YEARS EXPERIENCE OF THE ROTAVIRUS SYNDROME AND ITS ASSOCIATION WITH RESPIRATORY ILLNESS
YEARS EXPERIENCE OF THE ROTAVIRUS SYNDROME AND ITS ASSOCIATION WITH RESPIRATORY ILLNESS
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DOI：
10.1136/adc.54.5.339
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发表时间：
1979-01-01
影响因子：
5.2
通讯作者：
VALMAN, HB
中科院分区：
文献类型：
--
作者：
LEWIS, HM;PARRY, JV;VALMAN, HB
在医院的一项研究中，152名腹泻儿童中有51%被确定为轮状病毒。这些患者表现出的临床模式与腹泻与细菌、其他病毒或无病原体相关的患者不同。66%的轮状病毒患者患有呼吸道疾病，通常出现在胃肠道症状之前。呕吐持续1-3天，用透明液体代替正常饮食可减少呕吐。即使补液是通过静脉注射而不是口服途径，水样腹泻仍持续4或5天。长期腹泻是罕见的。大多数轮状病毒感染的儿童年龄在2岁以下，但脱水在12-18个月的婴儿中最为严重。临床医生可以认识到轮状病毒综合征，并期望自发恢复，如果足够的补液维持了关键的几天。
In a hospital study rotavirus was identified in 51% of 152 children with diarrhea. These patients showed a clinical pattern that was distinct from patients whom the diarrhea was associated with bacteria, other viruses or no pathogens. A respiratory illness was described in 66% of rotavirus patients and usually preceded the gastrointestinal symptoms. Vomiting lasted 1-3 days and was curtailed by substituting the normal diet with clear fluids. Watery diarrhea continued for 4 or 5 days even when rehydration was by the i.v. rather than the oral route. Prolonged diarrhea was rare. Most children infected with rotavirus were under 2 yr of age but dehydration was most severe in infants aged 12-18 mo. A clinician can recognize the rotavirus syndrome and expect spontaneous recovery if adequate rehydration is maintained for a critical few days.