| 手足口病并发急性下呼吸道感染临床研究 |
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| 引用本文： | 刘静,张先华,罗如平.手足口病并发急性下呼吸道感染临床研究[J].实用预防医学,2010,17(11):2190-2192. |
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| 作者姓名： | 刘静 张先华 罗如平 |
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| 作者单位： | 1. 湖南省儿童医院感染科,湖南,长沙,410007
2. 湖南省人民医院儿科医学中心 |
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| 摘 要： | 目的探讨手足口病(HFMD)并发急性下呼吸道感染的临床特征。方法对117例并发急性下呼吸道感染的HFMD(观察组)与1 008例同期未并发急性下呼吸道感染的HFMD(对照组)住院患儿临床资料进行回顾性分析。结果 HFMD并发急性下呼吸道感染发生率为10.40%,为小儿HFMD常见的并发症(主要是支气管炎、喘息性支气管炎和肺炎)。①观察组病例中年龄以1~3岁、发病月份以10-12月多发,与对照组比较,差异有统计学意义(P0.05)。②观察组病例中绝大多数有发热(112例,95.73%),所有病例均有咳嗽,伴有喘息6例(5.13%),气促22例(18.80%)。③观察组贫血多见,与对照组比较,差异有统计学意义(P0.05)。④观察组胸片改变表现为肺纹理增粗、紊乱及点片状阴影。结论急性下呼吸道感染为HFMD常见并发症,其临床呼吸道症状明显,但重症患儿少见,以1~3岁幼儿、10-12月份多发,病原以肠道病毒(包括EV71)感染为主,合并支原体感染亦较为多见。
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| 关 键 词： | 手足口病 下呼吸道感染 临床研究 儿童 |
Clinical Research of Hand-foot-mouth Disease Complicated with Acute Lower Respiratory Tract Infection |
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| LIU Jing,ZHANG Xian-hua,LUO Ru-ping.Clinical Research of Hand-foot-mouth Disease Complicated with Acute Lower Respiratory Tract Infection[J].Practical Preventive Medicine,2010,17(11):2190-2192. |
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| Authors: | LIU Jing ZHANG Xian-hua LUO Ru-ping |
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| Institution: | LIU Jing,ZHANG Xian-hua,LUO Ru-ping(Department of Infectious Diseases,the Children's Hospital of Hunan Province,Changsha 410007,Hunan,China) |
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| Abstract: | Objective To explore the clinical features of hand-footmouth disease(HFMD) complicated with acute lower respiratory tract infection. Methods We retrospectively analyzed clinical data of 117 hospitalized children with HFMD and acute lower respiratory tract infection(respiratory tract infection group) and 1,008 hospitalized HFMD children without acute lower respiratory tract infection(control group). Results The incidence rate of HFMD children complicated with acute lower respiratory tract infection was 10.4%... |
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| Keywords: | Hand-foot-mouth disease Lower respiratory tract infection Clinical research Children |
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