最近审阅: 25 十月 2020
最近更新: 18 十二月 2018

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
  • 呼吸功增加
  • 咳嗽
  • 喘鸣
  • 饮食不佳
  • 发绀
  • 啰音
  • 呼吸暂停

危险因素

  • RSV 暴露
  • 复杂型先天性心脏病
  • 早产史
  • 免疫功能受损
  • 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

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
  • 呼吸道采样(例如鼻咽吸出物)进行酶联免疫吸附试验
  • 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

撰稿人

Center for Pediatric Infectious Diseases

Cleveland Clinic Children’s Hospital

Cleveland

OH

利益声明

FE declares that he has no competing interests.

The Steven and Nancy Calabrese Endowed Chair for Excellence in Pediatric Care, Research, and Education

Professor & Chair of Pediatrics

Cleveland Clinic Lerner College of Medicine

Case Western Reserve University

Chief

Global Pediatric Research Operations

Cleveland Clinic Foundation

Director

Center for Pediatric Research

Lerner Research Institute

Cleveland

OH

利益声明

GP declares that he has no competing interests.

Dr Frank Esper and Dr Giovanni Piedimonte would like to gratefully acknowledge Dr Melvin L. Wright, a previous contributor to this topic.

利益声明

MLW declares that he has no competing interests.

同行评议者展开全部内容

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.

Professor of Pediatrics

Women and Children's Hospital

Buffalo

NY

利益声明

RW declares that he has no competing interests.

Consultant Paediatrician

Croydon University Hospital

Croydon

UK

利益声明

JH declares that she has no competing interests.

内容使用需遵循免责声明