儿童流感相关的神经并发症:来自阿曼单中心研究的见解
Juhaina Al-Rashdi1, Fatma BaAlawi1,2,3, Khuloud Al Maamari1,2,3
1From the Oman Medical Speciality Board.
The Pediatric infectious disease journal
|November 11, 2025
概括
流感相关的神经系统并发症 (IANC) 影响5.6%的A型或B型流感儿童,发烧发作是最常见的. 这些并发症,特别是在5岁以下的儿童中,具有显著的死亡风险,这强调了流感免疫接种的必要性.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 流感感染可能会导致严重的疾病和死亡,特别是在神经系统方面.
- 流感相关的神经系统并发症 (IANC) 在儿科病例中是一个严重的,尽管不常见的后果.
研究的目的:
- 为了确定确诊流感A或B的儿童IANC的频率.
- 描述儿童IANC的临床特征,神经成像,实验室发现,治疗方法,结果和危险因素.
主要方法:
- 儿童患者 (<18岁) 的回顾性队列研究 (2012-2023) 确诊的甲型/乙型流感.
- 纳入标准需要IANC的确诊诊.
- 提取和分析了临床表现,神经成像,实验室结果和结果的数据.
主要成果:
- 在680名流感阳性儿童中,38名 (5.6%) 患有IANC,平均年龄为4岁.
- 中枢神经系统并发症是最常见的 (86.8%),包括发烧性发作 (39.5%) 和流感相关的脑病变 (26.3%).
- 死亡率为13.2%,免疫性并发症被确定为显著的危险因素 (P=0.005).
结论:
- IANC不常见,但危及生命,儿童死亡率高.
- IANC在5岁以下的儿童中更为频繁,这凸显了流感疫苗接种在这个年龄组的重要性.
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