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亚洲儿科病例研究最新文献

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Study on Metabolic Changes of Intestinal Microflora in Infant with Community-Acquired Pneumonia after Antibiotics Treatment 社区获得性肺炎患儿抗生素治疗后肠道菌群代谢变化的研究
Pub Date : 2019-01-01 DOI: 10.12677/acrp.2019.73005
想 李
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引用次数: 0
Neurofibromatosis Type I with Infantile Spasm as Initial Symptom: A Case Report and Literature Review 以婴儿痉挛为首发症状的I型神经纤维瘤病1例报告并文献复习
Pub Date : 2019-01-01 DOI: 10.12677/acrp.2019.73004
青 李
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引用次数: 0
Study on the Value of Plasma N-Terminal Brain Natriuretic Peptide in the Diagnosis of Children with Kawasaki Disease 血浆n端脑钠肽在儿童川崎病诊断中的价值研究
Pub Date : 2019-01-01 DOI: 10.12677/acrp.2019.72002
菊红 吕
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引用次数: 0
Congenital Central Hypoventilation Syndrome with Initial Symptom of Pulmonary Hypertension: Case Report and Literature Review 以肺动脉高压为首发症状的先天性中枢性低通气综合征:1例报告及文献复习
Pub Date : 2019-01-01 DOI: 10.12677/acrp.2019.71001
光颂 单
Objective: To describe the clinical characteristics of congenital central hypoventilation syndrome (CCHS) with pulmonary hypertension. Methods: We retrospectively analyzed a patient with CCHS who presented with pulmonary hypertension and review of the literature. Results: The patient presented with pulmonary hypertension at the time of first hospitalization, and echocardiogram revealed enlarged right ventricle and atrium, in spite of activity measures including mechanical ventilation and supportive treatment, the patient had persistent cyanosis and dyspnea, the patient proceeded with genetic testing. A genetic research was performed by polymerase chain reaction for CCHS screening, which showed the mutated allele of PHOX2B gene, confirming the diagnosis. After non-invasive positive pressure ventilation treatment, the patient thrived with normal growth and development. Conclusion: The present paper illustrates that the most effective and common method of treatment for CCHS is non-invasive bi-level positive pressure ventilation.
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引用次数: 0
Uygur and Han Newborn Hearing Screening in Neonatal Intensive Care Unit for Comparative Analysis 维吾尔族和汉族新生儿重症监护室听力筛查的比较分析
Pub Date : 2019-01-01 DOI: 10.12677/acrp.2019.74006
亚明 曲
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引用次数: 0
Comparison of Clinical Features between Gastrointestinal Influenza and Rotavirus Enteritis in Children 儿童胃肠道流行性感冒与轮状病毒肠炎临床特征比较
Pub Date : 2019-01-01 DOI: 10.12677/ACRP.2019.73003
丽君 周
Objective: To compare the clinical features of gastrointestinal influenza and rotavirus enteritis with fever in children. Methods: Clinical data of children with gastrointestinal influenza and rotavirus enteritis from December 2017 to January 2018 were retrospectively analyzed. Results: 1) There were 102 cases of gastrointestinal influenza and 268 cases of rotavirus enteritis. The mean age of onset of gastrointestinal influenza was 3.9 ± 2.3 years, and the group of rotavirus enteritis was 1.9 ± 1.8 years. The difference between the two groups was statistically significant (t = 8.2, P < 0.01). There was no statistically significant difference in gender composition between the two groups (P > 0.05). 2) All patients had a fever. It is defined as high heat when the thermal peak exceeds 39°C. The high fever incidence of gastrointestinal influenza was 88.2% (90/102), and the group of rotavirus enteritis was 74.6% (200/268). The difference between the two groups was statistically significant (X2 = 8.1, P < 0.01). The heat peak of gastrointestinal influenza group was 39.2 ± 0.7°C, while that of rotavirus enteritis group was 38.8 ± 0.6°C. There was significant difference between the two groups (t = 6.1, P < 0.01). 3) All the patients had diarrhea and vomiting of varying degrees. The maximum number of diarrhea per day in the group of rotavirus enteritis was (5.4 ± 2.9) times, which was higher than that in gastrointestinal influenza group (1.3 ± 1.9) times, there was statistical significance between the two groups (t = −16.0, P < 0.01). The maximum number of vomiting per day in rotavirus enteritis group was (2.7 ± 2.7) times, which was higher than that in gastrointestinal influenza group (1.8 ± 1.8) times. There was statistical significance between the two groups (t = −4.1, P < 0.01). 4) The severity was evaluated by Vesikari clinical severity scoring system. Gastrointestinal influenza group scores 5.9 ± 1.6 points and rotavirus enteritis group scores 8.3 ± 2.4 points. There was significant difference between the two groups (t = 11.2, P < 0.01). There was statistical difference in the proportion of light, moderate and severe cases between the two groups (X2 = 86.2, P < 0.01). Conclusion: Gastrointestinal influenza and rotavirus enteritis are intersected in season, the clinical characteristics are similar, but the frequency of heat peak, diarrhea and vomiting, and disease severity is different. Rapid etiological detection is helpful for differential diagnosis.
目的:比较小儿胃肠型流行性感冒与轮状病毒肠炎伴发热的临床特点。方法:回顾性分析2017年12月至2018年1月小儿胃肠流感和轮状病毒肠炎的临床资料。结果:1)胃肠道流感102例,轮状病毒肠炎268例。胃肠道流行性感冒平均发病年龄为3.9±2.3岁,轮状病毒肠炎组平均发病年龄为1.9±1.8岁。两组比较差异有统计学意义(t = 8.2, P < 0.01)。两组患者性别构成差异无统计学意义(P < 0.05)。所有的病人都发烧了。当热峰值超过39℃时,定义为高温。胃肠道流感高热发生率为88.2%(90/102),轮状病毒肠炎高热发生率为74.6%(200/268)。两组比较差异有统计学意义(X2 = 8.1, P < 0.01)。胃肠流感组热峰值为39.2±0.7°C,轮状病毒肠炎组热峰值为38.8±0.6°C。两组比较差异有统计学意义(t = 6.1, P < 0.01)。3)所有患者均有不同程度的腹泻和呕吐。轮状病毒肠炎组每天最大腹泻次数为(5.4±2.9)次,高于胃肠流感组(1.3±1.9)次,两组比较差异有统计学意义(t =−16.0,P < 0.01)。轮状病毒肠炎组每日最大呕吐次数为(2.7±2.7)次,高于胃肠流感组(1.8±1.8)次。两组间差异有统计学意义(t = - 4.1, P < 0.01)。4)采用Vesikari临床严重程度评分系统评价严重程度。胃肠流感组得分5.9±1.6分,轮状病毒肠炎组得分8.3±2.4分。两组比较差异有统计学意义(t = 11.2, P < 0.01)。两组轻、中、重度患者比例比较,差异有统计学意义(X2 = 86.2, P < 0.01)。结论:胃肠流感与轮状病毒肠炎在季节上交叉,临床特征相似,但发热高峰、腹泻呕吐频次及病情严重程度不同。快速病原学检测有助于鉴别诊断。
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引用次数: 0
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亚洲儿科病例研究
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