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[呼吸道病毒在婴儿阻塞性支气管炎病因学中的作用]

[The role of respiratory tract viruses in the etiology of obstructive bronchitis in infants].

作者信息

Wilczyński J, Jankowski M, Torbicka E, Roszkowska-Sliz L, Kurkiewicz E

机构信息

Zakład Wirusologii PZH w Warszawie.

出版信息

Med Dosw Mikrobiol. 1990;42(3-4):131-7.

PMID:2084449
Abstract

Out of 524 children with acute respiratory infections in 141 obstructive bronchitis was diagnosed (OZO). Seventy cases could be linked to viral infection. Viral infections tested (influenza virus A, B, parainfluenza typ 1-3, RSV, adenoviruses) were more frequently associated with OZO than other acute respiratory infections of unknown etiology. Majority infections induced by influenza virus A and parainfluenza virus typ 2 were accompanied by OZO symptoms. Of the highest risk of acquiring OZO despite of viral infection participation, were children of 4-12 months of age. OZO associated viral infections prevailed during autumn-winter season, while in spring-summer period undetermined factors were the major cause of OZO. In serum samples of children with OZO, despite of etiology of the disease, higher level of IgE was found than in a group of children without the symptoms. In the case of OZO of unestablished etiology the level of serum IgE was significantly higher than in the cases when viral etiology of the disease was found.

摘要

在524名患有急性呼吸道感染的儿童中,诊断出141例阻塞性支气管炎(OZO)。其中70例与病毒感染有关。所检测的病毒感染(甲型、乙型流感病毒,1 - 3型副流感病毒,呼吸道合胞病毒,腺病毒)比其他病因不明的急性呼吸道感染更常与OZO相关。甲型流感病毒和2型副流感病毒引起的大多数感染都伴有OZO症状。尽管有病毒感染参与,但4至12个月大的儿童患OZO的风险最高。与OZO相关的病毒感染在秋冬季节较为普遍,而在春夏季节,不确定因素是OZO的主要原因。在患有OZO的儿童血清样本中,无论疾病病因如何,发现其IgE水平均高于无相关症状的儿童组。在病因未明的OZO病例中,血清IgE水平显著高于发现病毒病因的病例。

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