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Open Access Article

International Journal of Pediatrics Research. 2022; 2: (2) ; 5-8 ; DOI: 10.12208/j.ijped.20220015.

Clinical diagnosis and treatment of scarlet fever in children
小儿猩红热的临床诊断和治疗方式研究

作者: 李佳 *

宁夏医科大学总医院 宁夏银川

*通讯作者: 李佳,单位:宁夏医科大学总医院 宁夏银川;

发布时间: 2022-09-02 总浏览量: 388

摘要

目的 分析小儿猩红热的临床诊断以及治疗形式。方法 从2020年1月-2022年1月区间内小儿猩红热入院接受诊治得的患儿内随机选择40例进行本次实验,对患儿展开诊治,总结临床诊断以及治疗方式。结果 结果发现,小儿猩红热患儿多为学龄期儿童,其占总患儿的60%左右,且患儿的外周血白细胞数值显著升高。医生可根据实验室检查数据结果对患儿进行初步诊断,大部分患儿确诊后使用青霉素进行治疗的效果较好,且预后恢复正常。结论 对小儿猩红热患儿进行临床诊断的过程中,可以发现患儿主要以学龄期儿童为主,且患儿的主要症状以低热、咽喉肿痛、外周血白细胞增多为主,进行实验室检查可以为医生诊断提供提供临床依据。当患儿患病后需及时诊断、治疗,预防疾病发展,显著提升预后效果,大部分患儿经抗生素治疗后,效果显著。

关键词: 小儿猩红热;临床诊断;治疗方式

Abstract

Objective to analyze the clinical diagnosis and treatment of scarlet fever in children.
Methods from January 2020 to January 2022, 40 children with scarlet fever were randomly selected for this experiment. The diagnosis and treatment of children were carried out, and the clinical diagnosis and treatment methods were summarized.
Results the results showed that children with scarlet fever were mostly school-age children, account- ing for about 60% of the total children, and the number of peripheral blood leukocytes of children increased signi- ficantly. Doctors can make a preliminary diagnosis of children according to the results of laboratory examination data. Most children are treated with penicillin after diagnosis, and the prognosis returns to normal.
Conclusion   in the process of clinical diagnosis of children with scarlet fever, it can be found that children are mainly school-age children, and the main symptoms of children are low fever, sore throat, peripheral blood leukocytosis. Laboratory examination can provide clinical basis for doctors' diagnosis. When children get sick, they need to be diagnosed and treated in time to prevent the development of the disease and significantly improve the prognosis. Most children have significant effects after antibiotic treatment.

Key words: Scarlet fever in children; Clinical diagnosis; Treatment mode

参考文献 References

[1] 张晓芳,郭春艳,张玉凤,等. 抗生素联合热炎宁治疗猩红热的有效性及对血清CRP水平的影响[J]. 中国妇幼健康研究,2020,31(5):645-648.

[2] 朱美娟,康颖,杨杰,荆红波,李颖. 2012-2019年北京市顺义区猩红热病原学监测分析[J]. 医学信息,2022,35(04):146-149.

[3] 王周菊,马丙南,林菁,谭文争,陈琼燕. 阿莫西林钠氟氯西林钠联合川百止痒洗剂治疗小儿猩红热的临床疗效观察[J]. 中国实用医药,2021,16(35):1-4.

[4] 寇玲玲,王国栋,李思瑶,于立芬,刘继锋,李倩. 西安市2011-2020年猩红热流行病学特征分析[J]. 现代预防医学,2021,48(23):4245-4248+4271.

[5] 张宇婧,姜莉莉,葛晓华,等. 感染科知信行健康教育模式在提高猩红热患儿家长疾病相关知识知晓率的应用[J]. 中国医药导报,2022,19(9):177-180,193.

[6] 黄银燕,温圆圆,刘伟,程庆林,吴亦斐,贾庆军,谢立. 杭州市儿童猩红热病原学及其相关血链球菌毒力基因分析[J]. 中国人兽共患病学报,2020,36(03):218-222.

[7] 夏科君,干冬梅,单淑琴. 血清中ASO、类风湿因子、血细胞沉降率、C-反应蛋白检测在猩红热患者中的临床意义[J]. 中国卫生检验杂志,2019,29(23):2894-2896.

[8] 赵延大,邵盼盼,高有方. 降钙素原在猩红热患者中的表达及其与白细胞中性粒细胞C反应蛋白及发热的相关性[J]. 安徽医学,2019,40(06):679-682.

[9] 刘园园,李金科,杜卫星,谭华炳. 闭合性骨折后发生全身剥脱性皮损而病原学阴性的猩红热患者一例[J]. 中华实验和临床感染病杂志(电子版),2018,12(01):102-104.

[10] 郑兰紫,蒋会婷,朱风雷. 2013-2016年北京市密云区猩红热病原学监测[J]. 首都公共卫生,2018,12(03):155-157.

[11] 包十梅. 头孢呋新钠治疗猩红热患者的临床效果与临床价值体会[J]. 世界最新医学信息文摘(连续型电子期刊),2021,21(9):120-121. 

[12] 禹定乐,梁云梅,卢清华,等. 猩红热患儿A族链球菌emm基因分型及地域与毒力基因分布相关研究[J]. 中国感染控制杂志,2022,21(1):55-61.


引用本文

李佳, 小儿猩红热的临床诊断和治疗方式研究[J]. 国际儿科研究杂志, 2022; 2: (2) : 5-8.