51例新生儿流行性感冒的临床特征分析

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中图分类号：R511.7 文献标志码：A DOI ： 10.3969/j .issn.1003-1383.2025.12.007

【Abstract】ObjectiveTo investigatetheclinicalcharacteristics，diagnosis，andtreatmentof hospitalizedneonates with influenza.MethodsAretrospectiveanalysiswasconductedonclinicaldataof neonateswith influenza hospitalizedat Women&infants Hospitalof Zhengzhou from October 2018 to March 2025.ResultsAmong the51cases，32 were infected withinfluenzaAvirus（IAV）and19withinfluenzaBvirus（IBV）.Themajorityofinfectionsoccurred inneonatesolder than14 days （80.4% ），with a seasonal predominance in winter （80.4% ）.The most common clinical manifestationswere fever （78.4% ）andcough（ 62.7% ），while gastrointestinal symptoms were rare（3 cases of poor appetite，1 case of vomiting）.Over half of the patients had normal white blood cell counts （62.7%） ，while 33.3% exhibited decreased white blood cell counts.Some cases were complicated by bacterial （ 21.6% ）orotherviral infections（13.7 % ）.All 51 neonates improvedorrecoveredafter treatment，withnodeaths.Compared withthe IBVgroup，theIAVgroup exhibitedasignificantly higher proportion of patients with fever （ P=0.002 ）and a greater incidence of pneumonia （ P=0.007 ）. In contrast， the IBV group showed a higher prevalence of cough than the IAV group （ P=0.015 ）.ConclusionNeonatal influenza predominantly affects neonates older than 14 days，with ahigher incidence in winter.IAV-infected neonatesare more prone to feverand carryan elevated risk of pneumonia.

【Keywords】 neonate；influenza；influenza Avirus（IAV）；influenzaBvirus（IBV）

流行性感冒（简称流感）是由流感病毒引起的急性呼吸道传染病，常在每年冬春季高发流行，人群普遍易感。（剩余6909字）