180例小儿轮状病毒肠炎及其肠道外损伤的临床分析

Analysis on the Clinical Characteristics of Infantile Rotavirus Enteritis and Extraintestinal Trauma

目的:观察分析小儿轮状病毒肠炎及其肠道外损伤的临床特征。方法:选取180例患轮状病毒肠炎且合并有肠道外损伤的患儿作为研究对象,记录所有患儿的发热、呕吐、腹泻等临床症状,抽血检测AST、ALT、CK、CKMB等生化指标,进行统计分析。结果:日腹泻次数≥8次占72.78%,呕吐时间≥3 d占61.67%,发热时间≥3 d占36.11%,中重度脱水占48.33%;合并症中,呼吸系统损伤占67.78%,心脏损伤占43.89%,肝脏损伤占35.56%,神经系统损伤占6.11%。结论:小儿轮状病毒肠炎临床表现较多,累及机体多个系统,治疗过程中应给予足够重视。

Objective To study the clinical characteristics of infantile rotavirus enteritis and extraintestinal trauma.Method180children with rotavirus enteritis and extraintestinal trauma were selected as the object.The clinical symptoms which was fever,vomiting,diarrhea and the biochemical indicators which was AST,ALT,CK,CK-MB were collected for this study.Results In this group,the proportion of children with diarrhea(≥8times)was72.78%;the proportion of children who had vomiting(≥3d)was61.67%;the proportion of children who had fever(≥3d)was36.11%;the proportion of children with moderate or severe dehydration was48.33%.The proportion of children with respiratory injury was67.78%;the proportion of children with heart damage was43.89%;the proportion of children with liver injury was35.56%;the proportion of children with neurological damage was6.11%.Conclusion The infantile rotavirus enteritis have many clinical characteristics,and involve multiple systems.And it should be given enough attention during the course of treatment.