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[目的]探讨儿童甲型H1N1流感的临床特征及治疗措施。[方法]通过分析2009年6月~2009年10月在我院接受诊断和治疗的93例甲型H1N1流感患儿,总结儿童甲型H1N1流感的临床特点。[结果]儿童甲型H1N1流感具有以下临床特点:①93例患儿在入院术后主诉的症状中发热91例,咳嗽64例,咽痛36例;其中以38.1℃~39℃和39.1℃~40℃中高热多见;②血象符合病毒感染规律,绝大部分白细胞总数偏低,中性粒细胞降低,淋巴细胞比例升高,根据血常规不仅有利于甲流的诊断,更易于与合并细菌感染相鉴别。经过积极的治疗,93例患儿中治愈出院92例,因心律失常基础疾病而转院治疗1例。[结论]儿童甲型H1N1流感与普通流感具有一样的发热、咳嗽、咽痛等首发三大症状;另外,早期应用抗病毒药物进行治疗、呼吸支持、控制混合感染、调节机体免疫功能、解除支气管痉挛等综合治疗措施可较快控制病情进展,降低病死率。
[Objective] To investigate the clinical features and treatment of children’s influenza A (H1N1). [Methods] The clinical features of children with influenza A (H1N1) were summarized from 93 children with influenza A (H1N1) who were diagnosed and treated in our hospital from June 2009 to October 2009. [Results] The clinical features of children with influenza A (H1N1) were as follows: (1) 93 cases of children had fever in 91 cases, 64 cases of cough and 36 cases of sore throat; 38.1 ℃ ~ 39 ℃ and 39.1 ℃ ~ 40 ℃ high fever more common; ② blood in line with the law of virus infection, the vast majority of leukocytes in the lower total number of neutrophils decreased lymphocyte ratio increased according to blood not only conducive to the diagnosis of a flow, more likely to be associated with bacterial infection Phase identification. After active treatment, 92 cases were cured and discharged in 93 cases, and 1 case was transferred to hospital because of the basic disease of arrhythmia. [Conclusion] Influenza A (H1N1) and common flu in children have the same three primary symptoms of fever, cough and sore throat. In addition, early treatment with antiviral drugs, respiratory support, mixed infection control, immune function, bronchial tube Spasms and other comprehensive treatment measures can quickly control the progression of the disease, reduce mortality.