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儿童迁延性肺炎111例临床分析 被引量:14

Clinical analysis of 111 cases of children with prolonged pneumonia
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摘要 目的分析儿童迁延性肺炎的临床及病原学特点。方法回顾性分析111例迁延性肺炎患儿的临床及病原学特点。结果迁延性肺炎多见于<3岁儿童,尤以<1岁的婴儿为主。<3岁儿童气道发育异常发生率高于≥3岁儿童;在迁延性肺炎合并的基础疾病中,气道发育异常最为多见,支气管异物居第2位;≥3岁儿童支原体感染率高于<3岁儿童,细菌感染以革兰阳性菌为主,病毒感染大多数为呼吸道合胞病毒。结论病程迁延与基础疾病及感染病原密切相关。病原菌要注意耐药革兰阳性菌及支原体。 Objective To analyze the clinical and etiological characteristics of prolonged pneumonia in children. Methods The clinical and etiological characteristics of prolonged pneumonia in the 111 cases of children were retrospectively analyzed. Results Prolonged pneumonia was more common in children under 3-year-old, especially in infants under 1-year- old. The prevalence of airway abnormalities is higher in children under 3-year-old. Bronchial foreign body is the second most common underlying complication in prolonged pneumonia. Airway dysplasia is the most common cause of infection. The rate of mycoplasma infection in children over 3-year-old is higher than in children under 3-year-old. G+ bacteria is the main cause of bacterial infection. The main cause of viral infection is respiratory syncytial virus. Conclusions Prolonged course of pneu monia is closely related to the underlying diseases and infectious agents. Drug-resistant bacteria and mycoplasma as pathogensshould be paid attention to.
出处 《临床儿科杂志》 CAS CSCD 北大核心 2012年第12期1150-1152,共3页 Journal of Clinical Pediatrics
关键词 迁延性肺炎 病原学 儿童 prolonged pneumonia pathogen child
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