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目的探讨肺炎支原体肺炎合并肺不张患儿转归、应用纤维支气管镜灌洗治疗的时机及肺炎支原体肺炎后闭塞性细支气管炎的发病率。方法回顾分析北京儿童医院2006年5月至2007年5月期间1166例住院治疗的肺炎支原体肺炎患儿临床资料,其中117例合并肺不张,出院后1.0～1.4年复查胸部高分辨CT(HRCT)及肺功能,接受随访者共36例。结果(1)住院患儿中肺炎支原体肺炎合并肺不张的发病率为10.03%。(2)随访时,36例肺不张患儿胸部HRCT检测仍异常者23例,占随访患儿总数的63.89%。其中马赛克征9例次、支气管扩张12例次、支气管壁增厚11例次、血管细少2例次、小结节或树芽征3例次、黏液栓1例次、单侧透明肺1例次、条索状不张10例次。(3)纤维支气管镜灌洗治疗在病程<20d与病程≥20d两组比较,差异有统计学意义(P<0.05)。(4)随访27例患儿肺功能,阻塞性通气功能障碍16例,混合性通气功能障碍,以阻塞为主1例。(5)在随访的36例肺不张患儿中,临床诊断闭塞性细支气管炎9例,占25%(9/36)。结论肺炎支原体肺炎住院患儿合并肺不张的发病率10.03%;远期随访发现肺炎支原体肺炎后肺部后遗症主要为支气管扩...

One-year follow-up study for mycoplasma pneumoniae pneumonia with pulmonary atelectasis complications

Objective To study the reversal of atelectasis during the recovery of mycoplasma pneumoniae pneumonia and determine the therapeutical time of fiber-optical bronchoscope-assisted washing treatment. To recognize the incidence of bronchiolitis obliterans. Methods Totally 109 cases of pediatric mycoplasma pneumoniae pneumonia with pulmonary atelectasis complication had been selected from 1166 patients who were treated in Beijing Pediatric Hospital between May 2006 and May 2007. After telephone appointments and ...