
  • 2李静,麦贤弟,陈环,檀卫平,黄花荣,孟哲,吴葆菁.儿童腺病毒感染的临床分析——附124例分析报告[J].新医学,2006,37(3):169-170. 被引量:13
  • 3张辉,刘春艳,王燕,谢正德.北京儿童医院下呼吸道感染住院患儿血清腺病毒抗体检测分析[J].中华流行病学杂志,2007,28(7):686-687. 被引量:27
  • 4Kim YJ, Hong JY, Lee HJ, et al. Genome type analysis ofadenovirus types 3 and 7 isolated during successive outbreaks of lower respiratorytract infections in children [J]. J Clin Microbiol, 2003, 41(1): 4594-9.
  • 5De Jong JC, Wermenbol AG, Verweijj-Uijterwaal MW, et al. Adenoviruses from human immunodeflciency virus-infected individuals, including two strains that represent new candidate serotypes Ad50 and Ad51 of species B1 and D, respectively [J]. J Clin Microbiol, 1999, 37(12): 3940-5.
  • 6Allen CW, Alexander SI. Adenovirus associated haematuria [J]. Arch Dis Child, 2005, 90(3): 305-6.
  • 7Chung B, Wong V. Relationship between five common viruses and febrile seizure in children [ J]. Arch Dis Child, 2007, 92(7): 589-93.
  • 8EI-Sayed Zaki M, Abd-EI Fatah GA. Rapid detection ofoculopathoge nieadenovirus in conjunctivitis [J]. Curr Microbiol, 2008, 56(2): 105-9.
  • 9Gray GC, McCarthy T, Lebeck MG, et al. Genotype prevalence and risk factors for severe clinical adenovirus infection, United States 2004-2006 [J]. Clin Infect Dis, 2007, 45(9): 1120-31.
  • 10Zhang Q, Su X, Gong S, et, al. Comparative genomic analysis of two strains of human adenovirus type 3 isolated from children with acute respiratory infection in southern China[ J ]. J Gen Virol, 2006, 87(6): 1531-41.

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