Clinical Characteristics and Risk Factors of Measles Complicated with Bronchopneumonia in Infants Younger Than 8 Months Old

SU Hong-zheng

doi:10.3969/j.issn.1002-3429.2017.05.023

Abstract：Objective To investigate clinical characteristics and risk factors of measles complicated with bronchopneumonia in infants younger than 8 months old.Methods Clinical data of 30 infants younger than 8 months old, who had measles complicated with bronchopneumonia during December 2014 and January 2015, was retrospectively analyzed.Results Age of the 30 infants was 2-8 (7.2±2.3) months, and the disease all occurred in spring and winter.There were 15 infants with clear contact history of measles and 13 infants with history of respiratory disease.All infants had different degrees of skin rash, fever and cough, 23 infants combined with mucous plaque, 19 infants with conjunctivitis, 17 infants with diarrhea, 10 infants with running nose;7 infants had pulmonary moist crackles, 3 infants with pulmonary dry and moist crackles.All infants underwent medication treatments such as antibiotics, antiviral drugs and glucocorticoids;28 infants were cured or improved, and then were discharged, and the other 2 infants were transferred to another hospital for treatment.Infants equal or more than 4 months old, winter and spring and having history of respiratory disease were risk factors of infants with measles combined with bronchopneumonia younger than 8 months old.Conclusion The main manifestations of infants younger than 8 months old with measles complicated with bronchopneumonia include fever, skin rash, cough, mucous plaque, runny nose, conjunctivitis, dyspnea and diarrhea, associated by increased white blood cells and granulocytes.Chest X-ray examination shows increased thickening and blurring lung markings and pulmonary exudative lesions.Infants equal or more than 4 months old, winter and spring and having history of respiratory disease are the risk factors.