Page 203 - 北京京煤集团总医院第十届·2022学术年会论文集

北京京煤集团总医院 第十届·2022 学术年会论文集

甲乙型流感对患儿肌酸激酶不同影响病例报道 1 例

吴亚楠，袁红梅，焦素敏（北京京煤集团总医院儿科，北京市 102300）

【摘要】流行性感冒是一种由流感病毒引起的急性呼吸道传染病，潜伏期短，经呼吸道飞沫

传播，传播速度快，流行呈一定的季节性，每年 10 月我国各地陆续进入流感流行季节，虽
然流感病毒感染大部分为自限性，但是仍有少数进展为重症。儿童是流感病毒感染的高危人

群。本文报道了一例患儿四个月内，先后感染甲型流感和乙型流感,感染后血肌酸激酶均出

现不同程度升高，但乙型流感病毒感染后血肌酸激酶升高近 20 倍，经积极治疗后肌酸激酶

下降至正常，且无后遗症，故诊断为重症流感、儿童急性良性肌炎。借此病例以提示临床医

生对不同流感引起肌酸激酶不同变化的认识，复习重症流感的诊断标准，警惕重症流感及其

并发症的出现，为临床工作提供借鉴。

【关键词】甲型流感；乙型流感；肌酸激酶；儿童；急性良性肌炎；

A case report of different effects of influenza A and B on creatine kinase in

children

【Abstract】Influenza is an acute respiratory infectious disease caused by influenza virus, which

has a short incubation period and spreads quickly through respiratory droplets, and the epidemic is

seasonal. Every October, all parts of our country enter the influenza epidemic season one after

another. Although most of the infection with influenza virus is self-limited. there are still a few
cases of severe influenza. Children are at high risk of influenza virus infection. This paper reports a

case of a child who was successively infected with influenza A and influenza B within four months.

the serum creatine kinase increased in varying degrees after infection, however, the serum creatine

kinase increased nearly 20 times after infection with influenza B virus. after active treatment,

creatine kinase decreased to normal, and there were no sequelae, so it was diagnosed as severe

influenza and acute benign myositis. This case is used to suggest clinicians' understanding of

different changes of creatine kinase caused by different influenza, review the diagnostic criteria of

severe influenza, and guard against the emergence of severe influenza and its complications, so as

to provide reference for clinical work.

【Key words】Influenza A virus，Influenza B virus，creatine kinase，Child，Acute benign myositis

流行性感冒是我国每年冬春季常见呼吸道传染性疾病，亦可造成全球大流行，患者及隐

匿感染者均为传染源。流感病毒感染常见临床表现为发热、咽痛、乏力等呼吸道症状，少部

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