CAJ | 학술논문

目的：分析儿童腺病毒肺炎的临床特征，提高对儿童腺病毒肺炎临床特征的认识。方法对2011年1月至2013年6月收治的99例腺病毒肺炎患儿临床表现、辅助检查及治疗转归进行详细分析。结果99例患儿均有发热，热程较长，易出现并发症，其中呼吸衰竭35例，胸膜炎27例，肺不张11例，心肌损害52例；易合并其他病原体阳性，最常见的细菌为肺炎链球菌，病毒为呼吸道合胞病毒；胸部影像学表现为渗出、实变为主，双侧多见；纤支镜下表现为内膜炎；治疗以综合治疗为主。结论腺病毒肺炎病情重、并发症多，易继发细菌感染，缺乏特异性治疗，临床医师应高度重视。
목적：분석인동선병독폐염적림상특정，제고대인동선병독폐염림상특정적인식。방법대2011년1월지2013년6월수치적99례선병독폐염환인림상표현、보조검사급치료전귀진행상세분석。결과99례환인균유발열，열정교장，역출현병발증，기중호흡쇠갈35례，흉막염27례，폐불장11례，심기손해52례；역합병기타병원체양성，최상견적세균위폐염련구균，병독위호흡도합포병독；흉부영상학표현위삼출、실변위주，쌍측다견；섬지경하표현위내막염；치료이종합치료위주。결론선병독폐염병정중、병발증다，역계발세균감염，결핍특이성치료，림상의사응고도중시。
Objective To analyse the clinic characteristics of adenovirus pneumonia in children and have a good understanding of the clinical features of adenovirus pneumonia in children .Methods The clinical data of 99 cases with adenovirus pneumonia during January 2011 to June 2013 were reviewed .Clinical manifestation ,auxiliary examination and treatment were analyzed .Results All 99 patients had fever ,heat process was long and were prone to complications ,including :35 cases of respiratory failure ,27 cases of pleu-ral effusion ,11 cases of atelectasis and 52 cases of myocardial damage .Adenovirus pneumonia was easily combined with other path-ogenic infections .Streptococcus pneumoniae was the most common bacterial pathogens and respiratory viruses were the most com-mon virus .The radiographic features of chest of adenovirus pneumonia were in both lungs exudative ,and really variable .Adenovirus pneumonia in bronchoscopy showed bronchial inflammation .Treatment of adenovirus pneumonia was the comprehensive treatment . Conclusion The condition of adenovirus pneumonia is serious and the number of complications is large .Adenovirus pneumonia could easily cause secondary bacterial infection .There is no specific treatment for adenovirus pneumonia .Clinicians should pay more attention .