小儿重症麻疹严重并发症临床分析

Clinical analysis of severe complication in children meales

目的分析入住儿童重症监护室（PICU）小儿麻疹严重并发症临床特点及治疗经验。方法回顾新疆乌鲁木齐市儿童医院PICU 2008年1月~2015年12月收住的131例重症麻疹并有并发症的患儿,分析临床资料特点及转归情况。结果 131例患儿,婴儿发病率高,6月以下婴儿62例;占总数47.3%。婴幼儿麻疹易并发肺炎,ARDS,喉炎,MODS等严重并发症,病死率高,预后差。结论重症麻疹常合并多种严重并发症,急性呼吸窘迫综合征和继发各种感染尤为严重,准确评估病情,早期识别并发症及合理的抗生素应用等综合治疗是降低病死率关键。

Objective To analyze the characteristics of severe complications and treatment experience about children measles in children patients admitted to our pediatric intensive care unit.Methods 131 children patients with severe complications of measles who were hospitalized in the Pediatric Intensive Care Unit in our hospital from January 2008 to December 2015 were chosen and their clinical data were retrospectively analyzed.Results In 131 hospitalized children with measles,infants had high incidence,there were 62 cases who were under 6 months years old,accounting for 47.3% of the total patients.Infant measles were easily complicated with pneumonia,Acute respiratony distress syndrome（ARDS）,Laryngitis,Multiple organ dysfunction（MODS）and other serious complication.Fatality rate was high and prognosis was poor.Conclusion Severe measles were often combined with a variety of serious complications.Acute respiratony distress syndrome and second infection are the most severe complication.Accurately assess condition,early recognitions of complications,reasonable application of antibiotics and other comprehensive treatment are key to reduce the fatality rate.