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儿童 COVID-19 患者的临床特征:两家族聚集性病例报告。

Clinical features of pediatric patients with COVID-19: a report of two family cluster cases.

机构信息

Department of Pediatrics, Beijing Tsinghua Changgung Hospital Affiliated To Tsinghua University, Litang Road No.168, Changping District, Beijing, 102218, China.

Department of Respiratory Medicine, Beijing Tsinghua Changgung Hospital Affiliated To Tsinghua University, Litang Road No.168, Changping District, Beijing, 102218, China.

出版信息

World J Pediatr. 2020 Jun;16(3):267-270. doi: 10.1007/s12519-020-00356-2. Epub 2020 Mar 16.

Abstract

BACKGROUND

Coronovirus disease 2019 (COVID-19) has spread rapidly across the globe. People of all ages are susceptible to COVID-19. However, literature reports on pediatric patients are limited.

METHODS

To improve the recognition of COVID-19 infection in children, we retrospectively reviewed two confirmed pediatric cases from two family clusters. Both clinical features and laboratory examination results of the children and their family members were described.

RESULTS

The two confirmed children only presented with mild respiratory or gastrointestinal symptoms. Both of them had normal chest CT images. After general and symptomatic treatments, both children recovered quickly. Both families had travel histories to Hubei Province.

CONCLUSIONS

Pediatric patients with COVID-19 are mostly owing to family cluster or with a close contact history. Infected children have relatively milder clinical symptoms than infected adults. We should attach importance to early recognition, early diagnosis, and early treatment of infected children.

摘要

背景

2019 年冠状病毒病(COVID-19)在全球迅速传播。所有年龄段的人都容易感染 COVID-19。然而,关于儿科患者的文献报道有限。

方法

为了提高对儿童 COVID-19 感染的认识,我们回顾性分析了来自两个家庭聚集性的两例确诊的儿科病例。描述了儿童及其家庭成员的临床特征和实验室检查结果。

结果

这两个确诊的孩子仅表现出轻微的呼吸道或胃肠道症状。他们的胸部 CT 图像均正常。经过一般和对症治疗,两个孩子都迅速康复。两个家庭都有前往湖北省的旅行史。

结论

COVID-19 感染的儿科患者主要是家庭聚集性或有密切接触史。感染的儿童的临床症状比感染的成年人相对较轻。我们应该重视对感染儿童的早期识别、早期诊断和早期治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f7/7091281/c14ef250f3ad/12519_2020_356_Fig1_HTML.jpg

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