肠病毒 D-68

最后审阅: 1 Sep 2023
最后更新: 17 Nov 2022

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
更多 关键诊断因素

其他诊断因素

  • 鼻溢(流涕)
  • 咳嗽
  • 喷嚏
  • 肌痛
  • 发热
其他诊断因素

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
更多 危险因素

诊断性检查

首要检查

  • 临床诊断
更多 首要检查

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
  • 脊髓灰质炎病毒检测
更多 需考虑的检查

治疗流程

持续性治疗

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

伴有急性弛缓性脊髓炎

撰稿人

作者

Charles B. Foster, MD
Charles B. Foster

Professor of Pediatrics

Medical Director of Pediatric Infection Prevention

Center for Pediatric Infectious Diseases

Cleveland Clinic Children’s

Cleveland Clinic

Cleveland

OH

利益声明

CF declares that he has no competing interests.

Giovanni Piedimonte, MD, FAAP, FCCP
Giovanni Piedimonte

Vice-President for Research and Institutional Official

Office of Research; Departments of Pediatrics, Biochemistry & Molecular Biology

Tulane University

New Orleans

LA

利益声明

GP declares that he has no competing interests.

Neil R. Friedman, MD
Neil R. Friedman

Interim Director, Barrow Neurological Institute at Phoenix Children’s

Director of Clinical Transformation

Barrow Neurological Institute at Phoenix Children’s

Phoenix

AZ

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.

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