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急性呼吸道感染(ARI)是儿童期常见病,其中肺炎是我国婴幼儿死亡的第一位死因疾病。为使基层医务人员对小儿肺炎作出早期诊断并及时治疗,以降低该病死亡率,卫生部、联合国儿童基金会、联合国人口基金会共同制定的《婴幼儿急性呼吸道感染管理》方案中提出不用听诊器和X线检查,根据单纯症状,体征诊断小儿肺炎的指标,并请各地在使用过程中结合实际情况进行修改。本文通过对我院1989～1992年收治的经胸部X线片证实的520例小儿肺炎呼吸频率、有无胸凹陷,鼻煽及喘鸣等症状体征的分析,探讨用单纯症状体征诊断小儿肺炎的敏感性。
Acute respiratory infection (ARI) is a common childhood disease, of which pneumonia is the first cause of death of infants and young children in our country. In order to make primary medical staff make early diagnosis and timely treatment of pediatric pneumonia in order to reduce the mortality of the disease, the program of “Management of Infant and Young Children’s Acute Respiratory Infection” developed by the Ministry of Health, UNICEF and UNFPA proposed not stethoscope And X-ray examination, according to the simple symptoms and signs of indicators of diagnosis of pediatric pneumonia, and please around the use of the actual situation with changes. In this paper, our hospital from 1989 to 1992 admitted to the chest X-ray confirmed 520 cases of pneumonia in children with respiratory rate, with or without chest depression, nasal fan and wheezing and other symptoms and signs of the analysis of simple symptoms and signs of pneumonia in children diagnosed Sensitivity.