|本期目录/Table of Contents|

[1]郭永盛,邹映雪,翟 嘉,等.73例儿童型塑型性支气管炎临床特征分析[J].天津医科大学学报,2017,23(05):422-425.
　?[J].Journal of Tianjin Medical University,2017,23(05):422-425.
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73例儿童型塑型性支气管炎临床特征分析(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
23卷
期数:
2017年05期
页码:
422-425
栏目:
临床医学
出版日期:
2017-09-20

文章信息/Info

Title:
?
文章编号:
1006-8147(2017)05-0422-04
作者:
郭永盛1; 邹映雪1; 翟 嘉1; 赵 丽2; 沈 阳1; 郭 润1; 黄 冰1
(天津市儿童医院 1.感染及呼吸二科;2.病理科 300134)
Author(s):
?
?
关键词:
塑型性支气管炎' target="_blank" rel="external">">塑型性支气管炎; 儿童; 肺炎支原体; 临床特征
Keywords:
?' target="_blank" rel="external">">?
分类号:
R725.6
DOI:
-
文献标志码:
A
摘要:

目的: 提高临床医生对Ⅰ型塑型性支气管炎（PB）的认识。方法: 采用回顾性病例分析方法对73例PB病人的临床资料进行分析。结果: 73例病例中男52例，女21例，男：女比为2.5:1；年龄10月～12岁，平均年龄（6.1±2.8）岁。所有病例均有发热，其中68例（占93.1%）高热，热程平均（13.9±7.6）d；咳嗽亦为主要表现，干咳65例（占89.0%）。胸部影像学显示不同表现，72例（占98.6%）为肺实变/肺不张；33例（占45.2%）合并胸腔积液，5例（占6.8%）合并肺气肿，2例（占2.7%）合并液气胸。15例（占20.5%）患者有呼吸困难，其中9例（占12.3%）出现低氧血症，2例（占2.7%）应用无创机械通气治疗。病原学检查发现66例（占90.4%）肺炎支原体（MP）阳性，有43例（占58.9%）存在混合感染，7例（占9.6%）为其他病原体感染。所有患者外周血常规无特征性改变，65例患者（占89.0%）LDH升高，57例（占78.1%）ESR增快，56例(占76.7%)CRP升高，64例(占87.6%)IL-6升高，45例（占61.6%）D-二聚体升高。所有患儿均于入院后1～9 d（病程5～33 d）行纤维支气管镜检查，镜下发现病变部位支气管可见灰白色分泌物栓塞，栓塞物经病理诊断均为Ⅰ型PB。所有病例均以临床好转或治愈出院，平均住院（10.1±4.1）d。结论: MP感染是儿童Ⅰ型PB的主要病原体，持续高热及影像学进展的病人，应警惕PB发生，及早行纤维支气管镜治疗。

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Abstract:
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备注/Memo

备注/Memo:
作者简介 郭永盛（1978-），男，主治医师，学士，研究方向：儿童呼吸及感染性疾病；通信作者：邹映雪，E-mail：xue11235813@163.com。
更新日期/Last Update: 2017-09-20