摘要
目的分析136例老年毛细支气管炎患者的临床特征,以期提高临床老年毛细支气管炎诊治水平。方法选取2015年12月—2016年12月北京市丰台区南苑医院收治的老年毛细支气管炎患者136例,分析其临床表现、实验室检查结果、影像学检查结果、肺外表现及治疗转归。结果 (1)临床表现:136例患者均表现为咳嗽、喘憋并伴有哮鸣音(占100%),52例患者表现为发热(占38.2%),51例患者伴有湿啰音(占37.5%),20例患者表现为呼吸困难(占14.7%)。(2)实验室检查结果:血常规异常34例(占25.0%),肺炎支原体阳性23例(占16.8%),C反应蛋白异常12例(占8.8%);49例患者行痰培养,结果阳性者15例(占30.6%);61例患者行心肌酶谱检查,结果异常者21例(占34.4%);62例患者行肝功能检查,结果异常者22例(占35.4%);72例患者行肾功能检查,结果无一例异常。(3)影像学检查结果:103例患者行胸部X线检查,结果显示肺纹理增粗71例(占68.9%),点片状阴影14例(占13.5%),肺野透亮度增高12例(占11.6%);33例患者行胸部CT检查,结果显示肺纹理增粗27例(占81.8%),点片状阴影3例(占9.1%),肺野透亮度增高3例(占9.1%)。(4)肺外表现:23例肺炎支原体阳性患者中16例出现肺外表现(占69.6%),113例患者肺炎支原体阴性患者中22例出现肺外表现(占19.5%)。(5)治疗转归:所有患者在常规对症治疗基础上给予抗菌及抗病毒治疗等,其中痊愈121例,好转出院15例。结论老年毛细支气管炎患者临床表现、实验室及影像学检查结果缺乏特异性,但经对症及抗菌、抗病毒治疗后转归良好。
Objective To analyze the clinical features of136senile patients with capillary bronchitis,to improve the clinical diagnosis and treatment level.Methods From December2015to December2016,a total of136senile patients with capillary bronchitis were selected in Nanyuan Hospital of Fengtai District,Beijing,their clinical manifestations,laboratory examination results,imaging findings,extra-pulmonary manifestations and therapeutic outcome were retrospectively analyzed.Results(1)Clinical manifestations:all of the136patients performed as cough,wheezes complicated with wheezing rale(accounting for100%),52cased performed as fever(accounting for38.2%),51cases complicated with moist rale(accounting for37.5%),20cases performed as dyspne(accounting for14.7%).(2)Laboratory examination results:34cases with abnormal blood routine examination results(accounting for25.0%),23cases with positive test results of mycoplasma pneumoniae(accounting for16.8%),12cases with abnormal CRP(accounting for8.8%);49cases received sputum culture,thereinto15cases occurred positive results(accounting for30.6%);61cases received myocardial enezyme examination,thereinto21cases occurred abnormal results(accounting for34.4%);62cases received liver function examination,thereinto22cases occurred abnormal results(accounting for35.4%);72cases received renal function examination but no one occurred abnormal results.(3)Imaging findings:103cases received chest X-ray examination,thereinto71cases performed as increased lung-marking shadows(accounting for68.9%),14cases performed as punctiform and schistose shadows(accounting for13.5%),12cases performed as increased lung field transparency(accounting for11.6%);33cases received chest CT examination,thereinto27cases performed as increased lung-marking shadows(accounting for81.8%),3cases performed aspunctiform and schistose shadows(accounting for9.1%),3cases performed as increased lung field transparency(accounting for9.1%).(4)Extra-pulmonary manifestations:of the23patients with positive test results of mycoplasma pneumon
作者
杨小琴
YANG Xiao-qin(Nanyuan Hospital of Fengtai District,Beijing,Beijing 100076,China)
出处
《实用心脑肺血管病杂志》
2017年第B12期30-32,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
细支气管炎
疾病特征
诊断
治疗
Bronchiolitis
Disease attributes
Diagnosis
Therapy
