• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

尼日利亚五岁以下住院肺炎患儿的低氧血症

Hypoxaemia in hospitalised under-five Nigerian children with pneumonia.

作者信息

Ibraheem R M, Johnson W B, Abdulkarim A A

机构信息

Department of Paediatrics & Child Health, University of Ilorin Teaching Hospital,Ilorin, Kwara State, Nigeria.

出版信息

West Afr J Med. 2014 Jan-Mar;33(1):37-43.

PMID:24872265
Abstract

BACKGROUND

Hypoxaemia constitutes a possible complication of severe respiratory illness which is often under-reported in developing countries. Therefore, the current study was carried out to determine the prevalence and clinical predictors of hypoxaemia in hospitalized under-five children with pneumonia in Ilorin, Nigeria.

METHODS

This is a descriptive cross-sectional study of 200 children aged between two months and five years with pneumonia recruited consecutively. Socio-demographic, clinical and laboratory data were obtained. The pulse oximetry measurement was recorded after a stable reading for at least one minute while the child was breathing room air. Hypoxaemia was defined as an arterial oxygen saturation of less than 90%. Data was analyzed using the SPSS 20.0 software.

RESULTS

The male/female ratio was 1.5:1.The prevalence of hypoxaemia in the children with pneumonia was 41.5%.Using a linear regression analysis, the clinical features that were significantly associated with hypoxaemia were restlessness, lower chest wall indrawing, bronchial breath sounds and tender hepatomegaly (p<0.05 each). Restlessness had a sensitivity of 22.9%, specificity of 91.5%, while chest wall indrawing had a sensitivity of 86.7% and specificity of 53.3%. Bronchial breath sound had a sensitivity of 16.9%, a specificity of 95.7% whereas tender hepatomegaly had a sensitivity of 48.2% and specificity of 82.9%.

CONCLUSION

There is a high local burden of pneumonia-associated hypoxaemia. Restlessness, chest wall indrawing, bronchial breath sounds and tender hepatomegaly could be useful in detecting pneumonia-related hypoxemia in poorly equipped health facilities.

摘要

背景

低氧血症是严重呼吸道疾病的一种可能并发症,在发展中国家往往报告不足。因此,本研究旨在确定尼日利亚伊洛林市五岁以下住院肺炎儿童低氧血症的患病率及临床预测因素。

方法

这是一项描述性横断面研究,连续招募了200名年龄在两个月至五岁之间的肺炎儿童。获取了社会人口学、临床和实验室数据。在儿童呼吸室内空气且读数稳定至少一分钟后记录脉搏血氧饱和度测量值。低氧血症定义为动脉血氧饱和度低于90%。使用SPSS 20.0软件进行数据分析。

结果

男女比例为1.5:1。肺炎儿童中低氧血症的患病率为41.5%。通过线性回归分析,与低氧血症显著相关的临床特征为烦躁不安、下胸壁凹陷、支气管呼吸音和肝脏触痛(每项p<0.05)。烦躁不安的敏感度为22.9%,特异度为91.5%,而下胸壁凹陷的敏感度为86.7%,特异度为53.3%。支气管呼吸音的敏感度为16.9%,特异度为95.7%,而肝脏触痛的敏感度为48.2%,特异度为82.9%。

结论

肺炎相关低氧血症的当地负担很重。烦躁不安、胸壁凹陷、支气管呼吸音和肝脏触痛有助于在设备简陋的医疗机构中检测与肺炎相关的低氧血症。

相似文献

1
Hypoxaemia in hospitalised under-five Nigerian children with pneumonia.尼日利亚五岁以下住院肺炎患儿的低氧血症
West Afr J Med. 2014 Jan-Mar;33(1):37-43.
2
Potential risk of hypoxaemia in patients with severe pneumonia but no hypoxaemia on initial assessment: a prospective pilot trial.初始评估无低氧血症的重症肺炎患者发生低氧血症的潜在风险:一项前瞻性试点试验
Paediatr Int Child Health. 2012 Feb;32(1):22-6. doi: 10.1179/2046905511Y.0000000001.
3
Prevalence and predictors of hypoxaemia in respiratory and non-respiratory primary diagnoses among emergently ill children at a tertiary hospital in south western Nigeria.尼日利亚西南部一家三级医院急诊患儿呼吸和非呼吸原发性诊断中低氧血症的患病率及预测因素
Trans R Soc Trop Med Hyg. 2013 Nov;107(11):699-705. doi: 10.1093/trstmh/trt082. Epub 2013 Sep 23.
4
Hypoxaemia in children with severe pneumonia in Papua New Guinea.巴布亚新几内亚重症肺炎患儿的低氧血症
Int J Tuberc Lung Dis. 2001 Jun;5(6):511-9.
5
Hypoxaemia in young Kenyan children with acute lower respiratory infection.患有急性下呼吸道感染的肯尼亚幼儿中的低氧血症
BMJ. 1993 Mar 6;306(6878):612-5. doi: 10.1136/bmj.306.6878.612.
6
Clinical predictors of acute radiological pneumonia and hypoxaemia at high altitude.高海拔地区急性放射性肺炎和低氧血症的临床预测因素。
Arch Dis Child. 1994 Oct;71(4):323-7. doi: 10.1136/adc.71.4.323.
7
Clinical predictors and outcome of hypoxaemia among under-five diarrhoeal children with or without pneumonia in an urban hospital, Dhaka, Bangladesh.孟加拉国达卡市城市医院中伴有或不伴有肺炎的五岁以下腹泻儿童低氧血症的临床预测因素和结局。
Trop Med Int Health. 2012 Jan;17(1):106-11. doi: 10.1111/j.1365-3156.2011.02890.x. Epub 2011 Sep 23.
8
Can clinical symptoms or signs accurately predict hypoxemia in children with acute lower respiratory tract infections?临床症状或体征能否准确预测急性下呼吸道感染儿童的低氧血症?
Indian Pediatr. 2004 Feb;41(2):129-35.
9
The prevalence of hypoxaemia among ill children in developing countries: a systematic review.发展中国家患病儿童低氧血症的患病率:一项系统评价。
Lancet Infect Dis. 2009 Apr;9(4):219-27. doi: 10.1016/S1473-3099(09)70071-4.
10
Epidemiology of hypoxaemia in children with acute lower respiratory infection.急性下呼吸道感染患儿低氧血症的流行病学
Int J Tuberc Lung Dis. 2001 Jun;5(6):496-504.

引用本文的文献

1
Epidemiology of Hypoxic Community-Acquired Pneumonia in Children Under 5 Years of Age: An Observational Study in Northern India.5岁以下儿童缺氧性社区获得性肺炎的流行病学:印度北部的一项观察性研究
Front Pediatr. 2022 Feb 9;9:790109. doi: 10.3389/fped.2021.790109. eCollection 2021.
2
Prevalence of hypoxaemia in children with pneumonia in low-income and middle-income countries: a systematic review and meta-analysis.中低收入国家儿童肺炎患者低氧血症的患病率:系统评价和荟萃分析。
Lancet Glob Health. 2022 Mar;10(3):e348-e359. doi: 10.1016/S2214-109X(21)00586-6.
3
Hypoxaemia prevalence and its adverse clinical outcomes among children hospitalised with WHO-defined severe pneumonia in Bangladesh.
孟加拉国世界卫生组织定义的严重肺炎住院儿童低氧血症的患病率及其不良临床结局。
J Glob Health. 2021 Sep 11;11:04053. doi: 10.7189/jogh.11.04053. eCollection 2021.
4
Severity of Pneumonia in Under 5-Year-Old Children from Developing Countries: A Multicenter, Prospective, Observational Study.发展中国家5岁以下儿童肺炎的严重程度:一项多中心、前瞻性、观察性研究。
Am J Trop Med Hyg. 2017 Jul;97(1):68-76. doi: 10.4269/ajtmh.16-0733.