论文部分内容阅读
目的:探讨儿童肺炎支原体肺炎后遗症临床危险因素。方法:根据2个月后患儿复查胸部的X片,或者肺部的CT检查的结果,选取本院收治的80例肺炎支原体肺炎患儿分成观察组和对照组。对照组选取无肺炎支原体肺炎后遗症的患儿,治疗组选取有肺炎支原体肺炎后遗症的患儿,分析治疗组与对照组患儿的症状、体征、热程、肺部的病变部位及类型、红细胞的沉降率、外周的血白细胞计数、CRP水平和抗生素、糖皮质激素、丙种球蛋白的应用情况。结果:观察组肺不张占87.50%;支气管扩张占10.00%;闭塞性的细支气管炎占2.50%。热程>10天、胸腔积液、病变部位为右上叶、大片状阴影的患儿发生后遗症的危险性比较高,P值均<0.05。其中,胸腔积液是出现后遗症比较强的危险因素。结论:热程>10天、胸腔积液、大片状阴影、病变部位为右上肺的患儿发生后遗症的危险性比较高,应引起注意。
Objective: To explore the clinical risk factors of children with Mycoplasma pneumoniae sequelae. Methods: According to the results of chest X-ray examination or chest CT examination after 2 months, 80 children with Mycoplasma pneumoniae pneumonia admitted in our hospital were divided into observation group and control group. The control group were selected children without pneumonia mycoplasma pneumonia sequelae, the treatment group selected children with mycoplasma pneumonia sequelae, the treatment group and control group, children with symptoms, signs, heat stroke, lung lesions and types of lesions, erythrocyte Sedimentation rate, peripheral blood leukocyte count, CRP levels and the use of antibiotics, glucocorticoids, gamma globulin. Results: In the observation group, atelectasis accounts for 87.50%; bronchiectasis accounts for 10.00%; and obliterative bronchiolitis accounts for 2.50%. Heat stroke> 10 days, pleural effusion, the lesion is the upper right lobe, the shadow of children with large risk of sequelae is relatively high, P <0.05. Among them, pleural effusion is the occurrence of sequelae relatively strong risk factors. Conclusion: There is a high risk of sequelae in children with fever> 10 days, pleural effusion, large flake shadow and lesion with upper right lung.