66例儿童艾滋病临床分析  

Clinical features of 66 children with acquired immunodeficienecy syndrome

作　　者：李在村[1] 赵燕[2] 窦智慧[2] 于兰[2] 吴昊[1] 张福杰[2,3] 

机构地区：[1]首都医科大学附属北京佑安医院,北京100069 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京100054 [3]北京地坛医院,北京100011

出　　处：《中国当代儿科杂志》2009年第2期93-95,共3页Chinese Journal of Contemporary Pediatrics

基　　金：国家"十五"攻关项目(2004BA719A11)

摘　　要：目的探讨儿童艾滋病临床特点。方法66例儿童艾滋病入选该研究,男46例,女20例,平均年龄8.7岁(2～16岁)。回顾分析其人口学资料、流行病学资料、临床表现及实验室检查结果。结果HIV感染确诊年龄2～15岁,平均7.7岁。通过母婴传播感染48例(72.7%),通过输血或血制品感染14例(21.2%),感染途径不明4例(6.1%)。常见的临床表现如下:体重下降43例(65.2%)、贫血42例(63.7%),持续或反复发热40例(60.6%)、疲乏感38例(57.6%)、皮疹31例(47.0%)、慢性或反复咳嗽28例(12.1%)、慢性腹泻24例(36.4%)、神经系统受累16例(24.2%)、鹅口疮13例(19.7%)、肝脾大12例(18.2%)。体格生长评价显示,身高和体重处于下等的分别有30例(45.4%)和26例(39.4%)。免疫功能均受抑制,重度抑制59例(89.4%),中度抑制7例(10.6%)。结论儿童HIV感染途径以母婴传播为主,临床表现多样,免疫系统显著受抑制。Objective To study the clinical features of pediatric acquired immunodeficienecy syndrome(AIDS).Methods The epidemiological,clinical and laboratory data of 66 children with AIDS were retrospectively studied.Results Of the 66 patients,46(69.7%)were male and 20(30.3%)were female,with a mean age of 8.7 years(ranged 2-16 years).The mean age at diagnosis was 7.7 years(ranged 2-15 years).Vertical transmission as the route of infection was documented in 48 cases(72.7%).Fourteen children(21.2%)were infected through...

关 键 词：人类免疫缺陷病毒 获得性免疫缺陷综合征 儿童 

分 类 号：R725.1[医药卫生—儿科]