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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 children’s typhoid fever in order to benefit early recognition and prevention of typhoid fever in children. Methods: The clinical data of 154 cases of typhoid fever among children in Chongqing from 1993 to 2014 were analyzed retrospectively. Statistics of children with general conditions, clinical manifestations, blood biochemical indicators, complications occurred. Results: Complications were found in 97 cases (63.0%) of 154 cases of typhoid fever, including 60 cases of toxic hepatitis (39.0%), 34 cases of toxic myocarditis (22.1%), 13 cases of pneumonia (8.4%), bronchitis 9 cases (5.8%), 4 cases of toxic encephalopathy (2.6%), 3 cases of intestinal bleeding (1.9%), hemophagocytic syndrome in 3 cases (1.9%), intestinal perforation and typhoid fever in 1 case (0.6%). Conclusion: The incidence of typhoid complications in children is high, the most common are toxic hepatitis, toxic myocarditis and pneumonia.