台灣南部地區小兒輪狀病毒胃腸炎之臨床觀察

Clinical Obseivations of Infants and Children with Rotavirus Gastroenteritis in Southern Taiwan

羅韻珊(Yun-Shan Lo) ； 黃碧蓮(Bih-Liang Huang) ； 蔡麗玉(Li-Yu Tsai) ； 呂志中(Chu-Chong Lu) ； 陳添享(Tien-Siang Chen)

《The Kaohsiung Journal of Medical Sciences》 4卷6期 (1988/06) Pp. 358-363

https://doi.org/10.6452/KJMS.198806.0358

摘要

高雄醫學院小兒科自民國73年10月至75年12月因急性胃腸炎住院病兒有345例。其中有做大便Rotazyme檢查的病例共105例。結果呈陽性反應而診斷為輪狀病毒胃腸炎者佔61例〈58.1%〉。輪狀病毒胃腸炎患者年齡以6個月至24個月為最多〈佔683.9%〉，且男比女多。流行高峯為每年一、二月。臨床症中以胃腸疾病為主，其中水樣腹瀉〈93.4%〉最常見，其次是嘔吐〈82%〉，再其次為發燒〈72.1%〉及咳嗽〈45.9%〉等；臨床表徵有脫水症狀者佔45.9%，中度以上脫水者佔21.3%；同時發生痙攣者有4例；一例合併中耳炎。實驗室檢查結果：白血球平均值為9.7±1.5×103/mm3。7例〈11.5%〉有低血鈉，1例有高血鈉，其餘病例血中電解質及酸鹼值均無大變化。大便常歸檢查中有發現白血球者佔16.9%，潛血反應陽性者有202.8%。大部份病兒在四天後，症狀均改善。
非輪狀病毒感染的患者論床徵狀及實驗室檢查結果與輪狀病毒感染者無大差異。但輪狀病毒胃腸炎有較多咳嗽及流鼻水，而非輪狀病毒胃腸炎患者，糞便檢查則有較多的白血球。

並列摘要

One hundred and five cases of acute gastroenteritis were admitted to KMCH from October 1984 to December 1986. They received a Rotazyme test from a fresh stool sample. Sixty-one cases (58.1%) were found to be positive and diagnosed as having rotavirus gastroenteritis. The most common age distribution of rotavirus gastroenteritis was between 6-months-old and 24-months-old (63.9%). The peak of incidence was in January and February. Clinical manifestations of the human rotavirus positive (HRV+) gastroenteritis included watery diarrhea (93.4%), vomiting (82%), fever (72.1%), cough (45.9%) and dehydration (45.9%). Most of the cases had normal serum electrolytes and blood gas analysis except for 7 cases having hyponatremia and 1 case hypernatremia. The stool character showed watery (93.4), mucoid (37.3%), blood-tinged (6.8%) in appearance. The stool routine examinations showed pus cell (16.9%), occult blood (22.8%), reducing substance (14%). Four cases were complicated with convulsion and one case had otitis media.

並列關鍵字

rotvirus gastroenteritis ； rotazyme test ； southern Taiwan