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目的探讨婴幼儿秋季腹泻患儿临床表现为全身炎症反应综合征(SIRS)的比例。方法对2004年10月～12月收住玉溪市医院儿内科的148例秋季腹泻患儿,按全身炎症反应综合征四项诊断标准进行观察。结果达到SIRS诊断标准的有32例,其中符合2项诊断标准的有22例,符合3项诊断的8例,符合4项诊断标准的有2例。表现为SIRS的32例患儿有30例治愈出院,有2例病情危重家属放弃治疗,治愈率93.8%。结论婴幼儿秋季腹泻不单纯是消化系统的疾病,而有部分病例表现为SIRS,发病率为21.6%。25例检测心肌酶,有13例异常(52.0%)。
Objective To investigate the clinical manifestations of infantile autumn diarrhea in children with systemic inflammatory response syndrome (SIRS). Methods A total of 148 children with autumnal diarrhea admitted to Yuxi City Children’s Hospital from October to December 2004 were enrolled in this study. Four diagnostic criteria of systemic inflammatory response syndrome were observed. Results There were 32 cases which reached the diagnostic criteria of SIRS. Among them, 22 cases met the two diagnostic criteria, 8 cases met the three diagnostic criteria, and two cases met the four diagnostic criteria. Thirty-two cases of 32 infants who showed SIRS were cured and discharged, and two of them gave up their treatment after treatment. The cure rate was 93.8%. Conclusions Infantile autumn diarrhea is not merely a digestive system disease, but some cases show SIRS, the incidence rate is 21.6%. Twenty-five patients tested for myocardial enzymes, 13 were abnormal (52.0%).