摘要
目的:探讨呼吸内镜在儿童肺不张中的临床诊治策略。方法:对福建医科大学附属泉州第一医院儿科2018年1月~2019年12月收治的肺不张并且行内镜治疗的患儿73例,进行回顾性分析。结果:73例肺不张患儿中发热62例(84.9%),咳嗽69例(94.5%),气促15例(20.5%),喘息11例(15.1%),胸痛3例(4.1%),肺部体征58例(79.1%)。73例肺不张患儿中病原体未检出26例(35.6%),肺炎支原体20例(27.4%),肺炎链球菌3例(4.1%)等。73例肺不张患儿中左肺上叶7例(9.6%),左肺下叶7例(9.6%),右肺上叶25例(34.2%)等。73例肺不张患儿中内镜下改变:黏膜糜烂7例(9.6%),纵行皱襞7例(9.6%)黏膜苍白12例(16.4%)等。73例肺不张患儿临床治愈出院71例(97.3%),自动出院1例(1.4%),转院1例(1.4%)。结论:本组病例1岁以内患者居多,肺不张好发于右肺上叶。行呼吸内镜诊疗有利于尽早明确病因,及时通畅气道,感染性疾病仍是肺不张最主要原因,对于咳嗽反复的学龄前儿童,气道畸形和支气管异物需提高警惕。
Objective:To explore the clinical diagnosis and treatment strategy of respiratory endoscopy in children’s lungs.Methods:73 children with atelectasis treated by endoscopy in the Department of Pediatrics of Quanzhou First Hospital Affiliated to Fujian Medical University from January 2018 to December 2019 were analyzed retrospectively.Results:Among 73 children with atelectasis,62 cases had fever(84.9%),69 cases had cough(94.5%),15 cases had shortness of breath(20.5%),11 cases had wheezing(15.1%),3 cases had chest pain(4.1%),and 58 cases had pulmonary signs(79.1%).Among 73 children with atelectasis,26 cases(35.6%),20 cases(27.4%)of Mycoplasma pneumoniae and 3 cases(4.1%)of Streptococcus pneumoniae were not detected.Among 73 children with atelectasis,7 cases(9.6%)were in the upper lobe of the left lung,7 cases(9.6%)in the lower lobe of the left lung and 25 cases(34.2%)in the upper lobe of the right lung.Endoscopic changes in 73 children with atelectasis:mucosal erosion in 7 cases(9.6%),longitudinal plica in 7 cases(9.6%),mucosal pallor in 12 cases(16.4%).73 children with atelectasis were clinically cured,71(97.3%)were discharged,1(1.4%)was discharged automatically,and 1(1.4%)was transferred to another hospital.Conclusion:The majority of cases in this group were under 1 year of age,and the lungs were not open well in the upper lobes of the right lung.Respiratory endoscopy is conducive to early identification of the cause,timely airway,infectious diseases are still the most important cause of lung deficiency,for coughing repeated preschool children,airway malformations and bronchial foreign bodies need to be vigilant.
作者
黄志锋
许白叶
王清海
陈激文
梁世山
HUANG Zhi-feng;XU Bai-ye;WANG Qing-hai;CHEN Ji-wen;LIANG Shi-shan(Quanzhou First Hospital,Fujian Quanzhou 362000)
出处
《中国医疗器械信息》
2021年第24期150-152,共3页
China Medical Device Information
基金
2017年泉州市科技局科技计划项目(项目名称:儿科重症肺炎的纤支镜介入治疗,项目编号:2018Z088)。
关键词
呼吸内镜
儿童
肺不张
respiratory endoscopy
children
atelectasis
