摘要
儿童感染后闭塞性细支气管是儿童最为常见的闭塞性细支气管炎。病理特点是肺部小气道狭窄及阻塞,进而肺部纤维化。临床表现以持续性咳喘,呼吸急促、呼吸困难为主,预后差。结合相关辅助检查协诊。治疗上糖皮质激素类药物可作为靶向治疗药物,也支持大环内酯类抗生素、白三烯受体拮抗剂及氧疗等对症治疗。由于预后较差,极少数患儿可行移植治疗。
Postinfection-bronchiolitis obliterans in children is the most common bronchiolitis obliterans in children.The pathological features are small airway stenosis and occlusion in lung,and pulmonary fibrosis.Clinical manifestations mainly include persistent cough and asthma,polypnea and dyspnea,with poor prognosis.The diagnosis also depends on the related auxiliary examinations.In the treatment,glucocorticoid drugs can be used as the targeted therapy drugs,and the macrolides,leukotriene receptor antagonist and oxygen therapy are also useful.Because of the poor prognosis,transplantation is feasible in very few children.
作者
任丽芳
赵慧敏
鲁珊珊
肖夏夏
孙中厚
REN Lifang;ZHAO Huimin;LU Shanshan;XIAO Xiaxia;SUN Zhonghou(Weifang Medical College,Weifang 261000,China)
出处
《中国中西医结合儿科学》
2020年第4期291-294,共4页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
闭塞性细支气管
感染后
诊断
治疗
儿童
Bronchiolitis obliteran
Postinfection
Diagnosis
Treatment
Children
