论文部分内容阅读
目的探讨秋季腹泻的临床特点和治疗方法。方法对近2年来我院儿科120例秋季腹泻患儿的临床资料进行回顾性分析。结果秋季腹泻常见于6个月~2岁婴幼儿，多发生在10~12月份。71例患儿出现发热，82例患儿出现呕吐，63例患儿出现脱水(52.50%)，12例(10%)患儿出现中枢神经症状，9例(7.50%)患儿出现消化道出血，6例(5.00%)患儿出现休克，5例(4.16%)患儿出现麻痹性肠梗阻，平均病程7.5d。轮状病毒阳性62例(51.66%)，丙氨酸氨基转移酶升高者14例(11.66%)，肌酸激酶同工酶(CK-MB)升高者73例(60.83%)。根据病情给予补液，纠正酸中毒，护肝、营养心肌等综合治疗，患儿全部痊愈。结论秋季腹泻是儿科常见病，感染后患儿大多预后良好。秋季腹泻容易合并脱水、酸中毒、电解质紊乱，同时可能出现心脏、肝脏、中枢神经系统以及消化系统损伤。对合并有重要脏器损伤的患儿，采取有针对性的治疗措施，防止出现不良预后。“,”Objective To explore the clinical features and treatment methods of autumn diar hea. Methods For the past two years in our hospital 120 cases of pediatric autumn diar hea were retrospectively performed.Results In the fal of diarrhea in 6 months~2 year old infants, occur ed in 10~December. In 71 cases of children with fever, 82 cases occur ed in children with vomiting, 63 cases occurred in children with dehydration (52.50%), 12 cases (10%) occur ed in children with central nervous system symptoms, 9 cases (7.50%) occurred in children with gastrointestinal hemor hage, 6 cases (5%) occur ed in children with shock, 5 cases (4.16%) occur ed in children with paralytic ileus, the average period of treatment is 7.5 days. Rotavirus was positive in 62 patients (51.66%), 14 cases with elevated alanine aminotransferase persons (11.66%), creatine kinase isoenzyme MB (CK-MB) in 73 patients with elevated (60.83%). According to the condition of fluid infusion, cor ecting acidosis, protecting liver, myocardial nutrition, comprehensive treatment, patients al recovered. Conclusion The autumn diar hea is a common pediatric disease, infection after the children the most favorable prognosis. Autumn diar hea with dehydration, acidosis, easy electrolyte disorder, also possible heart, liver, central nervous system and digestive system damage. There is an important organ injury in children with, to take targeted measures, prevent the occur ence of adverse prognosis.