Jackson M A, Burry V F, Olson L C
Department of Infectious Disease, Children's Mercy Hospital, Kansas City, MO. 64108-4698.
Pediatr Infect Dis J. 1992 Jun;11(6):441-5. doi: 10.1097/00006454-199206000-00004.
Between January 1, 1981, and December 31, 1990, 83 previously well children and 20 with stable underlying conditions were hospitalized because of complications of varicella. The mean hospital stay was 4.5 days and one child with pneumonia died. Skin or soft tissue infections and pneumonia were the most common complications. Central nervous system complications (15), dehydration (8) and Reye's syndrome (6) accounted for 75% of the nonsuppurative complications. Cellulitis (7), pneumonia (3) and encephalitis (3) were the most common diagnoses among the 20 children hospitalized greater than or equal to 7 days. No cases of Reye's syndrome were diagnosed after 1984. An increase in the number of soft tissue infections caused by Group A beta-hemolytic streptococci and involving an extremity was noted during the last 5 years. Chickenpox continues to cause significant morbidity in the pediatric population.
1981年1月1日至1990年12月31日期间，83名此前健康的儿童和20名有稳定基础疾病的儿童因水痘并发症住院。平均住院时间为4.5天，1名患肺炎的儿童死亡。皮肤或软组织感染和肺炎是最常见的并发症。中枢神经系统并发症（15例）、脱水（8例）和瑞氏综合征（6例）占非化脓性并发症的75%。蜂窝织炎（7例）、肺炎（3例）和脑炎（3例）是20名住院时间大于或等于7天的儿童中最常见的诊断。1984年后未诊断出瑞氏综合征病例。在过去5年中，注意到A组β溶血性链球菌引起的累及肢体的软组织感染数量有所增加。水痘在儿科人群中仍会导致严重发病。
