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目的:探讨小儿轮状病毒性肠炎并发多系统损害的临床特点及治疗方法。方法:对80例确诊为轮状病毒肠炎的患儿进行回顾性分析。结果:80例患儿中,2岁以下的婴幼儿占95%以上,男女比例为1.2∶1,其主要临床表现为发热、呕吐、腹泻,其中两个系统损害者22例,三个或三个以上系统损害者16例,占47.5%。常规采取降温、止吐、补液、营养支持、纠正酸中毒及电解质紊乱基础治疗上,进行抗病毒、胃肠粘膜保护剂等治疗并针对不同的肠外并发症兼顾保肝护肾、营养心肌、脑细胞等综合治疗后疗效显著。结论:轮状病毒肠炎患儿应提高伴发多系统损害的认识,要积极采取对症治疗手段,早期治疗、预后良好。
Objective: To investigate the clinical features and treatment of pediatric rotavirus enteritis complicated by multiple system damage. Methods: 80 children diagnosed with rotavirus enteritis were retrospectively analyzed. Results: Among the 80 children, infants under 2 years old accounted for 95% or more, the ratio of male to female was 1.2: 1. The main clinical manifestations were fever, vomiting and diarrhea. Among them, 22 cases had two system damages, three or three More than 16 system damage, accounting for 47.5%. Routine cooling, antiemetic, fluid replacement, nutritional support, to correct acidosis and electrolyte imbalance in the basic treatment, anti-virus, gastrointestinal mucosal protective agent treatment and for different parenteral complications of both liver and kidney, nourishing the myocardium, After brain cells and other comprehensive treatment of significant effect. Conclusion: Children with rotavirus enteritis should raise awareness of multiple system damage, and should actively take symptomatic treatment, early treatment, the prognosis is good.