影响闭塞性细支气管炎预后的因素分析  

Analysis of Factors Affecting the Prognosis of Patients with Bronchiolitis Obliterans

作　　者：张永菊[1] 张会武[1] 孟秋云[1] 赵玉岐[1] 

机构地区：[1]沧州市中心医院儿内三科,沧州061001

出　　处：《中国医药导刊》2015年第11期1093-1094,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨儿童闭塞性细支气管炎（BO）的预后影响因素。方法：回顾性分析本院58例BO患儿的临床资料,分析患儿的发病年龄、病因、临床特点、影像学变化、肺功能改变、治疗方法等。结果：病因分为感染、非感染和原因不明三类。感染48例,腺病毒20例,支原体17例,麻疹6例;非感染8例;原因不明2例。肺功能显示小气道阻塞性通气障碍45例;混合性通气障碍6例。全部患儿均使用激素、小剂量大环内酯及孟鲁司特口服。随防半年到5年的病例中,0~3岁的患儿临床缓解21例,〉3岁的7例临床缓解;得到早期诊治的38例中临床缓解28例,死亡6例。结论：早期诊断、治疗儿童BO,可提高患儿的生存率,减少患儿死亡率,改善预后。Objective： To investigate the prognostic factors of bronchiolitis obliterans（BO） in children. Methods： The clinical data of 58 patients with BO were analyzed retrospectively, and the age, etiology, clinical features, imaging changes, pulmonary function, treatment and so on were analyzed retrospectively. Results： The causes were divided into three categories： infection, non infection and unexplained. In 48 cases, 17 cases were infected, 20 cases were mycoplasma, 6 cases had measles, 8 cases had no infection, 2 cases had no infection. Pulmonary function showed a small airway obstruction in 45 cases; 6 cases of mixed ventilation dysfunction. All the children were taken orally with hormone, small dose of the large ring of the ring and the oral administration of the company. In case of six months to 5 years, 0 to 3 years of age, 21 cases of clinical remission, 7 cases of clinical remission, 3 years old, 38 cases of early diagnosis and treatment of 28 cases, 6 cases of death. Conclusion： Early diagnosis and treatment of children with BO, can improve the generation rate, reduce the mortality rate, improve prognosis.

关 键 词：闭塞性细支气管炎 病因 预后因素 

分 类 号：R725.6[医药卫生—儿科]