小儿急性粒细胞减少症120例临床分析  

Acute Neutropenia in Children:Clinical Analysis of 120 Cases

作　　者：刘亚秋[1] 夏汉兵[1] 李凯红[1] 刘纯义[1] 

机构地区：[1]深圳市宝安区妇幼保健院儿科,广州深圳518133

出　　处：《咸宁学院学报（医学版）》2006年第4期310-311,共2页Journal of Xianning Univarsity(medical Sciences)

摘　　要：目的探讨小儿急性粒细胞减少症临床特点。方法回顾性分析我院2003年1月至2005年6月诊治的小儿急性粒细胞减少症120例临床资料。结果急性粒细胞减少症临床表现多种多样,最常见特征有高热(90.8%),皮疹(占77.5%),乏力、苍白、精神萎靡(70.8%),口腔溃疡(52.5%)。发病年龄过半数为1岁以下婴儿(63例,占52.5%),原发病见于幼儿急疹30例,轮状病毒肠炎20例,急性支气管炎17例,急性支气管肺炎8例,手足口病21例,急性上呼吸道感染24例。检测病毒阳性67例,其中呼吸道合胞病毒13例,人疱疹病毒18例,轮状病毒7例,埃可病毒10例,柯萨奇病毒5例,流感病毒14例。85例治愈,35例好转。结论小儿急性粒细胞减少症临床以病毒感染引起居多,发病年龄好发于1岁以内,临床表现多样,预后良好。Objective To analyze the clinical feature of children with acute neutropenia. Methods The date of 120 cases of children with acute neutropenia admitted from January 2003 to June 2005 were analyzed retrospectively. Results The most common clinical manifestations were high fever （90. 8%） , rash（77. 5%） and weariness or paleness（70. 8%）. Most of children with acute neutropenia were less than one year old（52. 5%）. Of the 120 baby patients with acute neutropenia, the total positive rate of virus examination was 55. 8 %, the viruses detected were RSV, rotavirus, IFV-A and B, PIV et al. The onset of the diseases were acute bronchitis, exanthema subitum,acute upper respiratory infection, acute bronchopneumonia et al. Conclusion Acute neutropenia often attacks the children less than one year old. It is mostly caused by viral infection and has a good prognosis. This sign may be of value for the reference of viral infection.

关 键 词：粒细胞减少症 病毒感染 

分 类 号：R725.5[医药卫生—儿科]