新生儿和婴儿新型冠状病毒感染的临床和实验室方面问题

M. Ermakova, S. N. Najdyonkina, L. P. Matveeva
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摘要

目的:确定新生儿和婴儿感染新型冠状病毒的临床和实验室方面。材料和方法:对伊热夫斯克市儿童传染病科收治的 131 名感染 SARS-CoV-2 的新生儿和婴儿进行回顾性分析。分析结果门诊和住院的新生儿和婴儿感染冠状病毒的病程没有明显的临床和实验室特征,与主要呼吸道感染的症状相似。在住院患儿中,80.9%的冠状病毒感染程度为轻度,其余患儿为中度。临床表现以咳嗽(86.3%)、鼻塞(74%)和发烧(71.8%)为主。新生儿以鼻塞为主,婴儿以发烧和干咳为主,临床表现差异显著。19.1%的患者被诊断为肺炎,症状轻微,主要是双侧病变。
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Clinical and laboratory aspects of the new coronavirus infection in newborns and infants
Purpose: to identify clinical and laboratory aspects of a new coronavirus infection in newborns and infants. Materials and methods: a retrospective analysis of 131 observations of newborns and infants infected with SARS-CoV-2 treated in children's infectious diseases departments of Izhevsk was carried out. Results. The course of coronavirus infection in newborns and infants who became ill on an outpatient basis and were hospitalized did not have significant specific clinical and laboratory features and was similar to the symptoms of major respiratory infections. Among the hospitalized, 80.9% of children had a mild severity of coronavirus infection, the rest of the children had a moderate course. The clinical picture was dominated by cough (86.3%), nasal congestion (74%) and fever (71.8%). Significant clinical differences were obtained in newborns in the form of predominance of nasal obstruction, and in infants in the predominance of fever and dry cough. Pneumonia was diagnosed in 19.1% in the form of a mild, mainly bilateral lesion.
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