ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2017, Vol. 9 ›› Issue (6): 483-485.doi: 10.3969/j.issn.1674-3865.2017.06.007

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Clinical characteristics of intensive chicken pox in children and the treatment

YAO Tingxin,LIAO Yinan,GU Fen,YU Sijing   

  1. Department of Infectious Diseases,Hunan Children's Hospital,Changsha 410007,China
  • Published:2017-12-25 Online:2018-11-19

Abstract:
Objective
To explore the clinical characteristics of children's intensive chicken pox and its effective treatment method,providing the basis for clinical work.
Methods
A total of 98 children with intensive chicken pox were chosen,who were treated in Hunan Children's Hospital from Feb. 2015 to Feb. 2017,and their clinical data were analyzed.
Results
(1)Cause analysis:about 91.84%(90/98) children had contact with children with chicken pox;about 6.12%(6/98) children had contact with children with herpes zoster,2.04%(2/98) with unknown cause. (2) Clinical manifestations:all the 98 cases of children had a high fever,fatigue and sleepiness,including skin sores(68.37%,67/98),gastrointestinal(57.14%,56/98),cough(66.33%,65/98),muscle pain(20.41%,20/98),tic(11.22%,11/98),palpebral conjunctiva herpes(59.18%,58/98),oral herpes(43.88%,43/98) and genital herpes (27.55%,27/98).(3)Laboratory results:white blood cell count,neutrophil percentage and number of platelets were decreased obviously,while lymphocyte percentage,C-reactive protein,lactate dehydrogenase,aspartate transaminase,serum creatinine and blood urea nitrogen content were higher. (4) Complications:94.90%(93/98) of the children had pulmonary bacterial infections;liver injury occurred in 91.84%(90/98) of the children,encephalitis in 83.67%(82/98), thrombocytopenia in 54.08%(53/98),and myocarditis in 42.86%(42/98). (5) Prognosis:Two out of 98 children died due to long-term use of glucocorticoid and reduced platelet,which resulted in multiple organ failure,while the other 96 children recovered.
Conclusion
The condition of intensive chicken pox is relatively complex;in addition to high fever,fatigue and sleepiness,skin sores and cough are the most common clinical manifestations,which often involves the liver and lungs;treatment should focus on proper medication and be alert to the occurrence of complications.

Key words: Intensive chicken pox, Etiology, Laboratory examination, Treatment, Children