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J Infect Dev Ctries：百日咳或病毒性下呼吸道感染的临床和实验室特征

2020-02-20 不详 网络

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由百日咳博德特氏菌以外的其他因素引起的百日咳样呼吸道感染（WCLRTI）也可以使用。临床表现很难区分百日咳博德特氏菌和病毒性呼吸道感染。将85例诊断为WCLRTI的患者分为3组。第一组涉及通过鼻咽抽吸培养（NAC）和/或PCR显示的百日咳患者。第2组由NAC未检测到百日咳博德特氏菌的患者组成，但临床医生仍将其视为潜在的百日咳患者。第3组涉及诊断为WCLRTI的患者和通过抗原检测/ PCR检测出VR

由百日咳博德特氏菌以外的其他因素引起的百日咳样呼吸道感染（WCLRTI）也可以使用。临床表现很难区分百日咳博德特氏菌和病毒性呼吸道感染。

将85例诊断为WCLRTI的患者分为3组。第一组涉及通过鼻咽抽吸培养（NAC）和/或PCR显示的百日咳患者。第2组由NAC未检测到百日咳博德特氏菌的患者组成，但临床医生仍将其视为潜在的百日咳患者。第3组涉及诊断为WCLRTI的患者和通过抗原检测/ PCR检测出VRTI的患者。

结果显示，百日咳患者入院前症状持续时间较长。百日咳患者更常发生阵发性咳嗽，百日咳，咳嗽后呕吐，紫，呼吸暂停，癫痫发作和腹部疝。在第3组中，发烧，喘息，呼吸急促，收缩，细小裂纹和支气管炎更为常见。在第3组中，患者的胸部X光片显示支气管肺浸润增多，通气增加和肺不张。第3组的CRP（C反应蛋白）和ESR（红细胞沉降率）显着更高。在这些患者中，有43.6％的人由于年龄小于2个月而没有百日咳疫苗接种，而29.4％的人接受了1剂疫苗接种。

研究表明，对于以阵发性咳嗽发作，咳嗽伴喘气，咳嗽后呕吐为主诉的儿童，应考虑百日咳的鉴别诊断。伴有白细胞增多，淋巴细胞增多和正常的胸部X线检查。百日咳感染的大多数儿童是那些没有机会接种疫苗的儿童。

原始出处：

Selbuz S, Çiftçi E, et al., Comparison of the clinical and laboratory characteristics of pertussis or viral lower respiratory tract infections. J Infect Dev Ctries. 2019 Sep 30;13(9):823-830. doi: 10.3855/jidc.10558.

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    2020-09-15 智者为医08

    #病毒性#

    0

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    2020-07-30 fzwish20000

    #Dev#

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    2020-02-26 mjldent

    #临床和实验#

    0

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    2020-02-22 zhmscau

    #呼吸道#

    0

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    2020-02-22 小华子

    #百日咳#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1986396, encodeId=abd61986396a1, content=<a href='/topic/show?id=f3f1e0930ed' target=_blank style='color:#2F92EE;'>#病毒性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70930, encryptionId=f3f1e0930ed, topicName=病毒性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Tue Sep 15 22:35:00 CST 2020, time=2020-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1982322, encodeId=241219823222e, content=<a href='/topic/show?id=13b658e849' target=_blank style='color:#2F92EE;'>#Dev#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5878, encryptionId=13b658e849, topicName=Dev)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bcaa382, createdName=fzwish20000, createdTime=Thu Jul 30 21:35:00 CST 2020, time=2020-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1797360, encodeId=a1611e973607d, content=<a href='/topic/show?id=9b5622e49d0' target=_blank style='color:#2F92EE;'>#临床和实验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22749, encryptionId=9b5622e49d0, topicName=临床和实验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Wed Feb 26 21:35:00 CST 2020, time=2020-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1282509, encodeId=0c3b128250942, content=<a href='/topic/show?id=700239e0772' target=_blank style='color:#2F92EE;'>#呼吸道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39707, encryptionId=700239e0772, topicName=呼吸道)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e94174, createdName=zhmscau, createdTime=Sat Feb 22 09:35:00 CST 2020, time=2020-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1391728, encodeId=2b511391e2854, content=<a href='/topic/show?id=f5a8e1878f0' target=_blank style='color:#2F92EE;'>#百日咳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71878, encryptionId=f5a8e1878f0, topicName=百日咳)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKCRibWHQArPHdSkqP90U1HwwqlGeU7BUgzY240D3v2ibBDJ09ybkGkwOjxz7qRmngZaGlK1taX6hfA/132, createdBy=2e772500094, createdName=小华子, createdTime=Sat Feb 22 09:35:00 CST 2020, time=2020-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486538, encodeId=7947148653839, content=<a href='/topic/show?id=43e320132fa' target=_blank style='color:#2F92EE;'>#下呼吸道感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20132, encryptionId=43e320132fa, topicName=下呼吸道感染)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4608143316, createdName=循证小兵, createdTime=Sat Feb 22 09:35:00 CST 2020, time=2020-02-22, status=1, ipAttribution=)]
    2020-02-22 循证小兵

    #下呼吸道感染#

    0