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目的总结探讨百日咳的病因、并发症、病死率、治疗方法。方法回顾性分析2012年1月-2012年10月该院收治的96例百日咳患儿的临床资料和诊治过程。结果治疗96例患儿中男58例(60.4%),女38例(39.6%)。1~6岁52例(52.1%),主要并发症有肺炎、心力衰竭;<1岁46例(47.9%),主要并发症有脑病、营养不良。病危9例(9.4%),病重11例(11.5%)。治愈82例(85.4%),死亡5例(5.2%),住院1周后自动放弃治疗9例(9.4%)。结论及时有效的治疗是提高此病治愈率的关键,避免患儿出入人多拥挤的公共场所和规范疫苗接种是有效降低小儿百日咳发病率的关键。
Objective To summarize the etiology, complications, mortality and treatment of whooping cough. Methods The clinical data and diagnosis and treatment of 96 patients with pertussis admitted to our hospital from January 2012 to October 2012 were retrospectively analyzed. Results Treatment of 96 children, 58 males (60.4%) and 38 females (39.6%). One to six years old 52 cases (52.1%), the main complications of pneumonia, heart failure; <1 year old 46 cases (47.9%), the main complications of encephalopathy, malnutrition. Nine cases were critically ill (9.4%) and 11 cases were ill (11.5%). 82 cases (85.4%) were cured and 5 cases died (5.2%). Nine patients (9.4%) were given up for treatment one week after hospitalization. Conclusions The prompt and effective treatment is the key to improve the cure rate of the disease. To avoid the crowded public places and regulate the vaccination of children is the key to effectively reduce the incidence of pertussis in children.