回顾性分析23例百日咳患儿的临床特点

Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2021, Vol. 13 ›› Issue (5): 416-420.

Retrospective analysis of the clinical characteristics of 23 children with pertussis

Objective:To investigate the clinical characteristics and treatment of 23 hospitalized children with pertussis in Chengdu.#br# Methods:The clinical data of 23 children with pertussis receiving treatment from January 2018 to December 2019 were retrospectively analyzed.#br# Results:The characteristics of 23 hospitalized children were as follows:（1）Age: there were 15 babies, 5 infants and 3 preschool children.（2）Vaccination history: 3 had none,8 cases had 1 or 2 doses, and 12 had 3 or 4 doses.（3）Respiratory infection history in the family: 19 cases had clear contact history with respiratory symptoms.（4）Season of disease: there were 7 cases(30.4%) in spring,4 in summer(17.4%), 4 in autumn(17.4%) and 8 in winter(34.8%).（5）Laboratory examination: Blood routine examination: Twenty children had WBC≥15×10.9/L, the median value being 21.46×10.9/L; being complicated with other pathogens: 5 cases were infected by the bacteria and 5 cases with respiratory syncytial virus. Chest radiographs showed pulmonary infection in 7 cases.#br# Conclusion:Winter and spring are the high incidence season of pertussis in Chengdu. Infants, the children with a history of contacting with people with respiratory infection and those being not fully vaccinated and being not revaccinated against pertussis in time are at high risk of pertussis.At the same time, hyperleukaemia, pulmonary infection and organ function impairment are the high risk factors for severe pertussis.

Chengdu Integrated TCM ＆ Western Medicine Hospital，Chengdu 600014，China

Online:2021-10-25 Published:2021-12-06

Abstract

Abstract: Objective:To investigate the clinical characteristics and treatment of 23 hospitalized children with pertussis in Chengdu.
Methods:The clinical data of 23 children with pertussis receiving treatment from January 2018 to December 2019 were retrospectively analyzed.
Results:The characteristics of 23 hospitalized children were as follows:（1）Age: there were 15 babies, 5 infants and 3 preschool children.（2）Vaccination history: 3 had none,8 cases had 1 or 2 doses, and 12 had 3 or 4 doses.（3）Respiratory infection history in the family: 19 cases had clear contact history with respiratory symptoms.（4）Season of disease: there were 7 cases(30.4%) in spring,4 in summer(17.4%), 4 in autumn(17.4%) and 8 in winter(34.8%).（5）Laboratory examination: Blood routine examination: Twenty children had WBC≥15×10.9/L, the median value being 21.46×10.9/L; being complicated with other pathogens: 5 cases were infected by the bacteria and 5 cases with respiratory syncytial virus. Chest radiographs showed pulmonary infection in 7 cases.
Conclusion:Winter and spring are the high incidence season of pertussis in Chengdu. Infants, the children with a history of contacting with people with respiratory infection and those being not fully vaccinated and being not revaccinated against pertussis in time are at high risk of pertussis.At the same time, hyperleukaemia, pulmonary infection and organ function impairment are the high risk factors for severe pertussis.

Key words: Pertussis, Clinical features, Complications, Children

TANG Xiaoli, DENG Hongbo. Retrospective analysis of the clinical characteristics of 23 children with pertussis[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 416-420.

[1]	LUO Lan, LIU Pingping, FANG Sisi. Study on resting energy expenditure of children with sepsis at acute stage [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 405-408.
[2]	XU Sha. Effect of pidotimod combined with vitamin AD on children with recurrent respiratory tract infection [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 421-.
[3]	XIE Ying. Retrospective investigation of risk factors in hospitalized children with recurrent respiratory tract infection [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 425-.
[4]	ZHANG Junqing, GUO Liang, SHI Cannan, WANG Jun. Changes and prediction analysis of the mortality of infants and children under 5 years old in Henan Province [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 428-.
[5]	DU Linlin, WANG Yonghong, HE Jingwei. Study on the medication rules for cough in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 431-.
[6]	DU Fuli, DAI Xiaoyu, ZHENG Yapei, ZHENG Hong. Discussion on the treatment of children's short stature based on time medicine of traditional Chinese medicine [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 454-.
[7]	WANG Shengnan, WANG Guojie, WANG Hai. Observation on the effect of Weijing Ditan decoction in the treatment of children with protracted bacterial bronchitis [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 281-.
[8]	HAN Jing, XU Yan, SUN Liping. Research progress in clinical application of Huaiqihuang granules in pediatrics [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 292-.
[9]	YUAN Jianzai, ZHANG Li, YUAN Yehong, MA Shuxia. Advances in research on the treatment for upper airway cough syndrome based on TCM syndrome differentiation [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 301-.
[10]	LI Yi, SHEN Zhaobo, HUA Li. Observation on the efficacy of dust mite drops combined with terbutaline and montelukast in the treatment of allergic asthma in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 325-.
[11]	LI Peng. Different doses of dexmedetomidineby nasal dripping in surgery for pediatric hernia [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 328-.
[12]	SUN Xiangjuan, LIU Li, WENG Dongbo, YU Qiuxiang, ZHANG Fenghua. Effects of modified Jiegeng decoction on children with allergic rhinitis with underlying heat in lung meridian [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 350-.
[13]	WAN Jun, YU Zhou, TAN Yinghui, YANG Zeyi, YANG Xiangzheng. Clinical study of modified Xiaoqinglong decoction in the treatment of children with bronchial asthma of external-coldness and internal-drink type during acute onset [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 353-.
[14]	GAO Xuguang, YANG Meng, ZHANG Maohua, ZHAI Wensheng. Evaluation of therapeutic effect of Yiqi Huayu Qingre decoction on pediatric hormone-sensitive nephrotic syndrome [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 358-.
[15]	MAIYuechang, LIN Qianwen. Analysis of the curative effect of modified Sangbaipi decoction on pertussis-like syndrome in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 362-.

Retrospective analysis of the clinical characteristics of 23 children with pertussis

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments