title: [Analysis of serious respiratory complications in PICU in children with measles].
abstract: OBJECTIVE
  To evaluate the characteristics of the serious complications of 17 cases with measles in ICU.
  
  
  METHODS
  Seventeen cases with measles with serious complications in ICU in Anhui Provincial Children's Hospital were recruited from May 2012 to May 2013. Clinical characteristics, image finding, and prognosis were analyzed retrospectively. IgM antibody was positive in all the 17 cases, which included 9 male cases, 8 female cases, and their age was from 2 months to 10 years.
  
  
  RESULTS
  All the 17 patients received mechanical ventilation because of severe respiratory distress within 1 week of onset, of which 14 cases were complicated with acute respiratory distress syndrome (acute ARDS), 6 cases of tension pneumothorax, 3 cases were complicated with bronchitis, laryngeal obstruction III degrees, and totally 7 cases died. The survived 10 patients were followed up for 1 year, 1 patient with localized pneumothorax, bronchopleural fistula, 1 case of mild pulmonary fibrosis, 1 case of acute laryngitis with persistent hoarseness, and mild inspiratory dyspnea were found. The remaining 7 cases fully recovered. Fourteen cases failed to inoculate measles vaccine.
  
  
  CONCLUSIONS
  A higher risk of death and poor prognosis were found in children with measles who needed to be treated in PICU, especially for ARDS with pneumothorax. Laryngitis needed long time to cure and had weaning difficulties, and the case associated with pleural effusion or bronchopleural fistula must be treated with surgery, and the patients easily develop secondary bacterial infection.
authors: Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Hefei 230051, China.
authors: Danqun
authors: D
authors: Jin
authors: Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Hefei 230051, China. Email: dingjie0426@126.com.
authors: Jie
authors: J
authors: Ding
authors: Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Hefei 230051, China.
authors: Jingmin
authors: J
authors: Sun
authors: Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Hefei 230051, China.
authors: Wenjia
authors: W
authors: Tong
mesh_terms: D002648:Child; D004417:Dyspnea; D005260:Female; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008457:Measles / Q000150:complications*; D010996:Pleural Effusion; D011379:Prognosis; D011658:Pulmonary Fibrosis; D012121:Respiration, Artificial; D012189:Retrospective Studies