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ID:33405092
大小:2.21 MB
页数:52页
时间:2019-02-25
《小儿甲型h1n1流感重症与危重症比较》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、为10"--'27d,平均17.27+5.57d,重症组显著短于危重症组(P<0.05)o结论:1.相对于甲型H1N1流感重症患儿,危重症患几发病年龄较大,受损器官数目较多,更容易发生严重的低氧血症,甚至ARDS和MODS,更易出现死亡或者脑萎缩、肺纤维化等后遗症改变;2.早期的Pa02/Fi02、CK等指标、影像学检查及PRISMIII、PCIS评分有助于临床医生对甲型H1N1流感患儿病情危重程度尽早作出正确判断;3.警惕有缺铁性贫血、脑性瘫痪和先天性心脏病等基础疾病的患儿发展成为危重症;4.在选择抗生素时要考虑到重症和危重症患儿混合感染细菌谱的异同。关键
2、词:儿童;甲型H1N1流感;重症;危重症;呼吸窘迫综合症作者:柏振江指导教师:徐仑教授封其华教授ⅡCompareofclinicalcharacterbetweensevereandcriticalillchildren们tIlnovelHINlinfluenzaAbs粤呸CompareofclinicalcharacterbetweensevereandcriticalillchildrenwithnovelH1N1influenzaAbstractObjectives:Tostudydifferentclinicalcharacteristicsandr
3、iskfactorsofsevereandcriticalillchildrenwithnovelH1N1influenza,thentoguideprophylaxisandtherapy.Methods:1.GeneraldataSeventy-sixchildrenwithnovelH1N1influenzawereadmittedtoourhospitalfromOctl吐2009toDec15tll2009.andtheirclinicaldatawerecollected.Thesecasesconsistedof46malesand30fema
4、les,themean(SD)agewas3.29-土:2.90years,25cases(32.9%)weredistributedin0-.。1years,17cases(22.4%)in~3years,18cases(23.7%)in~5years,16cases(21.1%)in"-16years.Accordingto《ThethirdeditiondiagnosisandtreatmentprogramofnovelH1N1influenza))issuedbytheHealthDepartment,the76casesweredividedin
5、to2groups:severegroupandcriticalgroup.2.MethodsAllthedatacollectedbyhandwithuniformformincluded:physicaldata,vitalsigns,twokindsofscores,routinetestsofblood,urineandstool,bloodgasanalysis,biochemistry,testsofcytoimmunityandhumoralimmunityandetc,allkindsofdrugs,mechanicalventilation
6、parametersandindexofrespiratoryandcirculationifmechanicalventilationreceivedarealsoincluded.DynamicchecksofX-rayorCTwererequiredtoobservetheimagingchanges.Accordingtotheextentofthelesioninvolvementattheearlyphaseofadmission,thelesionwasclassifiedasthreegrade:mild(1~2lungfieldsinvol
7、ved),moderate(3"、'41ungfieldsinvolved),andsevere(5"--6lungfieldsinvolved).Accordingtothelesionpattern,HIgastrointestinalbleedingweremoreoftenincriticalcases.3.Theproportionofcoinfectionsinseverecases(68.3%)washigherthanthatincriticalcases(37.5%)(P8、asfoundcommoninseverecases
8、asfoundcommoninseverecases
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