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【目的】探讨非典型肺炎(severeacuterespiratorysyndrome,SARS)的临床特征,为临床防治SARS提供依据。【方法】对广州市某SARS定点收治医院41例SARS住院患儿与同期住院44例普通肺炎患儿的性别、年龄、人口学特征及父母亲职业分布、SARS接触史、症状、体征、实验室检查、影像学特征等进行分析。【结果】41例感染SARS患儿病例组,男性22例,女性19例,男女发病没有明确性别差异。发病前有明确SARS接触史、以家庭聚集发病5例。本组年龄分布,发病年龄最小3个月,最大12岁,平均年龄7岁。以11岁年龄组发病较多(7例占17％)。本组儿童发病以散发为主,未见学校、托幼机构内流行。41例SARS患儿治疗痊愈出院后,追综调查1年暂未发现传染他人感染致病的证据。【结论】儿童SARS发病率较低,临床症状较轻,预后好。
【Objective】 To investigate the clinical features of severe acute respiratory syndrome (SARS) and provide the basis for clinical prevention and treatment of SARS. 【Methods】 The gender, age, demographic characteristics and the occupational distribution of parents, SARS exposure history, symptoms and signs, laboratory of 41 children with SARS and 44 children hospitalized with common pneumonia in a fixed-point hospital for SARS in Guangzhou were analyzed. Inspection, imaging features such as analysis. 【Results】 The results of 41 cases of children infected with SARS cases, 22 males and 19 females, male and female did not have a clear gender difference in the incidence. Before the onset of a clear history of exposure to SARS, the incidence of family aggregation in 5 cases. The age distribution of this group, the youngest onset of 3 months minimum, maximum 12 years old, average age 7 years old. The incidence of 11-year-old group more (7 cases accounted for 17%). The incidence of children in this group to the main distribution, no schools, nurseries within the popular institutions. 41 cases of children with SARS were cured after discharge from the hospital, followed up the investigation for 1 year yet found no evidence of infection in others infected with the disease. 【Conclusion】 The incidence of SARS in children is low, with mild clinical symptoms and good prognosis.