温州地区儿童流感病毒A型肺炎108例临床分析  

A clinical analysis of 108 cases of type A influenza virus pneumonia in children in Wenzhou area

作　　者：张乐乐[1] 张海邻[1] 陈小芳[1] 苏苗赏[1] 胡晓光[1] 罗运春[1] 

机构地区：[1]温州医科大学附属育英儿童医院呼吸内科,浙江温州325027

出　　处：《温州医学院学报》2014年第9期685-688,共4页Journal of Wenzhou Medical College

摘　　要：目的:了解温州地区住院儿童流感病毒A型肺炎的临床特点。方法:回顾性分析108例温州医科大学附属育英儿童医院经直接免疫荧光法检测病毒抗原证实为流感病毒A型肺炎患儿的临床资料。结果:流感病毒A型肺炎以3岁以下婴幼儿多见,占70.3%;2010年流感病毒A型肺炎感染高峰季节为秋季,2011年为冬季,2012年为春季;24例存在基础疾病,以先天性心脏病最多见;临床以发热及呼吸道症状为主要表现,合并其他病原感染者26例,其中以合并肺炎支原体及肺炎链球菌感染多见;经治疗后,96例治愈,11例好转出院,1例死亡,平均住院时间8.5 d。结论:温州地区流感病毒A型肺炎好发于3岁以下婴幼儿,感染高峰季节不固定,以发热及呼吸道症状为主要表现,易合并其他病原感染,伴有基础疾病易发生严重并发症。Objective：To investigate the clinical features of Wenzhou area children hospitalized for inlfuen-za A virus associated pneumonia. MethodRetrospective analysis 108 cases virus antigen detection in our hospi-tal by directed immunolfuorescence conifrmed inlfuenza A virus related clinical data of children with pneumonia. ResultUnder 3 years old to see more, accounted for 70.3%. The 2010 inlfuenza A virus associated pneumonia infection peak for the autumn, 2011 for the winter, spring was in 2012. Twenty four cases of children in the co-existence of basic diseases, the most common congenital heart disease. Clinical with fever and respiratory symp-toms as the main performance, combined with other pathogenic infections in 26 cases, the merger mycoplasma pneumoniae and streptococcus pneumoniae infection. After the treatment, 96 cases were cured, 11 cases improved and discharged, 1 cases of death, the average hospital stay was 8.5 days. Conclusion：Inlfuenza A virus associated pneumonia in children under 3 years old for high-risk groups, infection of peak time and season is not ifxed, with fever and respiratory symptoms as the main performance, easily combined with other pathogenic infections, with basis diseases complicated with severe complications.

关 键 词：流感病毒A型 肺炎 儿童 临床特征 

分 类 号：R725.6[医药卫生—儿科]