医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
24期
181-182
,共2页
秋季腹泻%患儿%临床分析
鞦季腹瀉%患兒%臨床分析
추계복사%환인%림상분석
Autumn diar hea%Children%Clinical analysis
目的探讨秋季腹泻的临床特点和治疗方法。方法对近2年来我院儿科120例秋季腹泻患儿的临床资料进行回顾性分析。结果秋季腹泻常见于6个月~2岁婴幼儿，多发生在10~12月份。71例患儿出现发热，82例患儿出现呕吐，63例患儿出现脱水(52.50%)，12例(10%)患儿出现中枢神经症状，9例(7.50%)患儿出现消化道出血，6例(5.00%)患儿出现休克，5例(4.16%)患儿出现麻痹性肠梗阻，平均病程7.5d。轮状病毒阳性62例(51.66%)，丙氨酸氨基转移酶升高者14例(11.66%)，肌酸激酶同工酶(CK-MB)升高者73例(60.83%)。根据病情给予补液，纠正酸中毒，护肝、营养心肌等综合治疗，患儿全部痊愈。结论秋季腹泻是儿科常见病，感染后患儿大多预后良好。秋季腹泻容易合并脱水、酸中毒、电解质紊乱，同时可能出现心脏、肝脏、中枢神经系统以及消化系统损伤。对合并有重要脏器损伤的患儿，采取有针对性的治疗措施，防止出现不良预后。
目的探討鞦季腹瀉的臨床特點和治療方法。方法對近2年來我院兒科120例鞦季腹瀉患兒的臨床資料進行迴顧性分析。結果鞦季腹瀉常見于6箇月~2歲嬰幼兒，多髮生在10~12月份。71例患兒齣現髮熱，82例患兒齣現嘔吐，63例患兒齣現脫水(52.50%)，12例(10%)患兒齣現中樞神經癥狀，9例(7.50%)患兒齣現消化道齣血，6例(5.00%)患兒齣現休剋，5例(4.16%)患兒齣現痳痺性腸梗阻，平均病程7.5d。輪狀病毒暘性62例(51.66%)，丙氨痠氨基轉移酶升高者14例(11.66%)，肌痠激酶同工酶(CK-MB)升高者73例(60.83%)。根據病情給予補液，糾正痠中毒，護肝、營養心肌等綜閤治療，患兒全部痊愈。結論鞦季腹瀉是兒科常見病，感染後患兒大多預後良好。鞦季腹瀉容易閤併脫水、痠中毒、電解質紊亂，同時可能齣現心髒、肝髒、中樞神經繫統以及消化繫統損傷。對閤併有重要髒器損傷的患兒，採取有針對性的治療措施，防止齣現不良預後。
목적탐토추계복사적림상특점화치료방법。방법대근2년래아원인과120례추계복사환인적림상자료진행회고성분석。결과추계복사상견우6개월~2세영유인，다발생재10~12월빈。71례환인출현발열，82례환인출현구토，63례환인출현탈수(52.50%)，12례(10%)환인출현중추신경증상，9례(7.50%)환인출현소화도출혈，6례(5.00%)환인출현휴극，5례(4.16%)환인출현마비성장경조，평균병정7.5d。륜상병독양성62례(51.66%)，병안산안기전이매승고자14례(11.66%)，기산격매동공매(CK-MB)승고자73례(60.83%)。근거병정급여보액，규정산중독，호간、영양심기등종합치료，환인전부전유。결론추계복사시인과상견병，감염후환인대다예후량호。추계복사용역합병탈수、산중독、전해질문란，동시가능출현심장、간장、중추신경계통이급소화계통손상。대합병유중요장기손상적환인，채취유침대성적치료조시，방지출현불량예후。
Objective To explore the clinical features and treatment methods of autumn diar hea. Methods For the past two years in our hospital 120 cases of pediatric autumn diar hea were retrospectively performed.Results In the fal of diarrhea in 6 months~2 year old infants, occur ed in 10~December. In 71 cases of children with fever, 82 cases occur ed in children with vomiting, 63 cases occurred in children with dehydration (52.50%), 12 cases (10%) occur ed in children with central nervous system symptoms, 9 cases (7.50%) occurred in children with gastrointestinal hemor hage, 6 cases (5%) occur ed in children with shock, 5 cases (4.16%) occur ed in children with paralytic ileus, the average period of treatment is 7.5 days. Rotavirus was positive in 62 patients (51.66%), 14 cases with elevated alanine aminotransferase persons (11.66%), creatine kinase isoenzyme MB (CK-MB) in 73 patients with elevated (60.83%). According to the condition of fluid infusion, cor ecting acidosis, protecting liver, myocardial nutrition, comprehensive treatment, patients al recovered. Conclusion The autumn diar hea is a common pediatric disease, infection after the children the most favorable prognosis. Autumn diar hea with dehydration, acidosis, easy electrolyte disorder, also possible heart, liver, central nervous system and digestive system damage. There is an important organ injury in children with, to take targeted measures, prevent the occur ence of adverse prognosis.
