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2016 年儿科学的进展:过敏、自身免疫性疾病、心脏病学、内分泌学、胃肠病学、传染病学、新生儿学、肾脏病学、神经病学、营养学、肺病学的当前实践和挑战。

Advances in paediatrics in 2016: current practices and challenges in allergy, autoimmune diseases, cardiology, endocrinology, gastroenterology, infectious diseases, neonatology, nephrology, neurology, nutrition, pulmonology.

机构信息

Clinica Pediatrica, Department of Medicine and Surgery, Azienda Ospedaliera-Universitaria, University of Parma, Via Gramsci, 14, Parma, Italy.

Department of Translational Medical Sciences, Federico II University, Naples, Italy.

出版信息

Ital J Pediatr. 2017 Sep 16;43(1):80. doi: 10.1186/s13052-017-0401-9.

Abstract

This review reports main progresses in various pediatric issues published in Italian Journal of Pediatrics and in international journals in 2016. New insights in clinical features or complications of several disorders may be useful for our better understanding. They comprise severe asthma, changing features of lupus erythematosus from birth to adolescence, celiac disease, functional gastrointestinal disorders, Moebius syndrome, recurrent pneumonia. Risk factors for congenital heart defects, Kawasaki disease have been widely investigated. New diagnostic tools are available for ascertaining brucellosis, celiac disease and viral infections. The usefulness of aCGH as first-tier test is confirmed in patients with neurodevelopmental disorders. Novel information have been provided on the safety of milk for infants. Recent advances in the treatment of common disorders, including neonatal respiratory distress syndrome, hypo-glycemia in newborns, atopic dermatitis, constipation, cyclic vomiting syndrome, nephrotic syndrome, diabetes mellitus, regurgitation, short stature, secretions in children with cerebral palsy have been reported. Antipyretics treatment has been updated by national guidelines and studies have excluded side effects (e.g. asthma risk during acetaminophen therapy). Vaccinations are a painful event and several options are reported to prevent this pain. Adverse effects due to metabolic abnormalities are reported for second generation antipsychotic drugs.

摘要

这篇综述报告了 2016 年在《意大利儿科学杂志》和国际期刊上发表的儿科相关主要进展。几种疾病的临床特征或并发症的新认识可能有助于我们更好地理解这些疾病。这些进展包括严重哮喘、红斑狼疮从出生到青春期的特征变化、乳糜泻、功能性胃肠疾病、Moebius 综合征、复发性肺炎。先天性心脏病、川崎病的危险因素已得到广泛研究。新的诊断工具可用于确定布鲁氏菌病、乳糜泻和病毒感染。aCGH 作为一线检测手段在神经发育障碍患者中的应用得到了证实。有关婴儿牛奶安全性的新信息也已提供。最近在治疗常见疾病方面取得了进展,包括新生儿呼吸窘迫综合征、新生儿低血糖、特应性皮炎、便秘、周期性呕吐综合征、肾病综合征、糖尿病、反流、身材矮小、脑瘫儿童的分泌物等。国家指南更新了退热治疗,并进行了研究以排除副作用(例如,对乙酰氨基酚治疗期间哮喘风险)。疫苗接种是一件痛苦的事情,有几种选择可以预防这种疼痛。第二代抗精神病药物的代谢异常会导致不良反应。

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