頁籤選單縮合
題 名 | Croup Syndrome in Children: Five-Year Experience=兒童哮吼症候群:五年經驗 |
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作 者 | 邱婷芳; 黃立民; 陳建銓; 李慶雲; 李秉穎; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 40:4 民88.07-08 |
頁 次 | 頁258-261+291 |
分類號 | 417.53 |
關鍵詞 | 陣發性哮吼; 病毒性哮吼; 細菌性氣管炎; 上會壓炎; Spasmodic croup; Laryngotracheobronchitis; Bacterial tracheitis; Epiglottitis; |
語 文 | 英文(English) |
中文摘要 | 為了瞭解哮吼症候群的致病原及其臨床上的表現,我們分析了1990年4月到1996 年1月住院的病童。全部計有132位,年齡介於3個月到7歲,其中123位(93.2%)的診斷 為病毒性哮吼(laryngotracheobronchitis)。22位病毒性哮吼的病人有分離出病原(23種), 包括副流行性感冒病毒(7),呼叫道融合病毒(5),A型流行性感冒病毒(4),黴漿菌(4),及 腺病毒(3)。7例經由氣管鏡確定為細菌性氣管炎,其呼吸道分泌物有6位是viridans streptococcus,1位是金黃色葡萄球菌。2位是陣發性哮吼(spasmodic croup),沒有上會 厭炎(epiglottitis)的病例。在細菌性氣管炎的病人中,有5位(71%)發燒超過3天,而在 123例的病毒性哮吼有35位(28%)發燒超過3天(p=0.048)。在病毒性哮吼的病人中,發燒 超過3天的病人有40%的人併發肺炎,中耳炎,鼻竇炎,而發燒少於3天的人只有17%合併 上述併發症(p=0.013)。總結來說,對於發燒較久及呼吸道阻塞較明顯的病人須考慮是否為 細菌性氣管炎或是有細菌性併發症,而臺灣地區細菌性氣管炎比上會厭炎常見。 |
英文摘要 | To investigate the etiology and clinical features of croup syndrome, clinical records of hospitalized children with a diagnosis of croup syndrome were reviewed from April 1990 to January 1996. There was a total of 132 children, aged between three months and seven years with a mean age of 21.3±16.8 months. A diagnosis of laryngotracheobronchitis was made in 123 (93.2 percent) children. Twenty-three pathogens were identified in twenty-two of them, including seven parainfluenza viruses, five respiratory syncytial viruses, four influenza A viruses, four Mycoplasma pneumoniae, amid three adenoviruses. Bacterial tracheitis was confirmed by bronchoscopic examination in seven cases (5.3 percent). Cultures of the respiratory secretions yielded viridans streptococci in six and Staphylococcus aureus in one child. Two children (1.5 percent) had spasmodic croup .No case with epiglottitis was noted in the present study. A fever lasting for more than three days was noted in five (71 percent) children with bacterial tracheitis and thirty-five (28 percent) children with laryngotracheobronchitis (p = 0.048). Among children with laryngotracheobronchitis, an associated diagnosis of pneumonia, acute otitis media, or paranasal sinusitis was more frequently observed in those with fever > 3 days (40 percent) than those with a shorter duration of fever (17 percent, p = 0.013). In conclusion, a child with a longer duration of fever and more severe manifestations of airway obstruction probably has a bacterial cause of croup syndrome or a bacterial complication. Bacterial tracheitis is more common than epiglottitis in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。