99例儿童腺病毒肺炎临床特征分析

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1、重庆医学２０１４年１０月第４３卷第３０期３９９７论著·临床研究doi：１０．３９６９／j．issn．１６７１‐８３４８．２０１４．３０．００５９９例儿童腺病毒肺炎临床特征分析罗蓉，符州，黄英，代继宏（重庆医科大学附属儿童医院呼吸中心４０００１４）摘要：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

2、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。关键词：肺炎，腺病毒；临床特征；儿童中图分类号：R７２５．６文献标识码：A文章编号：１６７１‐８３４８（２０１４）３０‐３９９７‐０２Clinicalcharacteristicanalysisof９９adenoviruspneumoniacasesinchildrenLuoRong，FuZhou，HuangYing，DaiJihong（DepartmentofRe

3、spiratoryDiseases，ChildrensHospitalAffiliatedtoCho′ngqingMedicalUniversity，Chongqing４０００１４，China）Abstract：ObjectiveToanalysethecliniccharacteristicsofadenoviruspneumoniainchildrenandhaveagoodunderstandingoftheclinicalfeaturesofadenoviruspneumoniainchildren．MethodsTheclinicaldataof９９cas

4、eswithadenoviruspneumoniaduringJanuary２０１１toJune２０１３werereviewed．Clinicalmanifestation，auxiliaryexaminationandtreatmentwereanalyzed．ResultsAll９９patientshadfever，heatprocesswaslongandwerepronetocomplications，including：３５casesofrespiratoryfailure，２７casesofpleu‐raleffusion，１１casesofatelec

5、tasisand５２casesofmyocardialdamage．Adenoviruspneumoniawaseasilycombinedwithotherpath‐ogenicinfections．Streptococcuspneumoniaewasthemostcommonbacterialpathogensandrespiratoryviruseswerethemostcom‐monvirus．Theradiographicfeaturesofchestofadenoviruspneumoniawereinbothlungsexudative，andreal

6、lyvariable．Adenoviruspneumoniainbronchoscopyshowedbronchialinflammation．Treatmentofadenoviruspneumoniawasthecomprehensivetreatment．ConclusionTheconditionofadenoviruspneumoniaisseriousandthenumberofcomplicationsislarge．Adenoviruspneumoniacouldeasilycausesecondarybacterialinfection．There

7、isnospecifictreatmentforadenoviruspneumonia．Cliniciansshouldpaymoreattention．Keywords：pneumonia，adenovirus；cliniccharacteristic；children腺病毒肺炎是我国儿童中常见的一种由腺病毒感染所致2．1．1症状与体征症状：９９例患儿均有发热表现，体温多的肺炎，多发生于６个月至２岁的婴幼儿，是婴幼儿肺炎中最在３８．５℃以上，热型有稽留热、弛张热和不规则热，热程小于［１‐２］严重的类型之一，可呈散发或爆发流行。本病起病急，病情１周１２例（１２．