湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
JOURNAL OF HUNAN NORMAL UNIVERSITY(MEDICAL SCIENCE)
2013年
3期
78-81
,共4页
腺病毒%呼吸道感染%儿童
腺病毒%呼吸道感染%兒童
선병독%호흡도감염%인동
adenovirus%respiratory infection%children
目的：总结儿童呼吸道腺病毒感染的临床特点和治疗经验。方法：收集住院治疗的98例腺病毒感染患儿，对其临床表现、实验室检查、影像学资料、治疗经过等资料进行回顾整理、综合分析。结果：呼吸道腺病毒感染各年龄段均可发病，无明显性别差异。临床表现主要有发热、球结膜充血、扁桃体上白色渗出物、颈部淋巴结肿大、咳嗽、喘息、精神萎靡等；早期白细胞升高以中性粒细胞为主，可有C反应蛋白(CRP)、血沉(ESR)、降钙素原(PCT)升高。结论：儿童呼吸道腺病毒感染，发热持续时间较长，临床表现多样，早期大多数患儿的炎性指标升高，腺病毒感染后引起的全身炎症反应较其他病毒感染更重，可合并其他微生物感染，重症病例应尽早使用糖皮质激素和静脉人免疫球蛋白，必要时可行肺泡灌洗等综合治疗。
目的：總結兒童呼吸道腺病毒感染的臨床特點和治療經驗。方法：收集住院治療的98例腺病毒感染患兒，對其臨床錶現、實驗室檢查、影像學資料、治療經過等資料進行迴顧整理、綜閤分析。結果：呼吸道腺病毒感染各年齡段均可髮病，無明顯性彆差異。臨床錶現主要有髮熱、毬結膜充血、扁桃體上白色滲齣物、頸部淋巴結腫大、咳嗽、喘息、精神萎靡等；早期白細胞升高以中性粒細胞為主，可有C反應蛋白(CRP)、血沉(ESR)、降鈣素原(PCT)升高。結論：兒童呼吸道腺病毒感染，髮熱持續時間較長，臨床錶現多樣，早期大多數患兒的炎性指標升高，腺病毒感染後引起的全身炎癥反應較其他病毒感染更重，可閤併其他微生物感染，重癥病例應儘早使用糖皮質激素和靜脈人免疫毬蛋白，必要時可行肺泡灌洗等綜閤治療。
목적：총결인동호흡도선병독감염적림상특점화치료경험。방법：수집주원치료적98례선병독감염환인，대기림상표현、실험실검사、영상학자료、치료경과등자료진행회고정리、종합분석。결과：호흡도선병독감염각년령단균가발병，무명현성별차이。림상표현주요유발열、구결막충혈、편도체상백색삼출물、경부림파결종대、해수、천식、정신위미등；조기백세포승고이중성립세포위주，가유C반응단백(CRP)、혈침(ESR)、강개소원(PCT)승고。결론：인동호흡도선병독감염，발열지속시간교장，림상표현다양，조기대다수환인적염성지표승고，선병독감염후인기적전신염증반응교기타병독감염경중，가합병기타미생물감염，중증병례응진조사용당피질격소화정맥인면역구단백，필요시가행폐포관세등종합치료。
Objective Summarize clinical features and treatments experience of children with respiratory adenovirus infection. Methods Review and analysis clinical features, laboratory examinations, image findings, therapeutic process and etc, in 98 cases of respiratory adenovirus infected and hospitalized children. Results Respiratory adenovirus infects children all ages and no gender differences. Main clinical features is fever, con-junctiva hyperemia, white exudates on tonsils, cervical lymph node enlargement, cough, wheeze, depression;Lab-oratory examinations:In the early stage, white blood cell count was high and mainly neutrophile granulocyte and could be accompanied elevation of CRP, ESR and PCT. Conclusion Children with respiratory adenovirus infec-tion have long fever time, various clinical features and may be combining with other microbes' infection. Their inflammation markers are elevated at early stage. As severe pneumonia cases, intravenous glucocorticoids and hu-man immunoglobulin should be administered as soon as possible, comprehensive treatments such as bronchial tube pulmonary alveolus fills washes could be applied if necessary.
