小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 哮鸣音
- 呼吸短促
- 急性迟缓性肢体无力
其他诊断因素
- 鼻溢(流涕)
- 咳嗽
- 打喷嚏
- 肌痛
- 发热
危险因素
- 年龄<18 岁
- 哮喘、喘息病史
- 慢性肺疾病史
- 夏末或秋季
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 呼吸系统病毒检测
- 实时逆转录(rRT)PCR 检测或分子测序
- 脉搏血氧测量测定法
- 脊柱和脑部增强 MRI
- 腰椎穿刺
- 肌电图
治疗流程
伴有轻度上呼吸道症状
伴有哮喘加重或不明原因的严重下呼吸道疾病
伴有急性无力脊髓炎
撰稿人
作者
Charles Foster, MD

Staff Physician
Center for Pediatric Infectious Diseases
Pediatric Institute
Cleveland Clinic
Cleveland
OH
利益声明
CF declares that he has no competing interests.
Giovanni Piedimonte, MD, FAAP, FCCP

Professor & Chair
Pediatric Institute
Physician-in-Chief
Cleveland Clinic Children’s Hospital
Cleveland Clinic
Cleveland
OH
利益声明
GP declares that he has no competing interests.
Neil R. Friedman, MD

Director
Center for Pediatric Neurology
Neurological Institute
Cleveland Clinic
Cleveland
OH
利益声明
NRF declares that he has no competing interests.
同行评议者
Feras Khan, MD
Clinical Assistant Professor
Emergency Medicine Physician
Department of Emergency Medicine
University of Maryland School of Medicine
Baltimore
MD
利益声明
FK declares that he has no competing interests.
Samuel R. Dominguez, MD, PhD
Associate Professor
Pediatric Infectious Disease
Children’s Hospital Colorado and University of Colorado School of Medicine
Aurora
CO
利益声明
SRD declares that he has no competing interests.
鉴别诊断
- 鼻病毒感染
- 季节性流感
- 呼吸道合胞病毒感染
更多 鉴别诊断指南
- 急性无力脊髓炎(AFM):初始评估和诊断性检查
- 急性无力脊髓炎( AFM):AFM 紧急药物治疗的临床指导
更多 指南登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
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