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儿童伤寒并发症临床分析 被引量:2

Analysis of Complications in Children with Typhoid Fever
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摘要 目的:分析儿童伤寒并发症的特点,以利于早期认识和防治儿童伤寒并发症。方法:对1993-2014年重庆地区154例儿童伤寒的临床资料进行回顾性分析。统计伤寒患儿一般情况、临床表现、血生化指标、并发症发生情况。结果:154例伤寒患儿中97例(63.0%)出现并发症,其中,中毒性肝炎60例(39.0%)、中毒性心肌炎34例(22.1%)、肺炎13例(8.4%)、支气管炎9例(5.8%)、中毒性脑病4例(2.6%)、肠出血3例(1.9%)、噬血细胞综合征3例(1.9%)、肠穿孔和伤寒肾各1例(0.6%)。结论:儿童伤寒的并发症发生率高,较常见的是中毒性肝炎、中毒性心肌炎和肺炎。 Objective: To analyze the characteristics of complications in children with typhoid fever,in order to facilitate early recognition,prevention and treatment. Methods: A retrospective analysis of 154 children with typhoid fever in Chongqing from 1993 to2014 was conducted. The general condition,clinical manifestation,serum biochemical index and incidence condition of complications were analyzed. Results: Complications were found in 97 cases( 63.0%),including toxic hepatitis( 60 / 154,39.0%),toxic myocarditis( 34/154,22.1%),pneumonia( 13/154,8. 4%),bronchitis( 9/154,5. 8%),toxic encephalopathy( 4/154,2. 6%),intestinal bleeding( 3 / 154,1. 9%),hemophagocytic lymphohistiocytosis( 3 / 154,1. 9%),intestinal perforation( 1 / 154,0. 6%) and renal disease( 1 / 154,0. 6%). Conclusion: The incidence of complications is high in children with typhoid fever. Toxic hepatitis,toxic myocarditis and pneumonia happen in relatively high frequencies.
出处 《儿科药学杂志》 CAS 2016年第1期14-17,共4页 Journal of Pediatric Pharmacy
关键词 儿童 伤寒 并发症 children typhoid fever complications
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