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百日咳

最后审阅: 5 Oct 2024
最后更新: 05 Sep 2023

小结

定义

病史和体格检查

关键诊断因素

  • 咳嗽
  • 吸气时鸡鸣音
  • 鼻炎
  • 咳嗽后呕吐
完整详情

其他诊断因素

  • 呼吸暂停
  • 神经系统并发症
完整详情

危险因素

  • 未接种疫苗或疫苗接种不足的状态
  • 与感染者密切接触,特别是在家中
完整详情

诊断性检查

首要检查

  • 鼻咽抽吸物或后鼻咽拭子的培养
  • 鼻咽抽吸物或后鼻咽拭子核酸扩增检测(NAAT)
  • 血清学
  • 全血细胞计数 (FBC)
完整详情

需考虑的检查

  • 胸片
  • 口腔液检测
完整详情

治疗流程

急症处理

小于1个月的婴儿

≥1 月龄的婴幼儿和成人

撰稿人

作者

Elisabeth Adderson, MD

Associate Member

St Jude Children's Research Hospital

Associate Professor of Pediatrics

University of Tennessee Health Sciences Center

Memphis

TN

利益声明

EA declares that she has no competing interests.

鸣谢

Dr Elisabeth Adderson would like to gratefully acknowledge Dr M. Nawal Lutfiyya and Dr Carrie Sharkey-Asner, previous contributors to this topic.

利益声明

MNL declared that she had no competing interests. Unfortunately, we have since been made aware that Dr M. Nawal Lutfiyya is deceased. CSA declares that she has no competing interests.

同行评议者

Anette Faye-Lund, MD

Department of Pediatrics

Hospital of Vestfold

Toensberg

Norway

利益声明

AFL declares that she has no competing interests.

Alexander K.C. Leung, MBBS

Pediatric Consultant

Alberta Children's Hospital

University of Calgary

Alberta

Canada

利益声明

AKCL declares that he has no competing interests.

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    更多 患者教育信息
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