子どもの肺炎の臨床的兆候
Lancet (London, England)
|October 12, 1991
まとめ
急速な呼吸や胸腔の浸透などの単純な臨床症状は,幼児の肺炎を正確に示すものです. これらの発見は,外来診療での小児性肺炎の診断において極めて重要です.
科学分野:
- 小児科は小児科です.
- 感染症 感染症は感染症です.
- 放射線学 放射線学
背景:
- 肺炎は,世界中で子供の死亡の主な原因です.
- 効果的な治療のために,正確で適時な診断は不可欠です.
- 臨床的徴候は,資源が限られた環境で肺炎を診断するためにしばしば使用されます.
研究 の 目的:
- 子どもの肺炎の臨床徴候の診断精度を評価する.
- 肺炎の診断のための特定の呼吸速度の値と胸腔内抽出の有用性を評価する.
主な方法:
- 8週間から6歳までの185人の咳を患った子供の将来性研究.
- 喘息,ストリドール,麻疹, pertussisを持つ子供を除外する.
- 臨床検査の記録と胸部X線写真.
主要な成果:
- 子供の30%が放射線検査で肺炎の証拠を示した.
- 呼吸速度 >= 50/分または胸部内掘りで,前向きの予測値が46%と陰性予測値が83%でした.
- より複雑なタキプネアの定義は,診断上の追加的な利点が最小限であった.
結論:
- 単純な臨床症状 (タキプネア,胸の内側を掘り下げること) は,小児性肺炎の診断に価値があります.
- これらの標識は,資源が限られた地域における外来診療環境において特に有用である.
- 複雑なタキプニアの定義は,より単純な基準よりも診断の精度を大幅に改善しません.
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