儿科论文11例儿童甲型H1N1流感重症病例的临床分析 【摘要】目的:描述甲型H1N1重症流感患儿的临床症状特点。方法:对我院2009年11月~2010年1月共收治11例甲型H1N1重症流感患儿,进行回顾性研究,了解临床特征及为临床诊治提供一定的经验。结果:11例患儿中,男性8例,女性3例,年龄分布从2岁1月到8岁5月,起病症状均为咳嗽、发热、咳痰,所有病例均有胸片肺部感染病变,采取特异性治疗后均痊愈出院。结论:儿童甲型H1N1流感重症病例起病年龄及症状不典型,可能合并细菌感染,予抗病毒药物治疗等综合治疗,可取得较好疗效。 【关键词】甲型H1N1流感病毒;重症肺炎;脓毒症 【Abstract】Objective: To describe the clinical features of children severe pneumonia of influenza A (H1N1) infection. Methods:The epidemiological information and clinical characteristics of 11 children severe pneumonia of influenza A (H1N1) infection admitted in Zhongshan City People’s Hospital from November 1st,2009 to January 1st,1010 were reviewed by descriptive epidemiology. Results:There were 8 male and 3 female cases from 2 years,1 months to 8 years,5 months in age. The main symptoms were fever and cough with sputum. Abnormal appearance of chest X-ray included increased bronchovascular shadows, pneumonia, with or without pleural effusion. All of those cases were cured after specific therapy. Conclusions:It is easy to misdiagnose Children severe pneumonia of influenza A (H1N1) infection as there is no general first symptoms and age. Amalgamative bacterium is probably affected on the foundation with severe pneumonia of influenza A (H1N1) infection. Symptoms in the majority of patients disappeared after specific treatment. 【Key words】Swine-origin influenza A(H1N1) virus, Severe pneumoni
