呼吸道合胞病毒感染

最后审阅: 27 四月 2022
最后更新: 09 九月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 流涕/鼻塞
  • 呼吸急促
  • 免疫缺陷
  • 呼吸功增加
  • 咳嗽
  • 喘鸣
  • 饮食不佳
  • 发绀
  • 啰音
  • 呼吸暂停
更多 关键诊断因素

其他诊断因素

  • 发热
其他诊断因素

危险因素

  • RSV 暴露
  • 有血流动力学意义的先天性心脏病
  • 早产史
  • 免疫缺陷
  • 慢性肺疾病
  • 近期未针对 RSV 进行免疫预防的高风险婴儿
  • 6 月龄以下婴儿
  • 冬季
  • 老人
  • 烟雾暴露
  • 哮喘家族史
  • 唐氏综合征
更多 危险因素

诊断性检查

首要检查

  • 脉搏血氧测量测定法
更多 首要检查

需考虑的检查

  • 胸部 X 线检查
  • 呼吸道采样(例如鼻咽吸出物)进行直接荧光抗体染色
  • 对呼吸道样本(例如鼻咽吸出物)进行逆转录聚合酶链反应检测
  • 呼吸道样本的病毒培养(例如,鼻咽抽吸物)
更多 需考虑的检查

治疗流程

急症处理

轻度或自限性疾病

中度疾病

严重疾病

持续性治疗

严重 RSV 疾病风险高

撰稿人

作者

Giovanni Piedimonte, MD, FAAP, FCCP

Vice President for Research

Professor of Pediatrics, Biochemistry & Molecular Biology

Tulane University School of Medicine

New Orleans

LA

利益声明

GP declares that he has no competing interests.

Margot Anderson, MD

Assistant Professor of Clinical Pediatrics

Section of Infectious Diseases and Hospital Medicine

Tulane University School of Medicine

Tulane University

New Orleans

LA

利益声明

MA declares that she has no competing interests.

鸣谢

Dr Giovanni Piedimonte and Dr Margot Anderson would like to gratefully acknowledge Dr Frank Esper and Dr Melvin L. Wright, previous contributors to this topic.

利益声明

FE is on an advisory board for Procter and Gamble. MLW declares that he has no competing interests.

同行评议者

Leonard R. Krilov, MD

Chief

Pediatric Infectious Disease

Vice Chairman

Department of Pediatrics

Children's Medical Center

Winthrop University Medical Center

Mineola

Professor of Pediatrics

School of Medicine

Stony Brook University Medical Center

Stony Brook

NY

利益声明

LRK has participated as an investigator in multiple clinical research trials supported by grants from MedImmune. LRK has also served as a consultant to MedImmune on medical advisory boards and is a member of their speakers' bureau.

Robert Welliver, MD

Professor of Pediatrics

Women and Children's Hospital

Buffalo

NY

利益声明

RW declares that he has no competing interests.

Jennifer Handforth, MB ChB, MRCPCH, DTM&H

Consultant Paediatrician

Croydon University Hospital

Croydon

UK

利益声明

JH declares that she has no competing interests.

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