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目的分析某小学一起以呕吐、腹痛为主要表现的疫情资料,总结出其临床特征,为以后年长儿类似感染提供参考。方法对69例患儿的临床症状及血液、排泄物等检查结果进行回顾性分析。结果 69患儿中腹痛62例(89.9%),呕吐57例(82.6%),腹泻16例(23.1%),发热11例(15.9%)。生化检查:白细胞计数增高40例(58.0%),中性粒细胞>75%者31例(44.9%),超敏C-反应蛋白>10 mg/L者8例(11.6%),降钙素原>0.5 ng/L者3例(4.3%),肌酸激酶同工酶增高者25例(36.2%)。50例患儿行肥达氏反应,其中17例(34%)“O”抗原1∶160,血、大便/肛拭子培养均未培养出致病菌。结论本病预后良好,临床检验指标除血白细胞及中性粒细胞在早期增高外,其他检查生化指标未见明显异常。
Objective To analyze the epidemiological data of vomiting and abdominal pain in primary school and summarize the clinical features of the disease in order to provide reference for the similar infection in older children. Methods The clinical symptoms, blood and excretion of 69 children were retrospectively analyzed. Results 69 cases of abdominal pain in children with 62 cases (89.9%), vomiting in 57 cases (82.6%), diarrhea in 16 cases (23.1%), fever in 11 cases (15.9%). Biochemical tests showed that white blood cell count was increased in 40 (58.0%), neutrophilic granulocyte> 75% in 31 (44.9%) and high sensitivity C-reactive protein> 10 mg / Three patients (4.3%) with original 0.5 ng / L and 25 patients (36.2%) with creatine kinase isoenzyme increased. Fifty patients underwent fat Dahl’s reaction, of which 17 (34%) “O” antigens were 1: 160; no pathogens were cultured in blood, stool / anal swab. Conclusion The prognosis of this disease is good, clinical indicators of blood leukocytes and neutrophils in the early increase, the other biochemical tests showed no significant abnormalities.