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百日咳是由百日咳杆菌引起的一种急性呼吸道传染病,好发于10岁以下儿童。自百白破疫苗接种后本病发病率明显下降,临床医生易漏诊。现将我院近期诊治的5例百日咳分析如下。1临床资料1.1基本资料本组病例男2例,女3例,年龄最小34d,最大10个月,3个月内小婴儿共2例。5例均无百日咳明显接触史,均未接种百白破疫苗。1.2临床表现痉咳3例,窒息2例;并发肺炎4例,其中呼衰1例;脑病2例。其中抽搐2例,昏迷1例。1.3实验室检查5例百日咳抗体均阳性,其中1:12801
Pertussis is an acute respiratory infection caused by Bordetella pertussis and occurs in children under 10 years of age. The incidence of this disease has dropped significantly since the vaccination against Baibai, and clinicians can easily misdiagnose. Now hospital treatment of 5 cases of pertussis recently analyzed. 1 Clinical data 1.1 Basic information The group of 2 males and 3 females, the youngest 34d, a maximum of 10 months, 3 months, a total of 2 cases of baby infants. 5 cases had no obvious history of pertussis exposure, were not vaccinated Baitai broken vaccine. 1.2 clinical manifestations cough in 3 cases, asphyxia in 2 cases; complicated by pneumonia in 4 cases, including respiratory failure in 1 case; 2 cases of encephalopathy. Twitch in 2 cases, coma in 1 case. 1.3 laboratory tests 5 cases of pertussis antibodies were positive, of which 1: 12801