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我科于1994～1996年收治婴幼儿重症肺炎83例,其中70例具有高危因素。为了解婴幼儿重症肺炎在高危因素中的分布,现作调查分析如下。 临床资料 1 一般资料 男41例,女39例,四季均有发病,以冬春季较多。城市61例,农村9例。 2 临床诊断标准 按卫生部1987年发表的《小儿肺炎治疗方案》为依据。 3 高危因素 我国在肺炎防治研究中参考WHO的病例管理,提出了患肺炎后易于死亡的高危儿,即以下6种情况:①早产和低体重儿;②出生时窒息和羊水吸入;③营养不良、佝偻病、贫血;④经常感冒或患过肺炎;⑤先天性心脏病等先天畸形;⑥3月以内小婴儿。这6项条件称为高危因素。
83 cases of severe pneumonia were admitted to our department from 1994 to 1996, of which 70 cases had high risk factors. To understand the distribution of infant pneumonia in risk factors, the current investigation and analysis are as follows. Clinical data 1 General Information 41 males and 39 females, all seasons have onset, more in winter and spring. 61 cities and 9 rural areas. 2 Clinical diagnostic criteria according to the Ministry of Health published in 1987, “Pediatric pneumonia treatment program” as the basis. 3 risk factors in our country in the prevention and treatment of pneumoconiosis with reference to WHO case management, put forward the risk of pneumonia after the death-prone high-risk children, namely the following six conditions: ① premature birth and low birth weight children; ② birth asphyxia and amniotic fluid inhalation; ③ malnutrition , Rickets, anemia; ④ often cold or suffering from pneumonia; ⑤ congenital heart disease and other congenital malformations; ⑥ less than 3 months old baby. These six conditions are called risk factors.