儿童肺炎的临床症状 儿童肺炎的临床症状
Lancet (London, England)
|October 12, 1991
概括
简单的临床症状,如快速呼吸或胸部深入,准确地表明幼儿肺炎. 这些发现对于在门诊环境中诊断儿童肺炎至关重要.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 肺炎是全球儿童死亡的主要原因之一.
- 准确和及时的诊断对于有效的治疗至关重要.
- 临床症状通常用于在资源有限的环境中诊断肺炎.
研究的目的:
- 评估儿童肺炎临床症状的诊断准确性.
- 评估特定的呼吸速率值和胸部输入用于肺炎诊断的有用性.
主要方法:
- 对185名患有咳的8周至6岁儿童进行前性研究.
- 排除患有喘息,,麻疹或百日咳的儿童.
- 记录临床发现和胸部X射线图.
主要成果:
- 30%的儿童有肺炎的放射性证据.
- 呼吸速率>=50/分钟或胸部内显示了46%的积极预测值和83%的负预测值.
- 一个更复杂的太基普涅定义提供了最小的额外诊断益处.
结论:
- 简单的临床症状 (紧张喘息,胸部深入) 对于诊断儿童肺炎非常有价值.
- 这些标志在资源有限的地区的门诊环境中特别有用.
- 复杂的太奇 definitions没有显著提高诊断准确性比更简单的标准.
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