广州市儿童非典型肺炎41例临床特点分析

【目的】探讨非典型肺炎(severe acute respiratory syndrome，SARS)的临床特征，为临床防治SARS提供依据。【方法】对广州市某SARS定点收治医院41例SARS住院患儿与同期住院44例普通肺炎患儿的性别、年龄、人口学特征及父母亲职业分布、SARS接触史、症状、体征、实验室检查、影像学特征等进行分析。【结果】41例感染SARS患儿病例组，男性22例，女性19例，男女发病没有明确性别差异。发病前有明确SARS接触史、以家庭聚集发病5例。本组年龄分布，发病年龄最小3个月，最大12岁，平均年龄7岁。以11岁年龄组发病较多(7例占17％)。本组儿童发病以散发为主，未见学校、托幼机构内流行。41例SARS患儿治疗痊愈出院后，追综调查1年暂未发现传染他人感染致病的证据。【结论】儿童SARS发病率较低，临床症状较轻．预后好。

Clinical analysis of children severe acute respiratory syndrome cases in Guangzhou

Objective] To investigate the clinic features of severe acute respiratory syndrome (SARS). Methods] 41 children cases of SARS and 44 children cases of common pneumonia defined no SARS in Guangzhou in the same period were collected. The sex, age, demography, occupational distributions of their parents, histories of contact with SARS patients, symptoms, signs, laboratory examinations and radiology manifestation were analysed. Results] There were 22 cases male and 19 female in group of SARS ,the episode of SARS was not significantly different in sex. 5 cases were exposed to SARS patients, their characters were family episode. The youngest patient was 3 months, the oldest was 12 years old, and the average was 7 years old. The group of 11 years old had more SARS patients (7 cases, 17%). Children SARS patients were not epidemic in schools and kindergartens, mainly sporadic episode. Fellow-up to present of SARS group after fully recovering from SARS, no evidences were found that these children were contagious to others. Conclusion] Contagious rate is lower,clinic manifestions are slighter and prognosis is better than in child SARS.