呼吸道病毒感染所致的儿童危重症诊治进展

Diagnosis and treatment of the critically ill caused by respiratory tract virus infection in children

病毒引起的下呼吸道感染(lower respiratory tractinfections,LRTIs)是儿童危重症的常见原因。随着近十年病毒检测技术的发展,病毒引起LRTIs的发病率、病死率、医疗负担与细菌引起的社区获得性肺炎或医院获得性肺炎相差无几。该文阐述了病毒性LRTIs与儿童危重症之间的关系,并讨论了常见的呼吸道病毒感染相关临床特征和管理策略。早期诊断和治疗能够有效地控制呼吸道病毒感染并预防并发症的发生。

Viral lower respiratory tract infections(LRTIs)are common causes of critical illness in children. Recent advances in viral detection techniques over the past decade have demonstrated the rates of morbidity,mortality,and medical burden of LRTIs caused by viruses are comparable to those of bacterial communityacquired and nosocomial pneumonias. In the paper,it described the relationship between viral LRTIs and critical illness,and discuss relevant clinical features and management strategies of the more prevalent respiratory viral pathogens. Early diagnostic and treatment strategies are required to effectively treat these infections and prevent complications.