军队腺病毒感染217例临床分析

发布时间：2018-05-02 13:13

本文选题：腺病毒 + 肺炎　；参考：《华南国防医学杂志》2016年03期

【摘要】：目的分析军队腺病毒疫情的临床特点,为临床诊断及治疗提供参考。方法收集一起军队腺病毒感染住院病人217例的临床表现、影像学检查、实验室检查等相关临床资料行回顾性统计分析。结果从三大常规及生化分析看,肺炎患者与上呼吸道感染患者比较,血红蛋白、心肌酶谱、尿液分析的变化有统计学差异(P0.05)。从炎性指标看,大面积肺炎组(累及肺叶大于2个)与上呼吸道感染组进行比较:血沉(erythrocyte sedimentation rate,ESR)、C反应蛋白(C-reaction protein,CRP)、降钙素原(procalcitonin,PCT)差异有统计学意义(P0.05),白细胞介素6(interleukin6,IL-6)无统计学差异。结论腺病毒感染发病急,可短期导致军内呼吸道疾病流行,多数伴有呼吸道症状,其他系统症状轻微。炎性指标明显升高、心肌酶异常、贫血、尿液分析异常为重症的临床特征,需重视。
[Abstract]:Objective to analyze the clinical characteristics of military adenovirus epidemic and to provide reference for clinical diagnosis and treatment. Methods 217 cases of military adenovirus infection were collected and analyzed retrospectively, including clinical manifestation, imaging examination, laboratory examination and so on. Results compared with the patients with upper respiratory tract infection, the changes of hemoglobin, myocardial enzyme spectrum and urine analysis were significantly different from those of pneumonia patients (P 0.05). From the point of view of inflammatory indexes, the large area pneumonia group (involving more than 2 lobes) was compared with the upper respiratory tract infection group. There was no significant difference in erythrocyte sedimentation rate- ESR-C-reactive protein and procalcitonin PCTs between the two groups (P 0.05, IL 6 Interleukin 6 IL-6). Conclusion Adenovirus infection is an acute disease, which can lead to the prevalence of respiratory diseases in the military in the short term, most of which are accompanied by respiratory symptoms, and other systemic symptoms are mild. Elevated inflammatory indexes, abnormal myocardial enzymes, anemia, and urine analysis abnormalities are the clinical characteristics of severe patients.
【作者单位】：广州军区武汉总医院感染内科;
【基金】：国家自然科学基金项目(81171586)
【分类号】：R82

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