探讨“急性上呼吸道感染”疾病的若干问题  

Discussion on several problems of acute upper respiratory tract infection

作　　者：王海[1] 刘嘉楠 WANG Hai;LIU Jia′nan(The First Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院儿科二科,哈尔滨150040 [2]黑龙江中医药大学第一临床医学院

出　　处：《中国中西医结合儿科学》2023年第3期207-210,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局课题(JDZX2015036)。

摘　　要：各版《儿科学》中“呼吸系统疾病”章节均有“急性上呼吸道感染”的相关论述,笔者在多年教学及实践过程中发现一些值得推敲的问题,如:“急性上呼吸道感染”所含疾病混乱,作为病名不规范;急性鼻咽炎概念模糊;流行性感冒所属章节不清晰。本文通过查阅国内外权威书籍及文献,并结合《国际疾病分类》(ICD),对关于“急性上呼吸道感染”疾病的含义和范围进行讨论,建议在《儿科学》教材中“急性上呼吸道感染”改为“普通感冒”,删去疱疹性咽峡炎和咽结膜热内容,同时将“流行性感冒”置于教材“感染性疾病”或“传染病”章节中,使教材疾病的呈现和描述更加科学和规范,并符合国内外教材和国际疾病分类。"Acute upper respiratory tract infection"is elaborated in the chapter of"Respiratory Diseases"in every edition of the"Pediatrics"textbook.After years of teaching and clinical practice,the author found some problems worthy of consideration,such as the confusion of diseases included in"acute upper respiratory tract infection",which is a standardized disease name,the vague concept of acute nasopharyngitis,and the unclear chapter to which influenza belongs.The paper discusses the meaning and scope of"acute upper respiratory tract infection"by referring to authoritative books and literatures at home and abroad and combining the International Classification of Diseases(ICD).It is suggested that the section of"acute upper respiratory tract infection"should be changed to"common cold",the content of herpangina and pharyngo-conjunctival fever should be deleted,and the section of influenza should be included in the chapter of"Infectious Diseases"in"Pediatrics"textbook,which makes the presentation and description of diseases in the textbook more scientific and standardized,and makes it be in line with domestic and foreign textbooks and the International Classification of Diseases.

关 键 词：急性上呼吸道感染 普通感冒 流行性感冒 儿科学 

分 类 号：R725.6[医药卫生—儿科]