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儿科临床常见到单纯疱疹病毒(HSV)所致的感染,多数为口腔粘膜、皮肤和会阴部自限性疾患,但生命器官的严重感染亦有所增加。除新生儿外,肺部HSV感染的报告,小儿期并不多见。随着抗严重HSV 感染的化疗出现,对此病认识的重要性也在增加。兹介绍2例小儿HSV肺炎。病例报告例1,7岁男。患有先天愚型并发心内膜垫缺损和继发肺动脉高压。因肺炎于某医疗中心住院10次,这次住院前1周,出现低热和咳嗽,在其他医院曾吸氧和静脉输注氢苄青霉素。因呼吸困难加重乃又转此医疗中心。入院检查,营养良好,不合作,呈典型先天愚型特征。体温38.5℃,脉搏160/分,呼吸40/分,血压102/64,甲床和口唇青紫。听诊有上气
Pediatric clinical common to herpes simplex virus (HSV) caused by the infection, the majority of oral mucosa, skin and perineal self-limiting disorders, but the serious infections of vital organs also increased. In addition to newborns, reports of pulmonary HSV infection are rare in infancy. With the emergence of chemotherapy for severe HSV infections, the importance of recognizing the disease is increasing. Here are 2 cases of pediatric HSV pneumonia. Case report 1, 7 years old male. Suffering from Down’s syndrome complicated with endocardial cushion defects and secondary pulmonary hypertension. Because of pneumonia in a medical center hospital 10 times, 1 week before the hospital, fever and cough, in other hospitals have oxygen and intravenous infusion of ampicillin. Due to increased breathing difficulties and then transferred to the medical center. Admission examination, nutrition is good, non-cooperation, showed a typical feature of Down’s syndrome. Body temperature 38.5 ℃, pulse 160 / min, breathing 40 / min, blood pressure 102/64, nail bed and lips bruising. Auscultation have gas