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本文报道婴幼儿呼吸道合胞病毒肺炎57例,均经病毒分离和/或血清中呼吸道合胞病毒(简写RSV)中和抗体测定,结果为RSV分离阳性、同时血清RSV中和抗体≥4倍增长者15例,仅血清中和抗体≥4倍增长者33例,仅RSV分离阳性者9例.患者大多为婴幼儿,冬春发病,临床症状轻;除少数有心力衰竭、窒息(新生儿)外,未见昏迷、惊厥及喘憋等症状.27例作了X线胸片检查,肺部病变以间质改变为主,表现为支气管管壁增厚、肺气肿;同时有肺泡病变,表现为小淡片状阴影。17例经胸片随访复查,肺泡病变大多在2周以内吸收.本组病例与腺病毒肺炎比较,两者之间有显著差别。本组大多数病例用中药治疗,疗效满意.
This article reports 57 cases of respiratory syncytial virus pneumonia in infants and young children, both by virus isolation and / or serum of respiratory syncytial virus (RSV) neutralizing antibody determination, the results were positive for RSV isolation, serum RSV neutralizing antibody ≥ 4 times increase 15 cases, only serum neutralizing antibody ≥ 4 times increase in 33 cases, only RSV positive in 9 cases.Most patients are infants and young children, winter and spring onset, clinical symptoms; except for a few heart failure, asphyxia (neonatal) Outside, no coma, convulsions and wheezing and other symptoms .27 cases of X-ray examination, pulmonary lesions mainly interstitial changes, manifested as bronchial wall thickening, emphysema; the same time, alveolar lesions, The performance of small flaky shadows. 17 cases were followed up by chest radiography, alveolar lesions were mostly absorbed within 2 weeks.This group of patients with adenovirus pneumonia, there are significant differences between the two. Most cases of this group with traditional Chinese medicine treatment, efficacy satisfactory.