526例重症毛细支气管炎病原体分析

目的了解成都地区重症毛细支气管炎儿童常见病原情况,为预防和治疗重症毛细支气管炎提供科学依据。方法对2008年5月～2011年4月本院内科住院的526例重症毛细支气管炎患儿,进行呼吸道病毒IgM抗体、痰培养及支原体、衣原体IgM抗体检测,对标本阳性患儿进行治疗及分析结果。结果 526例重症毛细支气管炎患儿,呼吸道病毒IgM抗体检测阳性248例(47.15%);痰培养检测阳性21例。MP阳性9例,CP阳性24例,CT阳性59例。结论对症支持治疗是重症毛细支气管炎的临床处理原则,针对病原给予相应的治疗措施是减少重症毛细支气管炎的死亡率及哮喘发生的有效方法。

Study pathogen on 526 cases of severe bronchitis

Objective To understand the common pathogen in young children with severe bronchitis in Chengdu area,for the prevention and treatment of severe bronchitis provide the scientific basis.Methods ELISA was employed in 526 samples to detect the specific serum IgM antibody against Mycoplasmal、Chlamydia and viral.The sputum culture was also employed in them.From children with severe bronchitis admitted to our hospital from May 2008 to April 2011.And the results were analyzed.Results Among the 526 samples,248(47.15%) were determined positive in viral,21 were determined positive in the sputum culture,and MP 9/526、CP 24/526,and CT 59/526.Conclusion The support therapy is the clinical treatment principle about severe bronchitis.According to the pathogen,it carries on the corresponding treatment.What is the effective method to reduce severe bronchitis mortality and asthma happened.