バクテリア性気管炎によるものです
JAMA
|August 24, 1979
まとめ
バクテリア性気管炎は,小児における上部呼吸道感染症であり,しばしばクロップや表炎と間違われる. この深刻な状態は,迅速な認識と標準的なクラップ治療を超えた特定の管理を必要とします.
科学分野:
- 小児の感染症について
- 耳鼻喉科 (Otorhinolaryngology) は,耳鼻喉科 (Otorhinolaryngology) を専門とする医療機関である.
- クリティカルケア・メディシン
背景:
- クループとエピグロтитиスは,一般的な小児上部呼吸道阻害性疾患です.
- 一部の子供は,両方の症状が重なり合っている症状を呈し,診断上の課題を提起します.
研究 の 目的:
- 急性上部呼吸道阻害の乳幼児および小児で観察される明確な臨床実体について説明する.
- この特定の状態に対して"細菌性気管炎"という用語を導入すること.
主な方法:
- 14ヶ月以上の8人の乳幼児と子供の観察.
- 直接喉鏡検査を含む臨床評価を行う.
- トラクエの分泌物の微生物学的分析.
主要な成果:
- クループやエピグロチスに似た症状を呈したが,標準的なクループ治療に反応しなかった.
- 直接喉鏡検査は正常な頭蓋骨を示したが,有意な下腫を示した.
- トラクエの吸い込みにより,多量の粘液が検出され,培養により,Staphylococcus aureus,グループA Streptococcus,およびHaemophilus influenzaeが特定されました.
- 6人の患者は内側管内置が必要で,1人は気管切除が必要でした.
結論:
- 細菌性気管炎は,小児における重度の感染性上部呼吸道阻害である.
- これは,従来の治療に耐性のあるクロップ型疾患の微分診断において考慮されるべきである.
- 呼吸道管理と抗生物質を含む迅速な認識と介入は極めて重要です.
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