Clinical Analysis of Measles in Children in Intensive Care Unit
Objective To analyze the clinical characteristics of children with measles admitted to intensive care unit(ICU),and to provide evidence for clinicians to diagnose and treat children with severe measles.Methods The clinical data of 54 children with measles admitted to ICU of Beijing Ditan Hospital,Capital Medical University from 2009 to 2019 were retrospectively analyzed.The children were divided into survival group and death group according to disease prognosis,to compare the clinical characteristics of the two groups.Results Among the 54 cases,35 cases(64.8％)were males,19 cases(35.2％)were females,the age was 8.7(6.6,13.0)months,most children under 1 years old,was 39 cases(72.2％).Death group was 17 cases(31.5％),7 cases(41.2％)were males,10 cases(58.8％)were females,12 cases(70.6％)were＜1 year old,9 cases(52.9％)had underlying diseases.The most common complication was severe pneumonia(100.0％).The incidence of acute respiratory distress syndrome(ARDS),shock and mechanical ventilation in death group were higher than those in survival group,and the differences were statistically significant(P＜0.05).Conclu-sion Children with measles admitted to ICU,especially those with underlying diseases,have a higher risk of death when ARDS or pul-monary air leakage occurs simultaneously.Early identification of complications,timely mechanical ventilation support and other compre-hensive treatment are the key to reduce mortality.
ChildrenMeaslesClinical analysisIntensive care unit
万方数据
维普
