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对于腺病毒肺炎,目前对病原尚缺乏特异性早期实验诊断的依据,不少地区尚不能进行病毒分离。因此,从临床角度认识本病,特别是发热早期,肺部体征尚未出现以前,对此病提高警惕,充分估计其临床经过和预后,及时对家长解释病情,具有一定的意义。为此目的,本文提出临床诊断腺病毒肺炎35例,进行分析,并从临床角度与一般肺炎进行比较。本组病例病情均极严重(不包括化脓性肺炎之危重者,后者起病急别,病情发展迅速,其形成暴发型之发生率高等),其中大部分曾经有关单位进行病毒分离,结果部分系Ⅲ型腺病毒。此外尚有Ⅳ型、Ⅶ型腺病毒,未作最后结论。咽培养多半为非致病菌。
For adenovirus pneumonia, the current lack of specific pathogens is still based on the basis of early experimental diagnosis, many areas are still not for virus isolation. Therefore, from the clinical point of view to understand the disease, especially in early fever, lung signs have not appeared before the vigilance of the disease, a full assessment of its clinical course and prognosis, timely interpretation of the condition of the parents, has a certain significance. For this purpose, this paper presents 35 cases of clinical diagnosis of adenovirus pneumonia, analyzed and compared with the general pneumonia from the clinical point of view. This group of patients were very serious condition (excluding the critically ill patients with purulent pneumonia, the latter acute onset, the rapid development of the disease, the formation of the higher the incidence of fulminans), most of which had the unit for virus isolation, the results of part Department of type Adenovirus. In addition there are type Ⅳ, type Ⅶ adenovirus, no final conclusion. Pharyngeal culture is mostly non-pathogenic bacteria.