小儿甲型H1N1流感危重症及重症临床治疗研究——附3例报告  

A Study on Clinical Treatment Techniques for Children with Critical and Severe Influenza H1N1 A——with a Report on Three Cases

作　　者：黄华[1] 向二英[1] 吴素英[1] 卢巧[1] 

机构地区：[1]湖北民族学院附属医院恩施州儿童医疗中心,湖北恩施445000

出　　处：《湖北民族学院学报（医学版）》2010年第4期27-30,共4页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的探讨小儿危重甲型H1N1流感的临床特点及救治措施,提高危重症甲型H1Nl流感的治愈率。方法回顾性分析我院2009年11~12月收治的2例危重症及1例重症小儿甲型H1N1流感的临床表现、辅助检查、治疗转归。结果 3例患儿均有全身多个脏器受损,抗病毒治疗1岁以下采用莲花清瘟胶囊,1岁以上采用莲花清瘟胶囊及奥司他韦,甲型H1N1流感恢复期血浆输注,CPAP辅助通气、保护脏器功能等治疗,3例患儿均临床治愈。结论小儿危重症甲型H1N1流感易侵犯全身多个脏器,及时抗病毒、呼吸支持、甲型H1N1流感恢复期血浆、保护脏器功能等综合治疗,可提高治愈率。Objective To explore the clinical features of children with severe influenza H1N1 A and its treatment in order to improve the curing rate of the severe influenza H1N1 A.Methods A retrospective analysis has been conducted on the clinical manifestations,auxiliary examination and treatment prognosis of two children with critical influenza H1N1 A and one child with severe influenza H1N1 A hospitalized from January to December in 2009 in this hospital.Results All the three children have been damaged in multiple organs.They were treated with antiviral therapy,plasma infusion in the recovering process of influenza H1N1 A,CPAP assisted mechanical ventilation,protection of organ function and others.In antiviral therapy,children under one year old were applied Lotus Antipyretic Capsule only,while children over one year old were applied both Lotus Antipyretic Capsule and Oseltamivir.At last,all the three children were cured.Conclusion The critical influenza H1N1 A can easily attack multiple organs of the whole body.The curing rate can be raised with the comprehensive treatments of antiviral therapy,plasma in the process of influenza H1N1 A,respiratory support,protection of organ function and others.

关 键 词：危重甲型H1Nl流感 莲花清瘟胶囊 奥司他韦 恢复期血浆 小儿 

分 类 号：R511.7[医药卫生—内科学]