支气管镜介入治疗肺炎支原体肺炎伴气道内黏液栓阻塞疗效观察  

Efficacy of Bronchoscopic Interventional Therapy in Treatment of Mycoplasma Pneumoniae Pneumonia with Intratracheal Mucous Plug Obstruction

作　　者：崔伟建[1] CUI Wei-jian(Department of Respiratory Medicine,Shangqiu First People’s Hospital,Shangqiu,Henan,476100,China)

机构地区：[1]商丘市第一人民医院呼吸内科,河南商丘4761000

出　　处：《临床研究》2019年第2期36-37,共2页Clinical Research

摘　　要：目的观察支气管镜介入治疗肺炎支原体肺炎(MPP)伴气道内黏液栓阻塞的疗效。方法回顾性分析2016年7月～2018年6月本院治疗的100例MPP伴气道内黏液栓阻塞患儿临床资料,依据其入院至接受支气管镜介入治疗时间的不同将其分为两组,其中入院至接受支气管镜介入治疗时间> 3d的52例患儿临床资料组成对照组,将入院至接受支气管镜介入治疗时间≤3d的48例患儿临床资料组成观察组。观察两组住院时间、肺部影像学表现。结果较对照组相比,观察组肺部实变吸收面积≥90%人数占比较大,肺不张发生率、住院时间相对较少,差异显著(P <0.05)。结论支气管镜介入疗法为MPP伴气道内黏液栓阻塞治疗中较为安全且有效方法,而早期实施支气管镜介入治疗有助于促进肺部实变吸收,降低肺不张发生率,缩短病程。Objective To observe the efficacy of bronchoscopic interventional therapy in treatment of mycoplasma pneumoniae pneumonia(MPP)with intratracheal mucous plug obstruction.Methods The clinical data of 100 children with MPP and intratracheal mucous plug obstruction treated in the hospital from July 2016 to June 2018 were retrospectively analyzed.And they were divided into two groups according to the time from admission to bronchoscopic interventional therapy.The clinical data of 52 children(the time from admission to bronchoscopic interventional therapy>3d)were selected as control group,and the clinical data of 48 children(the time from admission to bronchoscopic interventional therapy≤3d)were selected as observation group.The hospital stays and pulmonary imaging findings in the two groups were observed.Results Compared with control group,the rate of size of pulmonary consolidation and absorption≥90%in observation group was larger,the incidence of pulmonary atelectasis and hospital stays in observation group were less(P<0.05).Conclusion Bronchoscopic interventional therapy in treatment of MPP with intratracheal mucous plug obstruction is safe and effective.Early bronchoscopic interventional therapy can promote pulmonary consolidation and absorption,decrease the incidence of pulmonary atelectasis,and shorten the course of disease.

关 键 词：肺炎支原体肺炎 气道内黏液栓阻塞 支气管镜 影像学表现 

分 类 号：R725.6[医药卫生—儿科]