|本期目录/Table of Contents|

[1]孙军平,郎 杉,张明月,等.军营中腺病毒7 型呼吸系统感染的临床特点分析[J].传染病信息,2019,03:226-229.
 SUN Jun-ping,LANG Shan,ZHANG Ming-yue,et al.Clinical characteristics of adenovirus type 7associated respiratory infection in military barracks[J].Infectious Disease Information,2019,03:226-229.
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军营中腺病毒7 型呼吸系统感染的临床特点分析(PDF)

《传染病信息》[ISSN:1007-8134/CN:11-3886/R]

期数:
2019年03期
页码:
226-229
栏目:
论 著
出版日期:
2019-07-12

文章信息/Info

Title:
Clinical characteristics of adenovirus type 7associated respiratory infection in military barracks
文章编号:
   1007-8134(2019)03-0226-04
作者:
孙军平郎 杉张明月韩欣洁汪建新
100853 北京,中国人民解放军总医院呼吸科(孙军平、郎杉、张明月、韩欣洁、汪建新)
Author(s):
SUN Jun-ping LANG Shan ZHANG Ming-yue HAN Xin-jie WANG Jian-xin*
Department of Respiratory Medicine, Chinese PLA General Hospital, Beijing 100853, China
关键词:
腺病毒 7型呼吸道感染肺部影像学  
Keywords:
adenovirus type 7 respiratory infection lung radiography
分类号:
R511.8   
DOI:
10.3969/j.issn.1007-8134.2019.03.007
文献标识码:
A
摘要:
  目的 通过调查军事院校一起腺病毒 7型感染暴发流行疫情,总结呼吸系统腺病毒 7型感染的临床特征。方法 选取 2015年 1月 20日—2月 21日某医院收治的某军事院校暴发腺病毒 7型呼吸系统感染并符合入组标准的患者 82例,收集并分析患者的一般信息、发病时间、临床症状、体征、既往史、肺部影像学检查及实验室检查结果等。结果 82例患者均为青年男性,其中上呼吸道感染 42例(51.22%),腺病毒肺炎 30例(36.59%),重症腺病毒肺炎 10例(12.20%)。所有患者均存在高热 [体温( 39.40 ± 0.59)℃ ],咳嗽、咳痰是常见临床表现。 30.00%的重症腺病毒肺炎患者存在呼吸衰竭和心率减慢, 20.00%的重症腺病毒肺炎患者合并胸腔积液和出血性膀胱炎。影像学检查发现 35.00%肺炎患者存在 2个以上肺叶或者双侧肺浸润。 60.00%重症腺病毒肺炎患者出现多肺叶或肺段的实变。结论 军营腺病毒 7型呼吸系统感染临床症状重,并发肺炎比率高,易转成重症或危重症,是一项须重视和深入探讨的公共卫生问题。  
Abstract:
Objective To summarize clinical characteristics of adenovirus type 7 associated respiratory infection through anoutbreak of adenovirus type 7 infection in a military barracks. Methods Eighty-two cases with respiratory infection caused by adenovirustype 7 were selected from a military barracks where an outbreak of adenovirus type 7 infection occurred and were admitted to a hospital from January 20 to February 21 in 2015. They all met the inclusion criteria and thus were enrolled in this study. General data, onsettime, clinical symptoms, vital signs, previous history, lung imaging and laboratory examination findings were collected and analyzed forall cases. Results Eighty-two patients meeting the inclusion criteria were enrolled in this study. All the involved cases were young males, including 42 cases (51.22%) of upper respiratory infection, 30 cases (36.59%) of adenovirus pneumonia and 10 cases (12.20%) of adenovirussevere pneumonia. All patients had a fever [body temperature (39.40±0.59) ℃ ]. Most of them appeared clinical symptoms such as cough and sputum. In adenovirus severe pneumonia patients, 30.00% were reported with respiratory failure and decreased heart rate. Pleural effusion and hemorrhagic cystitis were observed in 20.00% of adenovirus severe pneumonia patients. Imaging results showed the infiltration in more than 2 lobes of lung or bilateral lungs among 35.00% of pneumonia patients. Parenchymatous degeneration of multiple pulmonary segmentsin the lobes of lung was observed in 60.00% of adenovirus severe pneumonia patients. Conclusions Adenovirus type 7 associated respiratory infection in military barracks is characterized by severe clinical symptoms, high ratio of complicated pneumonia and easy development to severe or critically ill. It is an important public health problem requiring further attention and investigations.       

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备注/Memo

备注/Memo:
[基金项目] 国家科技重大专项(2015ZX09J15105-004);军队后勤科研项目重点项目(BWS14C051-5)
[作者单位] 100853 北京,中国人民解放军总医院呼吸科(孙军平、郎杉、张明月、韩欣洁、汪建新)
[通信作者] 汪建新,E-mail: bjsy301@163.com
更新日期/Last Update: 2019-07-12