20例儿童甲型H1N1流感危重症的病例分析

摘要

目的 分析甲型H1N1流感危重症的临床特点,总结治疗经验.方法 回顾性分析20例甲型H1N1流感危重症的临床表现、实验室检查、影像表现.结果 甲型H1N1流感危重症不仅见于婴幼儿和有原发基础病的儿童,也可见于体健的年长儿;常合并细菌、真菌、支原体、或其他病毒的感染;均伴有多脏器功能不全;好转后短期内随诊未留有后遗症.结论 对甲型H1N1流感患儿早期作出正确的判断、及时积极的治疗有利于阻断和延缓病情进展、降低病死率、改善预后.%Objective To analyze the clinical features and summarize treatment expenence of severe influenza A ( H1 N1 ) virus infection in children. Methods The clinical features, laboratory examinations and imaging data of 20 children with severe influenza A ( H1 N1 ) virus infection were retrospectively analyzed. Results Severe influcnza A( H1 N1 ) virus infection in children was seen not only in infants and children with protopathy but also in the healthy elder children. Most of these patients combined other infections such as bacteria, fungi, mycoplasma as well as other viruses. All patients were complicated with multiple organ failure. Sequela has not been found during the short - term follow - up. Conclusion Early diagnosis and active treating are helpful for interrupting the development of pathogenetic condition, decreasing fatality rate and improving prognosis.