摘要
目的:探讨小儿重型甲型H1N1流感的临床特征和影像学特点,为早期诊断和治疗提供依据。方法:对2009年11月重庆医科大学儿童医院PICU收治的5例重型甲型H1N1流感患儿的临床资料进行回顾性分析。结果:5例重症病儿均并发重症肺炎和呼吸衰竭,其中急性呼吸窘迫综合征(Acute respiratory distress syndrome,ARDS)2例,肝功能受损3例,心肌损害3例,5例重症病人均痊愈出院。重症病例胸部影像学表现以广泛实变为主要特点,下肺较多,可双侧或单侧病变。结论:肺炎、呼吸衰竭、ARDS是重型甲型H1N1流感主要并发症,早期可发生肺部广泛渗出性病变,因此早期胸片或CT检查并实施氧疗是提高重型甲型H1N1救治成功率、降低病死率的关键。
Objectives：Toexplore the clinical characteristics and chest imagingfeatures in children with severe influenza A （H1N1）and offer reference for its earlier diagnosis and treatment. Methods：The clinical data of 5 patients with severe influenza A（H1N1）in PICU of Chongqing children’s hospital in november 2009 were retrospectively analyzed. Results：5 cases of severe influenza A （H1N1）were all complicated with severe pneumonia and respiratory failure,among which 2 cases were complicated with acute respiratory distress syndrome （ARDS）,3 with liver function damage and myocardial damage respectively. The five severe patients were all recovered. Chest radiographic and computer tomography （CT）findings in children with severe H1N1 were characterized by unilateral or bilateral extensive exudative process ,mainly in lower lobe. Conclusion：Pneumonia,respiratory failure and ARDS are important complications for severe influenza A（H1N1）and the chest extensive exudative process could be found in the early cases. It is important for the children with severe H1N1 to undergo chest X-ray or CT examination and oxygen therapy earlier.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第10期1572-1574,共3页
Journal of Chongqing Medical University
