摘要
目的:探讨新型冠状病毒感染患儿的临床特征。方法:回顾性分析2022年12月—2023年2月就诊于湖北省妇幼保健院确诊为新型冠状病毒感染的237例患儿的临床资料,包括临床症状、影像学资料、专科检查及转归等。结果:237例患儿中,男性149例(62.87%),女性88例(37.13%);年龄5月至12岁,以学龄期儿童居多。就临床分型而言,有症状感染222例(93.67%),其中轻型感染193例,中型感染29例,其余为无症状感染者,无重型及危重型患儿。患儿临床症状以发热、鼻部(鼻塞、流涕等)和咽部(咽痛、咳嗽等)症状多见,其中鼻部、咽部症状除婴儿期稍高外,随着年龄增长,发病人数逐渐升高,但差异无统计学意义(P>0.05)。耳部症状(除婴儿期外)、发热、过敏均随年龄增长发病人数递增,差异具有统计学意义(P<0.05)。肺部CT表现以磨玻璃样改变、微小结节状为主,专科检查主要表现为鼻甲肥大、鼻中隔偏曲、鼻黏膜充血或苍白、腺样体及扁桃体肥大等。大部分患儿以门诊治疗为主,少数患儿转住院治疗,所有患儿预后均较好,部分患儿核酸或抗原检测转阴后仍遗留有鼻部或咽部症状。结论:新型冠状病毒感染患儿多有临床症状,以发热、鼻塞、流涕、咽痛等为主,但临床症状一般较轻,经治疗后预后均较好。
Objective:To explore the clinical characteristics of children with COVID-19.Methods:The clinical data of 237 children with COVID-19 diagnosed in the Maternal and Child Health Hospital of Hubei Province from December 2022 to February 2023 were retrospectively analyzed,including clini-cal symptoms,imaging data,special examinations,and outcomes.Results:Of the 237 children,149 were male(62.87%)and 88 were female(37.13%).The ages ranged from 5 months to 12 years old.Most of them were school-age children.In terms of clinical classification,222 cases(93.67%)had symptoms,of which 193 had mild infections,29 had moderate infections,and the rest had symptom-atic infections,and no children in severe or critical type were found.The main clinical symptoms of children were fever,nasal symptoms(stuffy nose or runny nose),and pharyngeal symptoms(sore throat and cough),among which the nasal and pharyngeal symptoms were slightly higher except in in-fancy,and the incidence cases gradually increased with age(P>0.05).The manifestations such as ear symptoms(except in infancy),fever,and allergies increased with age,with statistically significant dif-ferences(P<0.05).The main imaging findings on lung CT were ground-glass opacity and small nod-ular changes.The specialized examinations mainly showed nasal turbinate hypertrophy,deviated na-sal septum,congestion or pallor of the nasal mucosa,and enlargement of the adenoids and tonsils.Most of the children were treated on an outpatient basis,and a few were hospitalized;all children had a good prognosis.Conclusion:Children with COVID-19 generally have clinical symptoms,mainly in-cluding fever,nasal congestion,runny nose,and sore throat,but the clinical symptoms are usually mild,and the prognosis is good after treatment.
作者
管红霞
廖大红
江洋
朱英男
王慧
苏茜
李辉
GUAN Hongxia;LIAO Dahong;JIANG Yang;ZHU Yingnan;WANG Hui;SU Qian;LI Hui(Dept.of Otolaryngology,Maternity and Child Health Hospital of Hubei Province,Wuhan 430070,Hubei,China;Dept.of Otolaryngology-Head and Neck Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China;Dept.of Otolaryngology,Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430060,Hubei,China)
出处
《武汉大学学报（医学版）》
CAS
2024年第9期1121-1125,共5页
Medical Journal of Wuhan University
