Objective To explore the effect of bronchofibroscope joint mechanical ventilation on the treatment of the geratie surgery postoperative patients with acute respiratory failure.Methods 62 geratic surgery postoperagedative patients with acute respiratory failure were randomly divided into two groups(control group and treatment group).The treatment group(n=32) applyed bronchofibroscope aspiration and/or bronchial lavage joint mechanical ventilation.The control group(n=30) were treated only with mechanical ventilation.Compare with two groups parameters of arterial blood gas,the time of mechanical ventilation,average in ICU,success rate one time pull out windpipe conduit and case fatality rate.Results Compare with the control group,the treatment group patients parameters of arterial blood gas had been improved significantly;the time of mechanical ventilation and average in ICU had been cut short significantly;all showed a statistical difference(P<0.05).Success rate one time pull out windpipe conduit and case fatality rate were better than the control group,but there were no significant difference(P>0.05).Conclusion The effect of bronchofibroscope joint mechanical ventilation to treat the geratic surgery postoperative patients with acute respiratory failure was better than only mechanical ventilation,which can decrease the time of mechanical ventilation and average in ICU.The method was worth to spread.

OBJECTIVETo identify clinical characteristics of hospitalized laboratory-confirmed influenza cases of children under 15 years old, and their risk factors of influenza infection.

METHODSAnalyzing the reports of hospitalized laboratory-confirmed influenza cases of children under 15 years old who were detected by the sentinel surveillance systems in 10 provinces from December 2009 to June 2014. Such data as their demographic, medical history, clinical symptoms and signs, treatment and outcome were collected using questionnaires, with their clinical characteristics and their risk factors of influenza infection described.

RESULTSOf the 2 937 severe acute respiratory infection inpatients, 190 (6.5%) were laboratory-confirmed influenza cases. 123 (64.7%) of such confirmed cases were male, and 139 (73.2%) were children under 5 years old, with age median of 3.0 years (IQR: 1.0-5.0 years). 20 (10.5%) of them had at least one chronic medical condition, mostly chronic cardiovascular disease (3.2%), immunosuppressive disease (3.2%), and cancer/tumor (2.6%). Most common clinical symptoms of the cases were fever (92.6%) and cough (88.8%), of which abnormal pulmonary auscultation (51.1%) and abnormal chest X-ray performance (36.1%) were the most common clinical signs. 29 cases (15.8%) had complications, of which pneumonia (15.3%) was most common. 16 cases (8.6%) used antiviral drugs, and 4 cases (2.2%) were admitted into ICU. Risk factor analysis suggested that age < 6 months (OR = 0.406, 95% CI: 0.203-0.815) was a protective factor against influenza infection; and age 5-9 years old (OR = 2.535, 95% CI: 1.059-6.066) was a risk factor for influenza infection.

CONCLUSIONHospitalized laboratory-confirmed influenza cases were found mostly in children under 5 years old. Risk exposure for influenza infection varied among age groups.

Acute Disease ; Adolescent ; Antiviral Agents ; Child ; Child, Preschool ; China ; epidemiology ; Cough ; Female ; Fever ; Hospitalization ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza, Human ; epidemiology ; pathology ; Inpatients ; Laboratories ; Male ; Protective Factors ; Risk Assessment ; Risk Factors ; Sentinel Surveillance ; Surveys and Questionnaires