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題 名 | Rotavirus Gastroenteritis in Children: A Clinical Study of 125 Patients in Hsin-Tien Area=兒童輪狀病毒腸胃炎:新店地區125例之臨床觀察 |
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作 者 | 陳惠珍; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 32:2 民80.03-04 |
頁 次 | 頁73-78 |
分類號 | 417.5473 |
關鍵詞 | 兒童; 輪狀病毒腸胃炎; |
語 文 | 英文(English) |
中文摘要 | 自1988年1月至1989年12月兩年間,在台北縣耕莘醫院以乳膠凝集法檢查289例小兒急性腸胃炎病童的糞便,發現其中有125例(43.3%)呈現輪狀病毒抗原陽性。此125例中,68例男性,57例女性,年齡自30天至9歲不等;其中99例(79.2%)發病年齡在兩歲以下,好發季節為每年的1至3月。這些病人最常見的臨床特徵是水便125例(100%),其次依續為嘔吐86例(68.8%),發燒85例(68.0%),咳嗽53例(42.4%),流鼻水22例(17.6%),痙攣8例(6.4%)及中等或嚴重之脫水2例(1.6%)。實驗室檢查顯示血清鈉有81.9%(86/106)在135-145meq/L之間,血清鉀有86.8%(92/106)在3.5-5.0meq/L之間,37.2%(35/94)則在111-120meq/L之間。白血球計數則只有13例(10.8%)>15,000/立方公厘。大便常規檢查有4例呈潛血反應陽性,1例呈白血球陽性。89例同時作大便細菌培養中,有4例培養出致病性大腸桿菌。所有125例病人經口服或靜脈輸液治療後均痊癒無後遺症。本研究顯示新店地區小兒急性腸胃炎患者,輪狀病毒是主要的致病因。輪狀病毒腸胃炎之好發季節本研究所示為1至3月,此與林等在1984年之報告不同,而以乳膠凝集法來偵測並找出輪狀病毒腸胃炎患者,及早予以輸液治療並注意隔離則是臨床上值得推廣採用的方法。 |
英文摘要 | During a 2-year period from January 1988 to December 1989, 125 patients (68 boys, 57 girls), aged 30 days to 9 years, were diagnosed as rotavirus gastroenteritis at this hospital. Diagnosis was made by identification of the rotavirus antigen in stool samples by latex agglutination assay. Ninety-nine (79.2%) of them were under 2 years of age. The seasonal peak in incidence was from January to March. The most common clinical characteristics were watery diarrhea (100%), followed by vomiting (68.8%), fever (68.0%), cough (42.4%), rhinorrhea (17.6%), convulsions (6.4%) and moderate to severe dehydration (1.6%). Fecal occult blood was positive in 4 patients and fecal leukocytes were positive in one patient. Stool cultures revealed concomitant infections with enteropathogenic Escherichia coli in 4 patients. Of the 106 patients who underwent serum electrolyte examinations, serum sodium concentrations ranged from 135-145 meq/L in 81.9% (86/106) and serum potassium concentrations ranged from 3.5-5.0 meq/L in 86.8% (92/106). Leukocyte counts >15,000/mm^3 were found in 10.8% (13/120) of the patients. All 125 patients recovered from the diarrheal illness on follow-up. Our results showed a different seasonal distribution of this disease from that of a previous observation between 1983-1984 in Taipei City and provides original clincial information on rotavirus gastroenteritis in children living in an area of Taipei County. Using the simple and rapid latex agglutination assay, we can make early diagnosis of rotavirus gastroenteritis. Thus, early treatment and early isolation of patients to prevent nosocomial infection among hospitalized patients is possible. |
本系統中英文摘要資訊取自各篇刊載內容。