https://scholars.lib.ntu.edu.tw/handle/123456789/194841
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 小兒科 | en |
dc.contributor.author | Hsia, Shao-Hsuan | en |
dc.contributor.author | Wu, Chang-Teng | en |
dc.contributor.author | Chang, Jia-Jen | en |
dc.contributor.author | Lin, Tzou-Yien | en |
dc.contributor.author | Chung, Hung-Tao | en |
dc.contributor.author | Lin, Kuang-Lin | en |
dc.contributor.author | Hwang, Mao-Sheng | en |
dc.contributor.author | Chou, Min-Liang | en |
dc.contributor.author | Chang, Luan-Yin | en |
dc.creator | 張鑾英 | zh-tw |
dc.creator | Hsia, Shao-Hsuan; Wu, Chang-Teng; Chang, Jia-Jen; Lin, Tzou-Yien; Chung, Hung-Tao; Lin, Kuang-Lin; Hwang, Mao-Sheng; Chou, Min-Liang; Chang, Luan-Yin | en |
dc.date | 2005 | en |
dc.date.accessioned | 2008-12-22T03:17:08Z | - |
dc.date.accessioned | 2018-07-11T17:53:22Z | - |
dc.date.available | 2008-12-22T03:17:08Z | - |
dc.date.available | 2018-07-11T17:53:22Z | - |
dc.date.issued | 2005 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/92597 | - |
dc.description.abstract | Background: Enterovirus 71 (EV71) can sometimes cause fatal or disabling diseases in children; therefore EV71-infected children with cardiopulmonary failure were investigated at Chang Gung Children's Hospital to discover the prognostic predictors. Methods: We investigated 27 EV71-infected children with cardiopulmonary failure from May 2000 to September 2001 and analyzed their clinical data to find predictors associated with unfavorable outcomes of deaths or ventilator dependence. Results: Of the 27 patients, 8 (30%) died and 10 (37%) were ventilator- dependent. Troponin I levels correlated most strongly with fatality, with 5 of the 6 children with troponin I levels >40 ng/ml dying (P = 0. 001). Other factors correlated with fatality were cerebrospinal fluid white blood cell count >=100/[mu]L (P = 0.002) and initial systolic pressure <= 100 mm Hg (P = 0.05). Of the 19 survivors, 10 (53%) were left with central hypoventilation, dysphagia and/or limb weakness plus atrophy . The factors associated with ventilator dependence included higher inotrope equivalent (P < 0.001), duration of hypotension >=40 hours, initial blood systolic pressure <= 100 mm Hg, positive EV71 isolation and age >=12 months. Conclusions: Poor prognostic factors were related to cardiovascular and neurologic damage; therefore physicians may consider advanced cardiovascular support for EV71- infected children with cardiopulmonary failure.(C) 2005 Lippincott Williams & Wilkins, Inc. | en |
dc.language | en-us | en |
dc.language.iso | en_US | - |
dc.relation | PEDIATRIC INFECTIOUS DISEASE JOURNAL v.24 n.4 pp.331-334 | en |
dc.relation.ispartof | PEDIATRIC INFECTIOUS DISEASE JOURNAL | - |
dc.subject | Enterovirus 71 | en |
dc.subject | Cardiopulmonary Failure | en |
dc.subject | Predictor | en |
dc.subject | Troponin I | en |
dc.subject | fatality | en |
dc.subject | sequelae | en |
dc.title | Predictors of Unfavorable Outcomes in Enterovirus 71-Related Cardiopulmonary Failure in Children | en |
dc.type | journal article | en |
dc.relation.pages | 331-334 | - |
dc.relation.journalvolume | v.24 | - |
dc.relation.journalissue | n.4 | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.languageiso639-1 | en_US | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
顯示於: | 醫學系 |
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