Thornton A J, Morley C J, Hewson P H, Cole T J, Fowler M A, Tunnacliffe J M
Department of Paediatrics, University of Cambridge.
Arch Dis Child. 1990 Mar;65(3):280-5. doi: 10.1136/adc.65.3.280.
Symptoms were assessed in 298 infants under 6 months old seen at home. Their mothers were asked if they were concerned about their babies and then questioned about the presence, duration, and severity of 28 predefined symptoms. Forty seven mothers expressed concern about their babies (16%), whereas on direct questioning 241 (81%) reported symptoms present within the last 24 hours. One hundred and twenty three (41%) reported three or more. Many of the symptoms occurred in more than 15 babies (5%). The commonest were cold peripheries (117, 39%), noisy breathing (88, 30%), and rash (68, 23%). These had often been present for many days. Only 257/819 reported symptoms (31%) were of recent onset (less than 4 days) with 168 (21%) graded by the mother as moderate or severe. A few highly specific symptoms that were associated with serious conditions were rare. Symptoms cannot be interpreted without detailed questioning taking their severity and duration into account, and most occur too often to be used as indicators for referral.
对298名6个月以下在家就诊的婴儿进行了症状评估。询问他们的母亲是否担心自己的宝宝，然后询问28种预先定义症状的出现情况、持续时间和严重程度。47名母亲表示担心自己的宝宝（16%），而在直接询问时，241名（81%）报告在过去24小时内出现症状。123名（41%）报告有三种或更多症状。许多症状出现在超过15名婴儿身上（5%）。最常见的是四肢冰冷（117例，39%）、呼吸有杂音（88例，30%）和皮疹（68例，23%）。这些症状往往已经出现了很多天。在报告的症状中，只有257/819（31%）是近期出现的（不到4天），其中168例（21%）母亲评为中度或重度。一些与严重疾病相关的高度特异性症状很少见。如果不详细询问症状的严重程度和持续时间，症状就无法得到解释，而且大多数症状出现得过于频繁，不能用作转诊指标。
