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降低百日咳的病死率,关键在于抢救合并症。乳幼儿合并肺炎、脑病、营养不良者尤应注意。本院1972年3月至1973年2月共收治伴有各种合并症的百日咳患儿145例,其中年龄最小者24天,最大者9岁,两岁以内者共89例,占61.4％。有接触史者104例占71.7％。兹将其病情及治疗分析如下。一、病例选择 1.具有典型阵发性痉挛性咳嗽。 2.咳嗽不典型,但病史症状典型,有密切接触史或白细胞、淋巴细胞增高者。 3.以上任一项并有肺炎、脑病、营养不良、出血等合并症者,即典型百日咳伴有合
Reduce the mortality of pertussis, the key is to rescue complications. Infants and young children with pneumonia, encephalopathy, malnutrition should pay particular attention. The hospital from March 1972 to February 1973 were treated with various complications of pertussis in children with 145 cases, of which the youngest of 24 days, the largest 9-year-old, a total of 89 cases of patients aged less than 61, accounting for 61.4%. 104 cases of contact history accounted for 71.7%. The condition and treatment will be as follows. First, the case selection 1 has a typical paroxysmal spasmodic cough. 2. Cough is not typical, but typical history of symptoms, there is close contact with history or leukocytes, lymphocytes increased. 3. Any of the above and pneumonia, encephalopathy, malnutrition, bleeding and other complications, that is, typical pertussis associated with