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象很多其他疾病一样 ,小儿与成人SARS的临床表现明显不同。通过综合国内外有关文献 ,结合对酷似SARS患儿的详细检查、治疗观察、流行病学调查等鉴别诊断的实践经验 ,分析总结了小儿SARS临床特点。小儿SARS发病率低 ,仅占SARS病例的 1%3%;病情轻、病程短、病死率低 ,很少出现严重呼吸困难、ARDS ,一般不需人工机械通气辅助呼吸 ,病程较短 ,平均住院 10 14d ,预后良好 ,迄今无 1例SARS患儿死亡。由于小儿SARS临床表现不典型以及缺乏儿童SARS诊断标准 ,使得小儿SARS的诊断比较困难。应特别重视流行病学证据、SARS CoV病毒学、血清学检测以及排他性诊断在小儿SARS的诊断与鉴别诊断中的重要性。提出《小儿SARS诊断标准》与同道们探讨。
Like many other diseases, the clinical manifestations of SARS in children and adults are significantly different. By combining the relevant literature at home and abroad, combining the practical experience of differential diagnosis such as detailed examination, treatment observation and epidemiological investigation of children with SARS, the clinical features of pediatric SARS were analyzed and summarized. The incidence of pediatric SARS is low, accounting for only 1% and 3% of the cases of SARS. The disease is mild, the course is short, and the mortality is low. Severe respiratory problems rarely occur. ARDS generally does not require artificial ventilation for assisted breathing. 10-14d, the prognosis is good, so far no one case of SARS deaths. Due to the infantile SARS clinical manifestations of SARS and the lack of diagnostic criteria for children, making the diagnosis of pediatric SARS more difficult. Particular attention should be paid to the importance of epidemiological evidence, SARS CoV virology, serological testing, and exclusionary diagnosis in the diagnosis and differential diagnosis of pediatric SARS. Put forward “diagnostic criteria for pediatric SARS” and their fellow discussion.