CAJ | 학술논문

目的：了解温州地区住院儿童流感病毒A型肺炎的临床特点。方法：回顾性分析108例温州医科大学附属育英儿童医院经直接免疫荧光法检测病毒抗原证实为流感病毒A型肺炎患儿的临床资料。结果：流感病毒A型肺炎以3岁以下婴幼儿多见，占70.3%；2010年流感病毒A型肺炎感染高峰季节为秋季，2011年为冬季，2012年为春季；24例存在基础疾病，以先天性心脏病最多见；临床以发热及呼吸道症状为主要表现，合并其他病原感染者26例，其中以合并肺炎支原体及肺炎链球菌感染多见；经治疗后，96例治愈，11例好转出院，1例死亡，平均住院时间8.5 d。结论：温州地区流感病毒A型肺炎好发于3岁以下婴幼儿，感染高峰季节不固定，以发热及呼吸道症状为主要表现，易合并其他病原感染，伴有基础疾病易发生严重并发症。
목적：료해온주지구주원인동류감병독A형폐염적림상특점。방법：회고성분석108례온주의과대학부속육영인동의원경직접면역형광법검측병독항원증실위류감병독A형폐염환인적림상자료。결과：류감병독A형폐염이3세이하영유인다견，점70.3%；2010년류감병독A형폐염감염고봉계절위추계，2011년위동계，2012년위춘계；24례존재기출질병，이선천성심장병최다견；림상이발열급호흡도증상위주요표현，합병기타병원감염자26례，기중이합병폐염지원체급폐염련구균감염다견；경치료후，96례치유，11례호전출원，1례사망，평균주원시간8.5 d。결론：온주지구류감병독A형폐염호발우3세이하영유인，감염고봉계절불고정，이발열급호흡도증상위주요표현，역합병기타병원감염，반유기출질병역발생엄중병발증。
Objective:To investigate the clinical features of Wenzhou area children hospitalized for inlfuen-za A virus associated pneumonia. MethodRetrospective analysis 108 cases virus antigen detection in our hospi-tal by directed immunolfuorescence conifrmed inlfuenza A virus related clinical data of children with pneumonia. ResultUnder 3 years old to see more, accounted for 70.3%. The 2010 inlfuenza A virus associated pneumonia infection peak for the autumn, 2011 for the winter, spring was in 2012. Twenty four cases of children in the co-existence of basic diseases, the most common congenital heart disease. Clinical with fever and respiratory symp-toms as the main performance, combined with other pathogenic infections in 26 cases, the merger mycoplasma pneumoniae and streptococcus pneumoniae infection. After the treatment, 96 cases were cured, 11 cases improved and discharged, 1 cases of death, the average hospital stay was 8.5 days. Conclusion:Inlfuenza A virus associated pneumonia in children under 3 years old for high-risk groups, infection of peak time and season is not ifxed, with fever and respiratory symptoms as the main performance, easily combined with other pathogenic infections, with basis diseases complicated with severe complications.