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目的:本文分析了小儿轮状病毒感染导致肠外道损害的几种临床表现。方法:随机选取我院于2012年3月至2013年3月收治的80例轮状病毒肠炎患儿的临床资料,对其进行回顾性的分析。结果:患儿在轮状病毒感染导致肠道外损害的同时,有64例患儿出现了呼吸系统表现,有42例患儿出现了合并鼻塞流涕以及咳嗽等表现,有2例患儿出现了急性喉炎,有16例患儿出现了支气管炎,有5例患儿出现了毛细支管炎,有4例患儿出现了肺炎,4例患儿伴有皮疹。在肝功能检查中,有10例患儿的谷丙转氨酶出现了增高的现象。在X射线胸片检查中,有20例患儿出现肺纹理增粗的现象,有4例患儿出现了双肺有斑点或者是双肺有点片影的现象。在脑电图的检查中有2例患儿出现异常的现象,在心电图的检查中,有22例患儿出现了窦性心动过速的现象。结论:小儿的轮状病毒可以引发肠道外的感染,以及呼吸系统的损害、心肌损害、肝脏的损害等。此外,病毒血症也是轮状病毒造成多系统损害的一个重要途径。
Objective: This article analyzes several clinical manifestations of pediatric rotavirus infection that cause parenteral lesions. Methods: The clinical data of 80 children with rotavirus enteritis admitted in our hospital from March 2012 to March 2013 were randomly selected and analyzed retrospectively. RESULTS: Sixty-four children developed respiratory manifestations at the same time as rotavirus infection caused intestinal damage. Forty-two children developed nasal congestion and coughing, and two children developed Acute laryngitis occurred in 16 children with bronchitis, in 5 children with capillary bronchitis, in 4 children with pneumonia and in 4 children with rash. In liver function tests, 10 cases of children with alanine aminotransferase increased phenomenon. In the X-ray examination, there were 20 cases of pulmonary thickening phenomenon in children, there are four cases of lungs in children with speckles or lungs a bit shadow phenomenon. In the EEG examination, 2 patients had abnormalities. In the ECG examination, 22 patients had sinus tachycardia. Conclusion: Pediatric rotavirus can cause extraintestinal infections, as well as respiratory damage, myocardial damage, liver damage and so on. In addition, viremia is also an important pathway for multiple system damage caused by rotavirus.