炎琥宁治疗儿童甲型H1N1流感临床诊断住院病例47例临床体会

目的：分析重庆医科大学附属儿童医院甲型H1N1流感临床诊断住院病例的临床特征，以及中药炎琥宁注射液与奥司他韦抗病毒治疗的疗效。方法：收集2009年9月-11月我院收治的甲型H1N1流感患儿，分析年龄、性别、临床症状体征、实验室辅助检查、胸部影像学检查、抗病毒治疗及其它治疗的疗效。结果：符合甲型H1N1流感诊断的患儿共47例，男24，女23例，平均7．11岁；47例均有发热，且均为中高热，发生肺炎28例（59．57％）；所有患儿均静脉给予炎琥宁注射液10mg／（kg·d），〈0．4g/d，1次／d，部分病情较重者加用奥司他韦治疗，并辅以其它口服中成药，合理选用抗生素，结合对症支持治疗；体温恢复至正常平均时间（2．02±0．27）d，所有患儿均治愈出院，平均住院日（6．49±0．59）d。结论：炎琥宁注射液与奥司他韦用于不同病情甲型H1N1流感患儿均获得满意疗效。

Experience in Treating 47 Cases with Clinically Diagnosed H1N1 Influenza in Children Mainly by Andrographolide Injecion

Objective:To analyze the characteristics of hospitalized children with clinically diagnosed H1N1 influenza and the antiviral therapy of andrographolide injection and oseltamivir. Methods:Children with H1N1 Influenza clinically diagnosed received and treated in our hospital from September 2009 to November 2009 were analyzed. Their age,sex,clinical symptoms and signs,laboratory assistant examination,chest imaging studies,antiviral therapy and the efficacy treated with andrographolide injection were analyzed. ...