小儿伤寒及其合并多器官损害36例临床分析

目的:探讨近几年来小儿伤寒的临床特点及其并发症的发病情况.浅谈治疗体会.方法:回顾性总结36例小儿伤寒的临床资料.结果:不规则发热占58.3%,无一例玫瑰疹,并发心肌炎61.1%,伤寒肝炎58.3%.支气管炎一肺炎27.8%.肾损害16.7%.肠出血2.8%.无肠穿孔者.并发二个及二个以上器官损害占58.3%.结论:小儿伤寒临床表现呈现不典型趋势.且易并发多器官损害,主要以心、肝、肺、肾的损害为主,传统的肠内并发症已较少见.并发症常缺乏典型的临床症状.表现为实验室及器械检查的异常.抗菌药物建议选择喹诺酮类药物环丙沙星与其它敏感抗菌素联合使用.

The Clinical Analysis of 36 Cases of Child Typhoid and Complicated Multi-organ Damages

Objectives: To study the clinical characteristics of child typhoid and its complications in the recent years. Methods: The clinical information of 36 cases of child typhoid was reviewed and summarized. Results: 58.3% of cases had an irregular fever and no case showed any roseola. 61.1% of patients suffered from complicated myocarditis and 58.3% had typhoid Hepatitis. There were 27.8% of bronchitis-pneumonia, 16.7% of kidney damage, and 2.8% of intestinal hemorrhage, while no case showed intestinal perforation. 58.3% of patients showed complicated damages of 2 or more organs. Conclusion: There is a trend of untypical clinical features with complications of multi-organ damages in child typhoid.