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狐大醫一入冬,為啥孩子反復發燒
2020-01-11 18:11   来源:  www.drmcgowan.com   评论:0 点击:

狐大醫一入冬,為啥孩子反復發燒【搜狐健康】“孩子出现反复发热,伴有咽喉痛、眼红等症状,抗感染治疗效果

【搜狐健康】“孩子出现反复发热,伴有咽喉痛、眼红等症状,抗感染治疗效果欠佳,不一定是流感病毒惹的祸,还有可能是感染了腺病毒。”北京儿童医院顺义妇儿医院丁新医生提醒,“家长一定要警惕是腺病毒感染,如不及时治疗,或留下后遗症,甚至危及生命。”

[Sohu Health ]\" Children have recurrent fever, with sore throat, red eyes and other symptoms, anti-infection treatment is not necessarily caused by the flu virus, and may be infected with adenovirus. Beijing children's hospital Shunyi women's and children's hospital dingxin,\" parents must be alert to adenovirus infection, if not timely treatment, or leave sequelae, even life-threatening.\"

丁新介绍,儿童呼吸道感染最常见的病毒是流感病毒,但腺病毒的影响力也不可小觑。腺病毒是一种无包膜双联DNA病毒,有A-G共7个亚属,90多种基因型,能够引起呼吸道、消化道、泌尿系等多系统器官感染。腺病毒感染在冬季及早春多见,人群普遍易感,潜伏期一般为2-21天,平均为3-8天,传染性强。腺病毒肺炎最常发生于6个月至5岁,尤其是2岁以下儿童。

The most common virus in children with respiratory tract infection is influenza virus, but the impact of adenovirus cannot be underestimated, Ding said. Adenovirus is a membrane-free double-linked DNA virus with 7 subgenus A-G and more than 90 genotypes, which can cause respiratory tract, digestive tract, urinary system and other multi-system organ infection. Adenovirus infection is common in winter and early spring, the population is generally susceptible, the incubation period is generally 2-21 days, an average of 3-8 days, strong infectivity. Adenovirus pneumonia most commonly occurs between the ages of 6 months and 5 years, especially in children under 2 years of age.

之所以说“腺病毒”可怕,因为它通常起病急,病初就可出现39℃以上的高热,可伴有咳嗽、喘息。有的患儿在病后3天—5天就会出现呼吸困难,精神萎靡或者烦躁,易激惹,甚至抽搐,也有的患儿出现腹泻、呕吐,甚至严重腹胀,少数有结膜充血、扁桃体有分泌物表现。

The reason why \"adenovirus\" is terrible, because it is usually onset of acute disease, the disease can initially appear above 39 degrees high fever, can be accompanied by cough, wheezing. Some children will have difficulty breathing 3 to 5 days after the disease, mental retardation or irritability, irritability, even convulsions, some children also have diarrhea, vomiting, or even severe abdominal distension, a few have conjunctival congestion, tonsils have secretion performance.

重症腺病毒感染患儿甚至会出现呼吸衰竭、急性呼吸窘迫综合征、胃肠功能障碍、中毒性脑炎或脑病、脓毒症、噬血细胞综合征等并发症,威胁患儿的生命安全。

Children with severe adenovirus infection may even have complications such as respiratory failure, acute respiratory distress syndrome, gastrointestinal dysfunction, toxic encephalitis or encephalopathy, sepsis, and hemophagocytic syndrome, which threaten the life of the child.

丁新介绍,临床通过病毒抗原检测、PCR检测(敏感性更高)及宏基因测序等方法,可以及时诊断腺病毒感染。目前尚无治疗腺病毒感染的特效药物,可给予患儿静脉输注人免疫球蛋白免疫支持治疗。

By means of virus antigen detection, PCR detection (higher sensitivity) and macro gene sequencing, adenovirus infection can be diagnosed in time. At present, there is no special drug for the treatment of adenovirus infection, which can be given to children with intravenous infusion of human immunoglobulin immune support therapy.

此外,感染腺病毒的患儿也可能会合并其他感染,例如支原体感染、呼吸道合胞病毒、鼻病毒、副流感病毒等,对于混合感染,合理选用对应的抗感染药物。

In addition, children with adenovirus may be associated with other infections, such as mycoplasma infection, respiratory syncytial virus, rhinovirus, parainfluenza virus and so on.

丁新医生建议家长,平时一定要注意孩子的个人卫生,勤洗手、勤消毒;保持室内通风,戴口罩,避免去人多的地方;避免让孩子用不干净的小手揉眼睛、鼻子、嘴巴;避免与腺病毒感染患者密切接触,合理饮食,注意休息。

Dr. Ding Xin suggested that parents should pay attention to their children's personal hygiene, wash their hands frequently and sterilize frequently; keep indoor ventilation, wear masks and avoid going to crowded places; avoid letting children rub their eyes, nose and mouth with unclean little hands; avoid close contact with patients with adenovirus infection, eat reasonably and pay attention to rest.


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