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百日咳是小儿常見的一种传染病,病死率也很高,特別是有并发症的更是如此。自1958年10月至今年4月此病在本市流行,本院只能收容有并发症的病例,計并发肺炎者351例,并发脑症状或其他情况者26例,共387例。并发肺炎的361例,临床上都診为支气管肺炎。診断根据主要依以下几点:(1)病程及典型痤咳症状、气急、青紫、肺囉音等体征;(2)白血球总数增加;(3)X光检查。凡非在监危前即有昏迷、半昏迷、抽风,脑膜刺激症状者都認为有百日咳脑症状。
Pertussis is a common infectious disease in children and has a high case fatality rate, especially when it comes to complications. From October 1958 to April this year, the disease was prevalent in our city. The hospital only admitted cases with complications, including 351 cases complicated with pneumonia and 26 cases with cerebral symptoms or other conditions, a total of 387 cases. 361 cases of concurrent pneumonia, clinically diagnosed as bronchial pneumonia. The diagnosis is mainly based on the following points: (1) the course of the disease and the typical symptoms of acne cough, shortness of breath, bruising, pulmonary rales and other signs; (2) the total number of white blood cells increased; (3) X-ray examination. All non-critically before the coma, semi-coma, ventilation, meningeal irritation symptoms are considered who have pertussis.