从临床上鉴别上呼吸道感染的病原及上感治疗问题

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上呼吸道感染(以下简称上感)是小儿最常见疾病。由于其病原不同,治疗方法也不相同,但在临床上区别往往有困难,造成治疗上抗菌素的浪费;而从病原上区别,尤其是病毒分离更不易做到。因此我们将如何从临床上来区别上感的病原问题,就有关文献结合我们工作的一些体会,作一叙述,以供同道们参考。不同病原上感的临床表现病毒与细菌均可引起上感。可引起上感的病毒最常见的有普通感冒病毒、流感病毒、副流感病毒、腺病毒、C病毒及呼吸道融合病毒六种,其他病毒引起者较少见。细菌则以肺炎球菌、葡萄球菌、连球菌为最多见。 Upper respiratory tract infection (hereinafter referred to as flu) is the most common disease in children. Because of their different pathogens, treatment is not the same, but the clinical differences often have difficulties, resulting in the treatment of antibiotics waste; and from the pathogen difference, especially the virus is more difficult to do. Therefore, we will be how to differentiate the pathogeny problem from the clinical point of view, and make some narration for the fellow-people to make reference to the relevant literature combining some experience of our work. Clinical manifestations of different pathogenic viruses and bacteria can cause a sense of the flu. Viruses that can cause a sense of the most common common cold virus, influenza virus, parainfluenza virus, adenovirus, C virus and respiratory fusion virus six, other viruses caused by less common. Bacteria are pneumococcal, staphylococcus, even the most common bacteria.
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