Influenza A H1N1 critically ill children 5 cases of influenza.docVIP

 PAGE \* MERGEFORMAT 17 Influenza A H1N1 critically ill children 5 cases of influenza [Abstract] Objective To investigate influenza H1N1 influenza (flu) the clinical features of children with critical illness, as severe clinical basis for identification of cases. Methods Retrospective analysis of 5 cases of influenza A H1N1 influenza The clinical data of children with critical illness. Results 3 to onset of respiratory symptoms such as cough, runny nose, sore throat and other flu-like symptoms, including 2 cases of progressive dyspnea, respiratory failure, and 1 with fatty acid metabolism, and 1 with streptococcal infection; 1 case to onset of neurological symptoms such as headache, drowsiness, repeated convulsions, coma and into the light; 1 case to onset of digestive symptoms such as nausea, vomiting, abdominal pain, diarrhea, accompanied by encephalopathy performance, decreased platelets , .5 cases of children with Kawasaki disease were secondary fever, nervous system involvement; influenza virus A antibody were positive, ESR, C reactive protein; 2 cases of thrombocytopenia, Google enzyme alanine aminotransferase, and rose significantly high; 3 cases of abnormal blood clotting, chest CT showed extensive bilateral pulmonary exudative changes in .5 children were 2 deaths, 3 patients were cured. Conclusions Influenza A H1N1 influenza in children with more severe respiratory tract symptoms onset, clinical manifestations were diversity, many accompanied by nervous system involvement, can affect multiple systems and organs, acute respiratory distress syndrome, children with poor prognosis. [Keywords:] critically ill patients; Influenza H1N1 influenza; children; pathogen detection; acute respiratory distress syndrome [Abstract] Objective To characterize the clinical feature and treatment of children infected with influenza A (H1N1) virus and to provide reference for identifying severe cases. Methods Clinical data of five children with severe influenza A (H