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69例儿童甲型H1N1流感临床分析

Clinical analysis of 69 cases of pediatric patients infected with influenza A H1N1 virus

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【作者】 张宏伟李侗曾梁连春汪雯任翊赵艳张彤吴昊郭彩萍

【Author】 ZHANG Hong-wei,LI Tong-zeng,LIANG Lian-chun,et al (Center for Infectious Diseases,Beijing You’an Hospital,Beijing 100069)

【机构】 首都医科大学附属北京佑安医院感染中心

【摘要】 目的探讨儿童甲型H1N1流感的临床特点。方法采用回顾性方法分析我院2009年收治的69例甲型H1N1流感儿童患者的临床资料。结果儿童甲型H1N1流感的潜伏期约为1~7d,主要表现为发热、咳嗽、咽红和扁桃体肿大,实验室检查可见白细胞和淋巴细胞减少,胸片可正常,重症者可出现肺炎。结论对于出现流感样症状、淋巴细胞减少的患儿,应高度怀疑甲型H1N1流感,结合流行病学和病毒学检查可确定诊断。多数患儿经积极救治后预后良好,如延误治疗可危及生命。

【Abstract】 Objective To investigat the clinical analysis of influenza A virus of pediatric patients.Methods We retrospectively analyzed 69 cases of pediatric patients infected with influenza A (H1N1) virus in our hospital in 2009.Results Incubation of the disease is about 1-7 days.The main clinical manifestations included fever,cough,red throat and swollen tonsils.Laboratory examination showed leukopenia and lymphopenia.Lung findings ranged from normal Chest X ray to severe pneumonia.In pediatric patients with influenza-like illness and lymphopenia,2009 influenza A(H1N1) should be highly suspected.Epidemiological and virological examinations can confirm the diagnosis.Conclusions With active symptomatic support and anti-viral treatment,most children have a good prognosis.It can be life-threatening if treatment is delayed.

【基金】 科技部甲型H1N1流感联防联控应急科研项目
  • 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,2010年03期
  • 【分类号】R725.1
  • 【被引频次】1
  • 【下载频次】66
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