Epidemic asthmatic pneumonia, also known as epidemic bronchiolitis, is a unique occurs mainly in rural epidemic disease, epidemic period is indefinite. 70 three pandemics, in more than 100,000 the total number of onset. Recent popular November 91, county wide outbreak of rural areas in Hebei and Tianjin. Several popular pathogen testing results prove that respiratory syncytial virus is the major pathogen of the disease. General incidence areas to remote rural areas, if the children here for new pathogenic infection of lack of immunity also be studied. Statistics confirm that less than 2 per cent of children with 50%~60%, and General different bronchiolitis; 40% above with more than 2 years. Has a popular seasons of winter and spring of northern China between November, both in summer and autumn in the South, dominated by June to may. Popular throughout most of the time was 1-3 months. In endemic areas, children are the main source, transmission may be droplets, transmitted, caused infectious pop each other in a crowded place.
Clinical manifestations: the incubation period is 1-4 days, quick onset, 24-hour access to asthmatic. Manifested in children with different degrees of asthmatic and attack characteristics of asthmatic exacerbation of the disease. Even when serious obstruction of respiratory sounds disappear. Pathogenesis of asthmatic most in 24 hours or 48 hours after mitigation. According to symptom severity can be divided into ordinary type, heavy and very heavy.
Clinical features outstanding performance are:
1, showed a significant outbreak in rural areas.
2, features with asthmatic and paroxysmal asthmatic exacerbation.
3, x-ray chest inspection with capillary bronchitis and pulmonary manifestations of Interstitial pneumonia.
4, the main violations of infants and young children.
As long as this particular type of epidemic asthmatic pneumonia of pneumonia into the nature of diagnosis is not difficult, well control focus, in particular, to play a role of physicians in rural areas, early detection, early reporting, early prevention, and delivered to the in-place isolation, critically ill patients transferred to superior hospital in a timely manner.
Treatment: treatment of bronchiolitis and largely the same. Antiviral treatment is mainly symptomatic treatment and. Keep the children quiet and supply adequate calories and electrolytes, and maintain airway patency, timely treatment of complications such as heart failure, respiratory failure. Hospital mortality of the disease is 0.5%~4%. Cause of death for asthmatic long and serious complications. According to the popular following the observation of the 4 years after the occurrence, one-third development in children with asthma.
No comments:
Post a Comment