某院248例麻疹患儿的临床特征
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姚婷新

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R511.1

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Clinical features of 248 children with measles in a hospital
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    摘要:

    目的分析某省儿童医院感染科麻疹患儿的临床特征,为临床诊治麻疹提供依据。方法回顾性分析2016年1月1日—6月30日某省儿童医院感染科确诊并住院治疗的麻疹患儿的人口学资料、临床特征、实验室检查结果及疾病的治疗和转归等。结果共调查248例麻疹患儿,平均年龄18.2月龄;其中≤9月龄组患儿98例,>9月龄组患儿150例;242例麻疹患儿未接种麻疹疫苗。83.06%麻疹患儿体温>39℃,平均热程为7.8 d;24例麻疹患儿表现为不典型皮疹。两组患儿主要并发症为肺炎,占93.95%;≤9月龄组患儿声嘶、呛咳、喉炎、心衰竭的发生率较>9月龄组患儿高(P<0.05);典型皮疹、柯氏斑、畏光流泪、呼吸衰竭、重症麻疹的发生率较>9月龄组患儿低(P<0.05);两组患儿治愈例数比较,差异无统计学意义(P>0.05)。248例麻疹患儿中有41例患儿外周血白细胞>10×109/L;合并肺炎的患儿痰培养检出病原菌以肺炎链球菌为主(28.26%);X线胸部平片检查报告以肺炎为主(93.95%);9例麻疹合并呼吸衰竭患儿,予有创呼吸机辅助治疗;其中6 例好转出院,3例治疗无效死亡。结论>9月龄未接种麻疹疫苗的患儿较多,易发生重症麻疹,而≤9月龄麻疹患儿易合并心衰竭。

    Abstract:

    ObjectiveTo analyze clinical features of children with measles in the department of infectious disease in a children’s hospital, provide basis for clinical diagnosis and treatment of measles. MethodsA retrospective analysis on demographic data, clinical features, laboratory examination, treatment, and prognosis of children with measles in a children’s hospital from January 1 to June 30, 2016 were analyzed retrospectively. ResultsA total of 248 children with measles were investigated, the average age was 18.2 months; 98 cases were aged ≤9 months, 150 were aged >9 months; 242 children with measles didn’t receive measles vaccination. Body temperature of 83.06% of children with measles was >39℃, the average course of fever was 7.8 days; 24 cases had atypical rash. Two groups of children were both mainly complicated with pneumonia, accounting for 93.95%; incidences of hoarseness, cough, laryngitis, and heart failure in children ≤9 months were higher than children>9 months (P<0.05); while typical rash, koplik spots, photophobia, respiratory failure, and severe measles were lower than children>9 months(P<0.05); there was no significant difference in the number of cured cases between two groups of children(P>0.05). Of 248 children with measles, 41 had peripheral white blood cells>10×109/L;28.26% of children who complicated with pneumonia were isolated Streptococcus pneumoniae from sputum; 93.95% were reported pneumonia by chest Xray examination; 9 cases complicated with respiratory failure and used invasive mechanical ventilator, 6 cases cured, 3 died. ConclusionChildren aged>9 months who don’t receive measles vaccine are more, and they are prone to develop severe measles, and children aged ≤9 months are easily combined with heart failure.

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姚婷新,谷芬,廖亦男,等.某院248例麻疹患儿的临床特征[J]. 中国感染控制杂志,2018,17(5):432-435. DOI:10.3969/j. issn.1671-9638.2018.05.014.
YAO Tingxin, GU Fen, LIAO Yinan, et al. Clinical features of 248 children with measles in a hospital[J]. Chin J Infect Control, 2018,17(5):432-435. DOI:10.3969/j. issn.1671-9638.2018.05.014.

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  • 收稿日期:2017-05-22
  • 最后修改日期:2017-08-05
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  • 在线发布日期: 2018-05-28
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