小婴儿重症百日咳并文献复习1例

Small Baby Severe Pertussis and Literature Review 1 Case

小婴儿(<3月龄)因年龄小无法接种疫苗、免疫反应弱而成为百日咳易感高危人群。小婴儿感染百日咳后缺乏典型的临床表现,容易出现较重的临床症状及并发症,易漏诊从而延误治疗,从而导致这部分患儿病情重,进展快,病死率高。本文献通过复习临床上遇到的1例重症小婴儿百日咳病例来进一步学习重症百日咳的临床表现和实验室检查,以此加强临床医务工作者对小婴儿百日咳的认识及重视,做到早期发现、早期治疗、密切监护。

Young infants (<3 months old) are at high risk of pertussis because they are too young to be vac-cinated and their immune response is weak. Small infants lack typical clinical manifestations after being infected with whooping cough, and are prone to severe clinical symptoms and complications. The missed diagnosis leads to delayed treatment, resulting in serious illness, rapid progress and high mortality in these children. This paper further studies the clinical manifestations and labora-tory examinations of severe pertussis by reviewing a case of severe infant pertussis encountered in clinical practice, so as to strengthen clinical medical workers’ understanding and attention to infant pertussis, so as to achieve early detection, early treatment and close monitoring.