Analysis of disease characteristics of children hospitalized in northwest women and children's hospital from 2018 to 2021
Objective To investigate the current disease status of hospitalized children at North⁃west Women's and Children's Hospital from 2018 to 2021 and explore the disease characteristics of pediatric plastic bronchitis(PB).Methods All the children underwent electronic bronchoscopy.According to the ex⁃amination results,they were divided into two groups:PB group(n=252)and non⁃PB group(n=974).The differences in general information,clinical manifestations and pathogen detection results between the two groups were compared.Results In this study,a total of 252 children with PB were diagnosed out of 1,226 hospitalized children,resulting in an incidence rate of 20.55％.The mean age,proportion of low⁃quality chil⁃dren,and incidence rate from 1 to 3 months in the PB group were significantly higher than those in the non⁃PB group(P<0.05).Children in the PB group presented with symptoms such as fever,shortness of breath,short⁃ness of breath,and pleural effusion at a significantly higher in the non⁃PB group(P<0.05).Additionally,the peak fever,duration of fever,and illness duration were all significantly higher in the PB group compared to the non⁃PB group,with statistically significant differences(P<0.05).All patients in the PB group received an⁃tibiotic treatment during their hospital stay.Specifically,181 patients were treated with dexamethasone or methylprednisolone,123 received human immunoglobulin intravenously,52 received oxygen therapy,38 re⁃ceived non⁃invasive mechanically assisted ventilation,and 45 were placed on routine mechanical ventilation.Furthermore,79.37％of children in the PB group underwent bronchoscopy≥2 times.Conclusion Bronchos⁃copy and detection of pathogens in alveolar lavage fluid are helpful in accurately diagnosing PB and developing treatment plans.Timely antibiotic treatment and,when necessary,mechanical ventilation are of great signifi⁃cance in improving the prognosis of children with PB.
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