目的:探讨应用盐酸氨溴索治疗呼吸道感染继发呼吸困难早产儿的效果,及其对呼吸系统特殊的保护作用。方法:选择2005年5月～2010年5月本院收治的早产呼吸道感染继发呼吸困难的120例患儿,随机分为治疗组和对照组各60例,比较两组抗生素使用时间及呼吸系统症状消失时间。结果:治疗组病死率及并发症(肺部感染)发生率显著低于对照组(P<0.05)。两组入院血气分析差异有统计学意义,治疗组低氧血症、酸中毒发生率少。治疗组抗生素使用时间及呼吸系统症状消失时间明显短于对照组。结论:早期应用盐酸氨溴索对保护肺功能具有较好效果。
目的探讨住院患儿急性下呼吸道感染肺炎支原体(MP)感染的诊断方法。方法选取深圳市龙岗区第二人民医院2007-01-2008-01呼吸道感染的患儿200例,将其分为A、B两组,A组的起病<7 d,B组起病≥7 d,分别进行肺炎支原体咽拭子培养与肺炎支原体MP-IgM检测。比较两组不同方法的阳性率。结果 A组中咽拭子培养阳性率显著高于肺炎支原体MP-IgM检测,P<0.05;B组中两组阳性率比较差异无统计学意义,P>0.05。结论采用肺支原体咽拭子快速培养用于早期诊断支小儿支原体感染的效果要优于肺炎支原体MP-IgM检测。
我院儿科于1999年9月至2001年9月共收治25例急性重症特发性血小板减少性紫癜 (简称ITP).我们采用中等中量丙种球蛋白静脉滴注治疗(IVIG0.1～0.2/kg/d),经过临床观察,取得了较好的疗效,现报道如下:
Objective To explore the clinical features of SARS and synthetic measures for prevention and treatment.Methods The clinical manifestations,X ray characters,laboratory data and synthetic measures for prevention and treatment of 22 cases in hospital SARS form Feb.,2003 to May,2003 were reviewed.Results 16 cases had close contact history with SARS patients.2 cases had killed animal.The incubation period was from 3 to 12 days.The first symptom of all cases was fever,and 91% was high fever.Other accompanied clinical manifestations included:dyspnea 68%,fatigue 72.7%,systemic pain 27%,headache 50%,diziness 22%,chest pain 31.8%,respiratory catarrhous symptom 13.6%,palpitation 36.4%,diarrhea 18.2%,bloody sputum 9%,chilly sensation 18.2%,sore throat 9%.77% of all cases showed no obvious signs of lung.The features of X ray and CT scan of chest were:single lung focus 36.4%,both lung focuses 63.6%,both lung fields diffuse infiltration shadow 22.7%.2 cases complicated with ARDS.The mortality rate was 4.5%(only 1 case died).72.2% of all cases accepted regular corticosteroid therapy.5 cases accepted non invasive positive pressure ventilation.2 cases accetped invasive mechanical ventilation.No medical worker was infected,no family members of medical workers was infected.There was no cross infection in hospital.Conclusion Reasonable usage of corticosteroid was one of important measures in synthetic treatment scheme.Mechanical ventilation must be used early in severe cases.Standard prevention measures could prevent from infection.
目的评价脑 CT在中枢神经系统感染中诊断的价值.方法对 47例行头颅 CT检查的临床资料进行回顾性分析.结果 47例患者中,病毒脑 29例,CT异常 10例,占 34%;化脑 10例,CT异常 7例,占 70%;结核 5例,CT异常 2例,占 40%.结论头颅 CT检查无创伤且准确,对中枢神经系统感染的诊断及鉴别诊断有重要意义,已成为中枢神经系统感染诊断中重要临床检查.
