Symptoms and signs of community-acquired pneumonia in children
Symptoms and signs of community-acquired pneumonia in children
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DOI：
10.1080/02813430310000573
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发表时间：
2003-03-01
影响因子：
2.1
通讯作者：
Mertsola, J
中科院分区：
文献类型：
--
作者：
Juvén, T;Ruuskanen, O;Mertsola, J
目的-本研究的目的是确定临床症状和体征的肺炎住院患者确诊的病原学诊断，并研究是否有可能区分病毒性和细菌性肺炎通过这些measure.Design -一项为期3年的前瞻性研究。芬兰。患者- 254名儿童与放射学证实的社区获得性肺炎。主要结果措施-症状和体征的数据收集从医院记录的病人档案。一个标准化的病例记录表used.Results -百分之十一的患者提出的疾病没有任何呼吸道症状。与细菌性肺炎相比，病毒性肺炎患者更年轻（平均2.8岁vs 4.1岁），且更常出现急性中耳炎（41% vs 18%）、呼吸困难（48% vs 25%）和听诊时出现干鸣音（47% vs 26%）。胸痛，头痛和呼吸音下降更常见于细菌性pneumonia.Conclusions的患者，虽然病毒性肺炎的临床表现与细菌性肺炎的表现有一定的差异，他们在很大程度上重叠。这种相似性和混合感染的频繁发生使得不可能简单地通过临床症状和体征来区分病毒性肺炎和细菌性肺炎。
Objective - The aim of this investigation was to identify the clinical symptoms and signs of pneumonia in hospitalised patients with confirmed aetiologic diagnosis and to study whether it is possible to differentiate viral from bacterial pneumonia by these means.Design - A 3-year prospective study.Setting - Turku University Hospital, Turku, Finland.Patients - 254 children with radiologically confirmed community-acquired pneumonia.Main outcome measures - Data on symptoms and signs were collected from the hospital records of patient files. A standardised case record form was used.Results - Eleven percent of the patients presented the illness without any respiratory symptoms. Patients with viral pneumonia versus those with bacterial pneumonia were younger (means 2.8 vs 4.1 years) and more often had acute otitis media (41% vs 18%), dyspnea (48% vs 25%) and rhonchi on auscultation (47% vs 26%). Thoracic pain, headache and decreased breathing sounds were more common in patients with bacterial pneumonia.Conclusions - Although the clinical findings in viral pneumonia showed some differences from those in bacterial pneumonia, they were largely overlapping. This similarity and the frequent occurrence of mixed infections make it impossible to differentiate between viral and bacterial pneumonia simply by clinical symptoms and signs.