论文部分内容阅读
目的分析幼儿急疹的早期临床特点。方法 116例幼儿急疹患儿,对其临床表现、实验室检查及治疗情况进行分析。结果 116例均有发热,热程3-5d,热退疹出,可伴随咳嗽、流涕、呕吐、腹泻等症状。实验室检查:大部分患儿的血常规均表现为白细胞总数降低,平均为(5.35±2.32)×10~9/L;所有患儿均有粒细胞数降低,其中40例(38.3%)为粒细胞减少(<1.5×10~9/L),76例(61.7%)为粒细胞缺乏(<0.5×10~9/L),最低者为0.09×10~9/L;所有患儿血沉、C反应蛋白均正常,结论 2岁以下婴幼儿发热时,若无明显其他伴随症状,要考虑到幼儿急疹可能,积极和患儿家长沟通,避免抗菌药物的滥用。
Objective To analyze the early clinical features of children with acute rash. Methods 116 cases of children with acute rash, their clinical manifestations, laboratory tests and treatment were analyzed. Results All the 116 patients had fever and had a fever of 3-5 d. The fever was exuviated and accompanied by cough, runny nose, vomiting and diarrhea. Laboratory tests: Most of the children showed a decrease in the total number of leukocytes, with an average of (5.35 ± 2.32) × 10 ~ 9 / L; all children had a decrease in the number of granulocytes, of which 40 (38.3%) were 76 cases (61.7%) were agranulocytosis (<0.5 × 10 ~ 9 / L), the lowest was 0.09 × 10 ~ 9 / L; all patients had erythrocyte sedimentation rate , C-reactive protein were normal, the conclusion of infants and children under the age of 2 fever, if no other accompanying symptoms, taking into account the possibility of acute rash in children, and parents actively communicate with children to avoid the abuse of antimicrobial drugs.