摘要
目的 探讨儿童肺不张的病因及特征。方法 对我院经一般抗炎治疗无效的 36 7例肺不张患儿应用纤维支气管镜进行病因诊断分析。结果 本组肺不张病例中以炎症最为多见 ,共 2 0 7例 ,占 5 6 .4% ;异物 6 2例(16 9% )、支气管内膜结核 44例 (12 0 % )分居第二、三位。右中叶病变以炎症为主者占 72 5 % ;异物以右下叶多见 ,与右上叶、右中叶相比差异有显著意义 ;结核发生部位间未显示统计学差异。≤ 3岁组肺不张病因以异物最为多见 ,与其他各年龄组相比差异均有非常显著意义 ;>7岁组以炎症多见 ,与≤ 3岁组 (包括≤ 1岁组 )相比差异有显著意义。结论 儿童肺不张病因有其自身特点 ,以炎症、异物及结核为其三大主因 ;≤ 3岁组肺不张病因以异物为主。
Objective To discuss the causes and the features of atelectasis in children.Methods Bronchoscopy was performed on 367 children with atelectasis aged from 10 days to 16 years.Results In this study,there were 207 cases caused by inflammation(56 4%),which was the most common cause of atelectasis.There were 62 cases caused by foreign body (16 9%),44 cases by bronchial tuberculosis (12 0%),which were secondly and thirdly common respectively.In the right middle lobe,inflammation was the most common cause (72 5%),foreign body was the main cause of atelectasis in right lower lobe,which showed statistical difference compared with right upper lobe and right middle lobe.No statistical difference was found in bronchial tuberculosis among locations.In ≤3 years group,foreign body was the main cause of atelectasis which showed difference compared with other groups.In≥7 years group,inflammation was the main cause which showed statistical difference compared with≤1 year group and ≤3 years group. Conclusions In children,the causes of atelectasis have unique features.Inflammation,foreign body and bronchial tuberculosis are the main causes of atelectasis.However,in those who aged from 1 to 3 years,foreign body is the most common cause of atelectasis.
出处
《中国实用儿科杂志》
CSCD
北大核心
2002年第11期656-658,共3页
Chinese Journal of Practical Pediatrics
