摘要
目的 了解儿童肺不张的病因、临床表现、影像特征、内镜特征及预后.方法 回顾性分析青岛市妇女儿童医院2019年10月—2022年4月收治的122例肺不张病儿的临床资料.结果 122例病儿中男69例,女53例;年龄4月～12岁.临床表现为发热98例,咳嗽120例,呼吸困难14例,呼吸音低48例,哮鸣音20例,湿啰音80例.病变部位:右肺77例,左肺40例.病因:感染113例,异物5例,气道结构及发育异常4例.87例行支气管镜检查,其中感染78例,支气管闭锁2例,异物5例,支气管内血管瘤1例,右肺下叶发育不全1例.感染性肺不张病儿按照是否行支气管镜灌洗治疗分组,治疗14 d时,支气管镜灌洗治疗组治疗有效率(87.2％,68/78)高于未行支气管镜治疗组(71.4％,25/35),差异有统计学意义(x2=4.115,P＜0.05);治疗2月时,支气管镜灌洗治疗组有效率仍略高于未行支气管镜治疗组,但差异无显著性(P＞0.05).结论 儿童肺不张病因中感染多见,支气管镜可协助诊治,促进肺复张.
Abstract
Objective To investigate the etiology,clinical manifestations,imaging features,endoscopic features,and prog-nosis of atelectasis in children.Methods A retrospective analysis was performed for the clinical data of 122 children with atelec-tasis who were admitted to Qingdao Women and Children's Hospital from October 2019 to April 2022.Results Among the 122 children,there were 69 boys and 53 girls,with an age of 4 months to 12 years.As for clinical manifestations,there were 98 cases of pyrexia,120 cases of cough,14 cases of dyspnea,48 cases of low respiratory sound,20 cases of wheeze,and 80 cases of moist rales.As for the location of lesions,77 children had lesions in the right lung,and 40 children had lesions in the left lung.As for etiology,there were 113 children with infection,5 with foreign body,and 4 with abnormal airway structure and development.Bronchoscopy was performed for 87 children,among whom 78 had infection,2 had bronchial atresia,5 had foreign body,1 had in-tratracheal angioma,and 1 had right inferior pulmonary insufficiency.The children with infectious atelectasis were divided into groups according to whether they underwent bronchoscopy or not.On day 14 of treatment,the bronchoscopy group had a signifi-cantly higher treatment response rate than the non-bronchoscopy group(87.2％(68/78)vs 71.4％(25/35),x2=4.115,P＜0.05),and after 2 months of treatment,the bronchoscopy group still had a slightly higher treatment response rate than the non-bronchos-copy group,but with no significant difference(P＞0.05).Conclusion Infection is common in children with atelectasis,and bronchoscopy can assist in the diagnosis and treatment of atelectasis and promote pulmonary reexpansion.
基金项目
青岛市科技惠民项目(21-1-4-rkjk-18-nsh)
维普
万方数据